title: Awareness of HIV status, prevention knowledge and condom use among people living with HIV in Mozambique.
abstract: OBJECTIVE
  To determine factors associated with HIV status unawareness and assess HIV prevention knowledge and condom use among people living with HIV/AIDS (PLHIV) in Mozambique.
  
  
  METHODS
  Cross-sectional household-based nationally representative AIDS Indicator Survey.
  
  
  METHODS
  Analyses focused on HIV-infected adults and were weighted for the complex sampling design. We identified PLHIV who had never been tested for HIV or received their test results prior to this survey. Logistic regression was used to assess factors associated with HIV status unawareness.
  
  
  RESULTS
  Of persons with positive HIV test results (N = 1182), 61% (95% confidence interval [CI] 57-65%) were unaware of their serostatus. Men had twice the odds of being unaware of their serostatus compared with women [adjusted odds ratio (aOR) 2.05, CI 1.40-2.98]. PLHIV in the poorest wealth quintile were most likely to be unaware of their serostatus (aOR 3.15, CI 1.09-9.12) compared to those in the middle wealth quintile. Most PLHIV (83%, CI 79-87%) reported not using a condom during their last sexual intercourse, and PLHIV who reported not using a condom during their last sexual intercourse were more likely to be unaware of their serostatus (aOR 2.32, CI 1.57-3.43) than those who used a condom.
  
  
  CONCLUSIONS
  Knowledge of HIV-positive status is associated with more frequent condom use in Mozambique. However, most HIV-infected persons are unaware of their serostatus, with men and persons in the poorest wealth quintile being more likely to be unaware. These findings support calls for expanded HIV testing, especially among groups less likely to be aware of their HIV status and key populations at higher risk for infection.
authors.affiliation: Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.
authors.forename: E Kainne
authors.initials: EK
authors.lastname: Dokubo
authors.affiliation: Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.
authors.forename: Ray W
authors.initials: RW
authors.lastname: Shiraishi
authors.affiliation: Division of Global HIV/AIDS, Centers for Disease Control and Prevention (CDC), Maputo, Mozambique.
authors.forename: Peter W
authors.initials: PW
authors.lastname: Young
authors.affiliation: Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.
authors.forename: Joyce J
authors.initials: JJ
authors.lastname: Neal
authors.affiliation: Division of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.
authors.forename: John
authors.initials: J
authors.lastname: Aberle-Grasse
authors.affiliation: Division of Global HIV/AIDS, Centers for Disease Control and Prevention (CDC), Maputo, Mozambique.
authors.forename: Nely
authors.initials: N
authors.lastname: Honwana
authors.affiliation: Ministry of Health, Maputo, Mozambique.
authors.forename: Francisco
authors.initials: F
authors.lastname: Mbofana
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009073:Mozambique; D015999:Multivariate Analysis; D016017:Odds Ratio; D021841:Safe Sex / Q000523:psychology*; D012737:Sex Factors; D012959:Socioeconomic Factors