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HIV testing and tolerance to gender based violence : a cross-sectional study in Zambia
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 2151601
Author(s) Gari, Sara; Malungo, Jacob R. S.; Martin-Hilber, Adriane; Musheke, Maurice; Schindler, Christian; Merten, Sonja
Author(s) at UniBasel Gari, Sara
Martin Hilber, Adriane
Schindler, Christian
Merten, Sonja
Year 2013
Title HIV testing and tolerance to gender based violence : a cross-sectional study in Zambia
Journal PLoS ONE
Volume 8
Number 8
Pages / Article-Number e71922
Mesh terms Adolescent; Adult; Cross-Sectional Studies; Decision Making; Family Characteristics; Female; HIV Infections, psychology; Humans; Interpersonal Relations; Logistic Models; Male; Mass Screening, psychology; Middle Aged; Multivariate Analysis; Odds Ratio; Sex Factors; Socioeconomic Factors; Surveys and Questionnaires; Violence, statistics & numerical data; Young Adult; Zambia, epidemiology
Abstract This paper explores the effect of social relations and gender-based conflicts on the uptake of HIV testing in the South and Central provinces of Zambia. We conducted a community-based cross-sectional study of 1716 randomly selected individuals. Associations were examined using mixed-effect multivariable logistic regression. A total of 264 men (64%) and 268 women (56%) had never tested for HIV. The strongest determinants for not being tested were disruptive couple relationships (OR = 2.48 95% CI = 1.00-6.19); tolerance to gender-based violence (OR = 2.10 95% CI = 1.05-4.32) and fear of social rejection (OR = 1.48 95% CI = 1.23-1.80). In the Zambian context, unequal power relationships within the couple and the community seem to play a pivotal role in the decision to test which until now have been largely underestimated. Policies, programs and interventions to rapidly increase HIV testing need to urgently address gender-power inequity in relationships and prevent gender-based violence to reduce the negative impact on the lives of couples and families.
Publisher Public Library of Science
ISSN/ISBN 1932-6203
Full Text on edoc Available
Digital Object Identifier DOI 10.1371/journal.pone.0071922
PubMed ID
ISI-Number WOS:000324470100064
Document type (ISI) Journal Article

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