Frank van Leth

Associate Professor Health Sciences

Reasons for, and factors associated with, positive HIV retesting: a cross-sectional study in Eswatini


Journal article


Quint Olislagers, F. van Leth, F. Shabalala, Njabuliso Dlamini, Njabulo Simelane, Nelisiwe Masilela, G. Gomez, C. Pell, E. Vernooij, R. Reis, M. Molemans
AIDS Care, 2022

Semantic Scholar DOI PubMed
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APA   Click to copy
Olislagers, Q., van Leth, F., Shabalala, F., Dlamini, N., Simelane, N., Masilela, N., … Molemans, M. (2022). Reasons for, and factors associated with, positive HIV retesting: a cross-sectional study in Eswatini. AIDS Care.


Chicago/Turabian   Click to copy
Olislagers, Quint, F. van Leth, F. Shabalala, Njabuliso Dlamini, Njabulo Simelane, Nelisiwe Masilela, G. Gomez, et al. “Reasons for, and Factors Associated with, Positive HIV Retesting: a Cross-Sectional Study in Eswatini.” AIDS Care (2022).


MLA   Click to copy
Olislagers, Quint, et al. “Reasons for, and Factors Associated with, Positive HIV Retesting: a Cross-Sectional Study in Eswatini.” AIDS Care, 2022.


BibTeX   Click to copy

@article{quint2022a,
  title = {Reasons for, and factors associated with, positive HIV retesting: a cross-sectional study in Eswatini},
  year = {2022},
  journal = {AIDS Care},
  author = {Olislagers, Quint and van Leth, F. and Shabalala, F. and Dlamini, Njabuliso and Simelane, Njabulo and Masilela, Nelisiwe and Gomez, G. and Pell, C. and Vernooij, E. and Reis, R. and Molemans, M.}
}

Abstract

ABSTRACT Eswatini has a high HIV prevalence but has made progress towards improving HIV-status awareness, ART uptake and viral suppression. However, there is still a delay in ART initiation, which could partly be attributed to positive HIV-retesting. This study examines reasons for, and factors associated with, positive HIV-retesting among MaxART participants in Eswatini. Data from 601 participants is included in this cross-sectional study. Descriptive statistics and logistic regressions were used. Of the participants, 32.8% has ever retested after a previous positive result. Most participants who retested did this because they could not accept their results (61.9% of all retesters). Other main reasons are related to external influences, gender or the progression of their HIV infection (respectively 18.3%, 10.2%, and 6.1% of all retesters). Participants without a current partner and participants with less time since their first positive test have lower odds of retesting. To decrease retesting and reduce the delay in ART initiation resulting from it, efforts could be made on increasing the acceptance of positive HIV results. Providing more information on the process of testing and importance of early ART initiation, could be part of the solution.