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Epidemiology and policy
SP3-42 Trends and characteristics of self-reported HIV testing in women of childbearing age, in Peru 2000, 2004–2008
  1. R Tejada1,2,
  2. J Alarcón1,
  3. J Zunt3,
  4. S Montano4
  1. 1Universidad Nacional Mayor de San Marcos, Lima, Lima, Peru
  2. 2Fogarty International Center, Bethesda, Maryland, USA
  3. 3University of Washington, Seattle, Washington, USA
  4. 4US Naval Medical Search Center Detachment, Lima, Lima, Peru

Abstract

Introduction In the 26-year HIV/AIDS epidemic in Peru more than 39 682 cases of HIV and 25 533 cases of AIDS have been reported. Despite a higher concentration of the epidemic in men who have sex with men, there has been transmission to other groups and a decline in the male to female ratio of HIV infection. The objective of our study was to examine trends and factors associated with obtaining HIV testing for women of childbearing age (WCBA).

Methods We used Demographic and Family Health Surveys databases of Peru from the years 2000, and 2004 to 2008 to study trends of self-reported HIV testing. The association between HIV testing and sociodemographic and reproductive health factors was assessed using bivariate analyses and logistic regression.

Results We analysed data from 124 797 Peruvian WCBA. There was a significant difference in the number of WCBA who reported having been tested for HIV, with more than a doubling of testing between 2000 (15.3%) and 2008 (39.6%) (p<0.001). HIV testing was associated with urban residence (OR 1.96), higher educational level (OR 5.14), speaking Spanish (OR 3.10), having a partner (OR 3.21), self-perception of high risk for HIV (OR 1.41), and having had a sexually transmitted infection in the preceding year (OR 2.18).

Conclusion There has been an increasing number of WCBA who report HIV testing since 2000, but less than half of WCBA do not seek HIV testing. Major factors associated with HIV testing should be considered when planning new initiatives to increase HIV testing of WCBA.

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