AIDS and Behavior

, Volume 19, Issue 3, pp 492–504 | Cite as

Factors Associated with HIV-Testing and Acceptance of an Offer of Home-Based Testing by Men in Rural Zambia

  • B. HensenEmail author
  • J. J. Lewis
  • A. Schaap
  • M. Tembo
  • W. Mutale
  • H. A. Weiss
  • J. Hargreaves
  • H. Ayles
Original Paper


The objective of this study is to describe HIV-testing among men in rural Lusaka Province, Zambia, using a population-based survey for a cluster-randomized trial. Households (N = 120) were randomly selected from each of the 42 clusters, defined as a health facility catchment area. Individuals aged 15–60 years were invited to complete questionnaires regarding demographics and HIV-testing history. Men testing in the last year were defined as recent-testers. After questionnaire completion adults were offered home-based rapid HIV-testing. Of the 2,828 men, 53 % reported ever-testing and 25 % recently-testing. Factors independently associated with ever- and recent-testing included age 20+ years, secondary/higher education, being married or widowed, a history of TB-treatment and higher socioeconomic position. 53 % of never-testers and 57 % of men who did not report a recent-test accepted home-based HIV-testing. Current HIV-testing approaches are inadequate in this high prevalence setting. Alternative strategies, including self-testing, mobile- or workplace-testing, may be required to complement facility-based services.


HIV/AIDS Men HIV-testing Zambia Sub-Saharan Africa 


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • B. Hensen
    • 1
    Email author
  • J. J. Lewis
    • 2
    • 3
  • A. Schaap
    • 2
    • 4
  • M. Tembo
    • 4
  • W. Mutale
    • 5
    • 6
  • H. A. Weiss
    • 2
  • J. Hargreaves
    • 1
    • 3
  • H. Ayles
    • 4
    • 5
  1. 1.Department of Social and Environmental Health Research, Faculty of Public Health and PolicyLondon School of Hygiene and Tropical MedicineLondonUK
  2. 2.MRC Tropical Epidemiology Group, Faculty of Epidemiology and Population HealthLondon School of Hygiene and Tropical MedicineLondonUK
  3. 3.Centre for EvaluationLondon School of Hygiene and Tropical MedicineLondonUK
  4. 4.ZAMBART Project, Ridgeway CampusUniversity of ZambiaLusakaZambia
  5. 5.Department of Clinical Research, Faculty of Infectious and Tropical DiseasesLondon School of Hygiene and Tropical MedicineLondonUK
  6. 6.Department of Public HealthUniversity of Zambia School of MedicineLusakaZambia

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