Gender variation in self-reported likelihood of HIV infection in comparison with HIV test results in rural and urban Nigeria

Journal article

Authors / Editors

Fabgamigbe, Adeniyi

Research Areas

MEDICAL AND HEALTH SCIENCES (Frascati classification)

Publication Details

Subtitle: Gender variation in self-reported likelihood of HIV infection in comparison with HIV test results in rural and urban Nigeria

Publisher: BMC (part of Springer Nature)

Publication year: 2011

Journal: AIDS Research and Therapy (1742-6405)

Volume number: 8

Issue number: 1

Start page: 1

End page: 8

Number of pages: 8

ISSN: 1742-6405

eISSN: 1742-6405

URL: https://www.researchgate.net/publication/51903446_Gender_variation_in_self-reported_likelihood_of_HIV_infection_in_comparison_with_HIV_test_results_in_rural_and_urban_Nigeria

Languages: English-United States (EN-US)

View on publisher site

Abstract

Background: Behaviour change which is highly influenced by risk perception is a major challenge that HIV prevention efforts need to confront. In this study, we examined the validity of self-reported likelihood of HIV infection among rural and urban reproductive age group Nigerians.Methods: This is a cross-sectional study of a nationally representative sample of Nigerians. We investigated the concordance between self-reported likelihood of HIV and actual results of HIV test. Multivariate logistic regression analysis was used to assess whether selected respondents' characteristics affect the validity of self-reports.Results: The HIV prevalence in the urban population was 3.8% (3.1% among males and 4.6% among females) and 3.5% in the rural areas (3.4% among males and 3.7% among females). Almost all the respondents who claimed they have high chances of being infected with HIV actually tested negative (91.6% in urban and 97.9% in rural areas). In contrast, only 8.5% in urban areas and 2.1% in rural areas, of those who claimed high chances of been HIV infected were actually HIV positive. About 2.9% and 4.3% from urban and rural areas respectively tested positive although they claimed very low chances of HIV infection. Age, gender, education and residence are factors associated with validity of respondents' self-perceived risk of HIV infection.Conclusion: Self-perceived HIV risk is poorly sensitive and moderately specific in the prediction of HIV status. There are differences in the validity of self-perceived risk of HIV across rural and urban populations.

Keywords

Urban, rural, sero-positive, HIV/AIDS, validity, behaviour change, Nigeria

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