Socio - demographic characteristics and risk behaviors among males seeking outpatients HIV testing at central STD clinic Colombo. Jayasinghe UN, Kekulawela Munasinghe N, Wickramasuriya Wijesekera WAU.
LD, CD,
• Background • Voluntary counseling and testing (VCT) for HIV allows individuals to know their HIV status, and serves as the gateway for both HIV prevention as well as, early access to treatment , care, and support. • Knowing ones status can facilitate those who are negative, to remain negative, and those who are positive, to seek access to treatment care and support, and to reduce the risk of HIV transmission to others.
• Annually between 400-500 men have attended for Voluntary HIV Testing at the Central STD Clinic, during the past five years .
• They represent the asymptomatic people in the community, who perceived to be at risk of HIV.
• Studying their socio-demographic characteristics will help in identifying the population groups that could be prioritized in planning the preventive activities. • Their risky sexual behaviors will give an idea about the existing risk behaviors in the community.
Objectives 1. To describe the socio demographic characteristics of out-patients seeking HIV testing at Central STD Clinic. 2. To study their risky sexual behaviors and pattern of condom use.
Methodology • Study design Descriptive cross sectional study, carried out for a period of 6 months. (01.10.2012 - 31.03.2013.) • Study setting Central STD clinic, National STD AIDS Control Programme Colombo.
Methodology • Sample size 289. • Sampling method All out-patient males who were willing to participate were included in the study.
Exclusion criteria
Age below 16 years. Foreigners Occupational exposures
Age Distribution (N=289) 35%
35% 30% 25%
22%
20% 15%
13% 13%
10%
14%
5% 0%
3% 16-24
25-34
35-44
45-54
55-64
65-74
Marital Status (N=289) 1% 1%
40% Married 58%
Unmarried Divorced Seperated
Occupation. (N=289) 30%
28%
25% 20% 14%
15% 13% 10% 5% 0%
8%
13%
8%
8% 5% 1%
1%
1%
Reason for testing (N=289) 8%
Voulantary
6% 1%
Referred by other medical practioners Referral from private labs
27%
58%
Organ donar Organ Recepient
Type of partners during last one year (N=289) 0 5%
9%
Male Female Both
86%
Number of partners among married men during last year. (N=167) 80% 70% 60% 50% 73%
40% 30% 20%
27%
10% 0% multiple partners
single partner
Number of partners among unmarried men during last year (N=115) 70% 60%
50% 40%
70%
30% 20%
30%
10% 0% Multiple partners
Single partner
Last sexual exposure.(N=289) (Multiple responses) 87%
90.00% 80.00% 70.00% 60.00%
Anal sex
50.00%
Vaginal sex
40.00%
32%
30.00% 20.00%
10.50%
10.00% 0.00% Anal sex
Vaginal sex
Oral sex
Oral sex
condom use during exposure.(N=289)
last sexual
68.00%
70.00% 60.00% 50.00% 40.00% 30.00%
29%
10.00%
with condoms
19%
20.00% 8.50% 2%
3.50%
0.00% anal
vaginal
without condoms
oral
Unprotected anal sex and type of partner (N= 30) 0 20%
15%
Casual female Casual male Regular partner
65%
Unprotected vaginal sex and type of partner (N=196) 0 12% 38%
Regular partner Casual female Female sex worker 50%
Condom use during last month. (N=289) 0 6% 31%
Always 63%
Never Some times
Acceptance of VDRL and TPPA testing. (N=289) 80%
75%
70% 60%
50% Accepted
40% 30%
25%
20% 10%
0% VDRL test
Not accepted
VDRL and TPPA results. (N=216) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
94%
Reactive Non reactive
6%
Reactive
Non reactive
Acceptance of screening for other STI. (N=289)
• NONE
HIV results. (N=289) 99% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
Negative Confirmed positive
1% Negative
Confirmed positive
Window period for anal and vaginal sex. (N=289) Column1 49% 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0%
27%
22%
Anal sex Vaginal sex 5%
Both anal and vaginal sex follow up testing
Anal sex
Vaginal Both anal follow up sex and testing vaginal sex
Documented evidence of returning for results. (N=289) 0 0
45% 55%
Returned Not returned
Conclusion • Majority of males who attended voluntary HIV testing were married.
for
• Most were labourers.
• Acceptance of detailed STI screening was poor.
• Return for HIV results was not satisfactory. • Follow up testing among window period was low.
those in the
• Always condom use, during last one month was very low.
Recommendations • Discussions with doctors to highlight the importance of delivering results and proper documentation. • Design a RM number slip for initial testing and follow up.
RM Number Slip For Out -patients. NSACP – Colomblo RM number
: ---------------------
RM number
: -----------------
Date
: ---------------------
Date
: -----------------
Telephone number : ---------------------
Serology *
Serology *
VDRL :
VDRL :
TPPA :
TPPA :
HIV
HIV
:
Date for results
: -------------------
Conveyed results *If done, mark with a . If not done mark with a
:
Date for results Conveyed results
.
:
-------------------
RM Number Slip For Out patients. NSACP – Colombo. Follow up serology RM number
: ----------------
Telephone number
: ----------------
Date (follow up serology )
: ----------------
RM number
Date (follow up serology ) : ----------------
Follow up serology *
Follow up serology *
VDRL :
VDRL :
TPPA :
TPPA :
HIV
HIV
:
Date for results
: -----------------
conveyed results * If done, mark with a If not done mark with a
: ----------------
:
Date for results Conveyed results
: ------------------
Thank you!