Correlates of HIV infection among people visiting public HIV counseling and testing clinics in Mpumalanga, South Africa
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Background: HIV voluntary counselling and testing (VCT) reduces high-risk sexual behaviour. Factors associated with
HIV infection in VCT clients have not been well characterized in South Africa.
Objectives: A case-control study was carried out to determine the association between socio-demographic and HIV risk
variables and HIV infection among people visiting HIV counseling and testing centers in two districts in Mpumalanga
province, South Africa. Cases (n=1093) and controls (n=1162) were compared by socio-demographic, exposure to substances
and risky behaviours that predispose them to HIV infection.
Results: In multivariable analysis, having children, having been diagnosed with a a sexually transmitted infection (STI) in
the past 3 months, not having had oral sex in the past 3 months, lack of condom use consistency in the past 3 months, and
lack of HIV behavioural skills enactments were significantly associated with HIV positive status.
Conclusion: HIV risk behaviour was found to be a significant risk factor for HIV infection in the study population. There
is urgent need for health education to bring about behavioural changes to reduce HIV infection in the community.
Key words: Clients, HIV counselling and testing centres, HIV status