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Impact of HIV knowledge and stigma on the uptake of HIV testing – Results from a community-based participatory research survey among migrants from sub-Saharan Africa in Germany

Author

Listed:
  • Anna Kuehne
  • Carmen Koschollek
  • Claudia Santos-Hövener
  • Adama Thorlie
  • Johanna Müllerschön
  • Christina Mputu Tshibadi
  • Pierre Mayamba
  • Helene Batemona-Abeke
  • Stephen Amoah
  • Virginia Wangare Greiner
  • Taty Dela Bursi
  • Viviane Bremer

Abstract

Background: In 2015, 3,674 new HIV diagnoses were notified in Germany; 16% of those newly diagnosed cases originated from sub-Saharan Africa (sSA). One quarter of the newly diagnosed cases among migrants from sSA (MisSA) are notified as having acquired the HIV infection in Germany. In order to reach MisSA with HIV testing opportunities, we aimed to identify which determinants influence the uptake of HIV testing among MisSA in Germany. Methods: To identify those determinants, we conducted a quantitative cross-sectional survey among MisSA in Germany. The survey was designed in a participatory process that included MisSA and other stakeholders in HIV-prevention. Peer researchers recruited participants to complete standardized questionnaires on HIV knowledge and testing. We conducted multivariable analyses (MVA) to identify determinants associated with ever having attended voluntary HIV testing; and another MVA to identify determinant associated with having had the last voluntary HIV test in Germany. Results: Peer researchers recruited 2,782 participants eligible for inclusion in the MVA. Of these participants, 59.9% (1,667/2,782) previously had an HIV test. For each general statement about HIV that participants knew prior to participation in the study, the odds of having been tested increased by 19% (OR 1.19; 95%-CI: 1.11–1.27). Participants reporting that HIV is a topic that is discussed in their community had 92% higher odds of having been tested for HIV (OR 1.92; 95%-CI: 1.60–2.31). Migrants living in Germany for less than a year had the lowest odds of having had their last HIV test in Germany (OR 0.17; 95%-CI: 0.11–0.27). Additionally, MisSA 18 to 25 years (OR 0.55; 95%-CI: 0.42–0.73) and participants with varied sexual partners and inconsistent condom use (OR 0.75; 95%-CI: 0.44–0.97) had significantly lower odds of having had their last HIV test in Germany. Discussion: Through participatory research, we were able to show that knowledge about HIV and discussing HIV in communities increased the odds of having attended HIV testing among MisSA. However, recent migrants and young sexually active people are among the least reached by testing offers in Germany. Community-based interventions may present opportunities to reach such migrants and improve knowledge and increase discussion about HIV.

Suggested Citation

  • Anna Kuehne & Carmen Koschollek & Claudia Santos-Hövener & Adama Thorlie & Johanna Müllerschön & Christina Mputu Tshibadi & Pierre Mayamba & Helene Batemona-Abeke & Stephen Amoah & Virginia Wangare Gr, 2018. "Impact of HIV knowledge and stigma on the uptake of HIV testing – Results from a community-based participatory research survey among migrants from sub-Saharan Africa in Germany," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-19, April.
    • Handle: RePEc:plo:pone00:0194244
    DOI: 10.1371/journal.pone.0194244
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    References listed on IDEAS

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    1. Hailay Abrha Gesesew & Amanuel Tesfay Gebremedhin & Tariku Dejene Demissie & Mirkuzie Woldie Kerie & Morankar Sudhakar & Lillian Mwanri, 2017. "Significant association between perceived HIV related stigma and late presentation for HIV/AIDS care in low and middle-income countries: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-16, March.
    2. Editors The, 2007. "From the Editors," Basic Income Studies, De Gruyter, vol. 2(1), pages 1-5, June.
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    Cited by:

    1. Maeri, Irene & Eyul, Patrick & Getahun, Monica & Hatchett, Khalela & Owino, Lawrence & Akatukwasa, Cecilia & Itiakorit, Harriet & Gutin, Sarah A. & Johnson-Peretz, Jason & Ssali, Sarah & Cohen, Craig , 2023. "Nothing about us without us: Community-based participatory research to improve HIV care for mobile patients in Kenya and Uganda," Social Science & Medicine, Elsevier, vol. 318(C).
    2. Carmen Koschollek & Anna Kuehne & Johanna Müllerschön & Stephen Amoah & Helene Batemona-Abeke & Taty Dela Bursi & Pierre Mayamba & Adama Thorlie & Christina Mputu Tshibadi & Virginia Wangare Greiner &, 2020. "Knowledge, information needs and behavior regarding HIV and sexually transmitted infections among migrants from sub-Saharan Africa living in Germany: Results of a participatory health research survey," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-21, January.
    3. Daniel Vujcich & Sonam Wangda & Meagan Roberts & Roanna Lobo & Bruce Maycock & Chanaka Kulappu Thanthirige & Alison Reid, 2020. "Modes of administering sexual health and blood-borne virus surveys in migrant populations: A scoping review," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-31, August.

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