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Table 3 Determinants of HIV testing uptake among men ages 15–24, Zambia 2018 (N = 4846)

From: Changes over time in HIV testing and counselling uptake and associated factors among youth in Zambia: a cross-sectional analysis of demographic and health surveys from 2007 to 2018

Respondent characteristics

N

HTC coverage (%)

Crude OR(95% CI)

P value

Adjusted OR(95% CI)

P value

Age

   

< 0.001

 

< 0.001

 15–19

2852

37.5

1

 

1

 

 20–24

1994

64.2

2.98 [2.58–3.45]

 

1.55 [1.30–1.84]

 

Education level

   

< 0.001

 

< 0.001

 No education

133

37.8

1

 

1

 

 Primary

1933

37.1

0.97 [0.59–1.61]

 

1.02 [0.68–1.51]

 

 Secondary

2666

56.4

2.13 [1.33–3.40]

 

1.51 [1.01–2.26]

 

 Higher

114

68.8

3.63 [1.98–6.65]

 

1.41 [0.74–2.71]

 

Household wealth quintile

   

0.001

 

< 0.001

 Poorest

849

39.8

1

 

1

 

 Poorer

961

43.4

1.16 [0.93–1.44]

 

1.23 [0.95–1.59]

 

 Middle

1073

49.7

1.49 [1.20–1.86]

 

1.36 [1.03–1.79]

 

 Richer

936

56.8

1.99 [1.38–2.87]

 

1.37 [0.99–1.90]

 

 Richest

1027

50.0

1.52 [1.21–1.90]

 

0.78 [0.53–1.15]

 

Relationship status

   

< 0.001

 

< 0.001

 Never in union

4296

45.8

1

 

1

 

 Currently in union

514

74.0

3.37 [2.60–4.37]

 

2.46 [1.85–3.28]

 

 Formerly in union

36

65.1

2.21 [0.97–5.04]

 

1.78 [0.74–4.27]

 

Residence

   

< 0.001

 

0.06

 urban

1812

54.6

1

 

1

 

 rural

3034

44.2

0.66 [0.52–0.83]

 

0.72 [0.52–1.01]

 

Region

   

< 0.001

 

0.002

 Central

533

52.1

1.13 [0.84–1.51]

 

1.44 [1.00–2.06]

 

 Copperbelt

558

49.2

1

 

1

 

 Eastern

574

49.1

1.00 [0.74–1.34]

 

1.41 [0.97–2.05]

 

 Luapula

530

39.8

0.68 [0.50–0.92]

 

0.96 [0.67–1.38]

 

 Lusaka

547

52.4

1.12 [0.84–1.54]

 

1.10 [0.79–1.53]

 

 Muchinga

435

33.3

0.51 [0.35–0.76]

 

0.76 [0.49–1.20]

 

 Northern

422

41.6

0.73 [0.53–1.03]

 

1.12 [0.77–1.64]

 

 North western

391

44.8

0.84 [0.60–1.17]

 

0.75 [0.51–1.10]

 

 Southern

489

56.4

1.34 [0.70–2.54]

 

1.39 [0.75–2.58]

 

 Western

367

55.1

1.27 [0.93–1.73]

 

1.45 [0.98–2.13]

 

Ever had sex

   

< 0.001

 

0.14

 No

1732

34.0

1

 

1

 

 Yes

3114

57.4

2.62 [2.27–3.01]

 

1.19 [0.95–1.50]

 

Number of sexual partners

   

< 0.001

 

< 0.001

 None

2384

37.1

1

 

1

 

 One

1934

61.2

2.67 [2.30–3.09]

 

1.79 [1.41–2.27]

 

 Two or more

528

58.4

2.37 [1.84–3.06]

 

1.38 [0.99–1.91]

 

History of STI

   

0.26

  

 No

4692

48.6

1

 

–

 

 Yes

154

54.1

1.25 [0.85–1.82]

 

–

 

Circumcised

   

< 0.001

 

< 0.001

 No

2952

43.8

1

 

1

 

 Yes

1894

57.2

1.72 [1.46–2.02]

 

1.58 [1.32–1.89]

 

Reported stigma

   

< 0.001

 

< 0.001

 No

517

40.6

0.64 [0.50–0.81]

 

0.65 [0.50–0.84]

 

 Yes

3765

51.8

1

 

1

 

 Don’t know

564

34.3

0.49 [0.40–0.59]

 

0.61 [0.49–74]

 

Discriminatory attitudes

   

< 0.001

 

0.02

 No

3401

52.3

1

 

1

 

 Yes

1445

29.8

0.63 [0.53–0.73]

 

0.80 [0.67–0.97]

 

Comprehensive knowledge of HIV

   

< 0.001

 

0.14

 No

2802

44.8

1

 

1

 

 Yes

2044

54.2

1.46 [1.28–1.66]

 

1.13 [0.96–1.33]

 

Owns a mobile phone

   

< 0.001

 

0.002

 no

2313

36.8

  

1

 

 yes

2533

59.0

2.47 [2.10–2.89]

 

1.32 [1.11–1.57]

 

Use of internet

   

< 0.001

 

< 0.001

 Not at all

3709

43.5

1

 

1

 

 Less than once a week

234

57.8

1.78 [1.32–2.39]

 

1.41 [1.02–1.94]

 

 At least once a week

457

63.0

2.21 [1.69–2.87]

 

1.53 [1.13–2.08]

 

 Almost everyday

446

66.9

2.62 [2.04–3.37]

 

1.76 [1.32–2.35]

 

Exposure to television

   

< 0.001

 

0.07

 Not at all

2424

42.7

1

 

1

 

 Less than once a week

565

57.9

1.85 [1.30–2.61]

 

1.38 [1.05–1.82]

 

 At least once a week

1857

52.7

1.50 [1.29–1.73]

 

1.08 [0.85–1.38]

 

Exposure to radio

   

< 0.001

 

0.04

 Not at all

1766

43.9

1

 

1

 

 Less than once a week

697

48.6

1.21 [1.00–1.47]

 

0.86 [0.69–1.07]

 

 At least once a week

2383

52.2

1.40 [1.22–1.59]

 

1.12 [0.94–1.34]

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