Influencing factors for seeking HIV voluntary counseling and testing among tuberculosis patients in Cambodia

Abstract

We explored the factors influencing voluntary counseling and testing (VCT) utilization among tuberculosis patients attending two referral hospitals in Cambodia. We conducted face-to-face interviews using a structured questionnaire. We compared HIV/AIDS knowledge, HIV testing attitudes, risks for exposure to HIV, and AIDS stigma between VCT users and non-users. Compared to VCT non-users, VCT users had significantly higher risks for HIV and were more likely to have used condoms. Regarding stigma, VCT non-users demonstrated significantly greater AIDS stigmatizing beliefs compared to VCT users. To increase VCT utilization among TB patients, we need effective strategies to reduce AIDS stigma among them. Moreover, initiation of routine HIV testing in TB facilities might be another effective solution.

Keywords:

• HIV/AIDS
• voluntary counseling and testing (VCT)
• tuberculosis (TB)
• stigma
• Cambodia

Acknowledgements

The authors gratefully acknowledge all participants and research assistants taking part in this study. In particular, the study would not have been possible without supports from the Director of the National Center for Tuberculosis and Leprosy Control (CENAT), the director of Battembang Provincial Health Department, and the directors and all TB staff members of Battembang and Maung Russey referral hospital.