Search tips
Search criteria 


Logo of straninfSexually Transmitted InfectionsVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Sex Transm Infect. 2005 December; 81(6): 494–500.
PMCID: PMC1473217

Factors associated with HIV testing among black Africans in Britain


Design: We analysed data from the second British National Survey of Sexual Attitudes and Lifestyles (Natsal 2000)—a stratified national probability sample survey conducted between 1999–2001. Data from Natsal's main and ethnic minority boost (EMB) samples were analysed. Multivariate analysis was performed using complex survey functions to account for the clustered, stratified, and differential selection probabilities inherent within the survey.

Results: A total of 385 (216 women and 169 men) black African respondents were included in the study. 44.0% women and 36.4% men reported ever having had an HIV test. In univariate analysis, HIV testing was associated with being born abroad (OR 3.63), having a new partner(s) from abroad in past 5 years (OR 2.88), and attending a GUM clinic (OR 3.27) among men; and educational attainment (OR 3.50), perception of "not very much" personal risk of HIV (OR 2.75), and attending a GUM clinic (OR 2.91) among women. After adjusting for potential confounders, an increased likelihood of HIV testing was associated with being in the United Kingdom less than 5 years relative to being UK born (adjusted OR 9.49), and ever attending a GUM clinic (adj OR 5.53), for men; and educational attainment (adj OR 4.13), and low perception of HIV risk (adj OR 2.77) for women.

Conclusions: Black Africans appear to have relatively high rates of HIV testing reflecting, at least partially, awareness of risk behaviours and potential exposure to HIV. Nevertheless, there remains substantial potential for health gain and innovative approaches are required to further increase timely HIV testing.

Full Text

The Full Text of this article is available as a PDF (83K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Fenton KA, Chinouya M, Davidson O, Copas A. HIV transmission risk among sub-Saharan Africans in London travelling to their countries of origin. AIDS. 2001 Jul 27;15(11):1442–1445. [PubMed]
  • Burns FM, Fakoya AO, Copas AJ, French PD. Africans in London continue to present with advanced HIV disease in the era of highly active antiretroviral therapy. AIDS. 2001 Dec 7;15(18):2453–2455. [PubMed]
  • Sinka Katy, Mortimer Janet, Evans Barry, Morgan Dilys. Impact of the HIV epidemic in sub-Saharan Africa on the pattern of HIV in the UK. AIDS. 2003 Jul 25;17(11):1683–1690. [PubMed]
  • Johnson AM, Mercer CH, Erens B, Copas AJ, McManus S, Wellings K, Fenton KA, Korovessis C, Macdowall W, Nanchahal K, et al. Sexual behaviour in Britain: partnerships, practices, and HIV risk behaviours. Lancet. 2001 Dec 1;358(9296):1835–1842. [PubMed]
  • Fenton Kevin A, Mercer Catherine H, McManus Sally, Erens Bob, Wellings Kaye, Macdowall Wendy, Byron Christos L, Copas Andrew J, Nanchahal Kiran, Field Julia, et al. Ethnic variations in sexual behaviour in Great Britain and risk of sexually transmitted infections: a probability survey. Lancet. 2005 Apr 2;365(9466):1246–1255. [PubMed]
  • Connor EM, Sperling RS, Gelber R, Kiselev P, Scott G, O'Sullivan MJ, VanDyke R, Bey M, Shearer W, Jacobson RL, et al. Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. Pediatric AIDS Clinical Trials Group Protocol 076 Study Group. N Engl J Med. 1994 Nov 3;331(18):1173–1180. [PubMed]
  • Low N, Sterne JA, Barlow D. Inequalities in rates of gonorrhoea and chlamydia between black ethnic groups in south east London: cross sectional study. Sex Transm Infect. 2001 Feb;77(1):15–20. [PMC free article] [PubMed]
  • Fenton KA, Chinouya M, Davidson O, Copas A. HIV testing and high risk sexual behaviour among London's migrant African communities: a participatory research study. Sex Transm Infect. 2002 Aug;78(4):241–245. [PMC free article] [PubMed]

Articles from Sexually Transmitted Infections are provided here courtesy of BMJ Publishing Group