Predictors of HIV Testing among Orphaned Youths in Three East African Countries

Allison Pack*, Suzanne Maman, Heathe Luz Mc Naughton Reyes, Laura Nyblade, Kathryn Whetten, Catherine Zimmer, Christine L. Gray, Carol Golin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


In parts of sub-Saharan Africa, where HIV prevalence is high, HIV is a leading cause of death among youths. Orphaned and separated youths are an especially vulnerable group, yet we know little about what influences their testing behavior. We conducted multiple logistical regression to examine theory-based predictors of past-year HIV testing among 423 orphaned and separated youths in Ethiopia, Kenya and Tanzania. We also conducted moderation, assessing whether predictors varied by sex. Over one-third of our sample reported past-year HIV testing. Those with greater perceived social support and those who reported sexual HIV risk behavior were more likely to report past-year testing. Furthermore, boys who reported ever previously testing for HIV were more likely, a year later, to report past-year HIV testing. In conclusion, our findings have important implications for intervention development, including the potential for enhanced perceived social support to positively influence HIV testing among orphaned and separated youths.

Original languageEnglish (US)
Pages (from-to)1257-1266
Number of pages10
JournalAIDS and behavior
Issue number4
StatePublished - Apr 2021


  • HIV testing
  • Orphans
  • Sub-saharan africa
  • Youths

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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