A workplace-based HIV self-testing intervention as a determinant for self-testing knowledge, beliefs, and use among unskilled workers in Wakiso Uganda

Abstract Background The HIV burden still persists to date, as a public global health challenge despite numerous prevention interventions that have been proposed toward achieving 95% of all people living with HIV aware of their HIV status by 2030. Therefore, this study set out to examine the effect o...

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Main Authors: Gerald Mukisa Nsereko, Khamisi Musanje, Eron Robinah Ayesiga, Loyce Kiiza Kobusingye, Rhoda Namubiru, Moses Sempala, Christine Kiwala, Martin Mabunda Baluku
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21471-7
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author Gerald Mukisa Nsereko
Khamisi Musanje
Eron Robinah Ayesiga
Loyce Kiiza Kobusingye
Rhoda Namubiru
Moses Sempala
Christine Kiwala
Martin Mabunda Baluku
author_facet Gerald Mukisa Nsereko
Khamisi Musanje
Eron Robinah Ayesiga
Loyce Kiiza Kobusingye
Rhoda Namubiru
Moses Sempala
Christine Kiwala
Martin Mabunda Baluku
author_sort Gerald Mukisa Nsereko
collection DOAJ
description Abstract Background The HIV burden still persists to date, as a public global health challenge despite numerous prevention interventions that have been proposed toward achieving 95% of all people living with HIV aware of their HIV status by 2030. Therefore, this study set out to examine the effect of a workplace-based HIV self-testing intervention on the use of HIV self-testing among unskilled workers in Wakiso Uganda. Methods A quasi-experimental one-group pretest-posttest design was conducted among 46 participants systematically and randomly selected. Data was collected via a validated structured self-administered questionnaire and analysed using the paired samples t-tests and hierarchical multiple regression analysis in SPSS v27. Results A comparison of the mean differences between the pre-post-test scores for the intervention group showed a statistically significant difference for HIVST knowledge [M=-1.38, SD = 0.719, t=-13.0, df = 45, p ≤.05], perceived susceptibility [M=-0.92, SD = 0.867, t=-7.20, df = 45, p ≤.05], perceived benefits [M=-0.92, SD = 0.593, t=-5.63, df = 45, p ≤.05], perceived barriers [M=-1.22, SD = 1.12, t=-5.63, df = 45, p ≤.05], and HIVST use [M=-1.22, SD = 1.12, t=-5.63, df = 45, p ≤.05]. However, it’s noteworthy to state that perceived barriers increased exponentially than earlier hypothesized amidst the knowledge acquired. Multiple regression model showed that HIVST knowledge and individual beliefs predict 37.2% [F(11,34) = 3.485, p ≤.05] of the variance in HIVST use and the overall biggest predictor of HIVST use was perceived susceptibility 53.7% (Beta = 0.537, t = 2.44, p ≤.05). Conclusions Efforts should be directed toward advocating for frequent knowledge sharing about self-testing such as this study has provided among unskilled working populations in Uganda. Organizations, alongside HIV testing implementing partners, should awaken people operating in risky environments and those engaging in risky sexual acts on the threat of succumbing to HIV as this greatly increases HIVST and repeat testing.
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spelling doaj-art-fdc9fe3818bc45b5aec5fb83188ce5ff2025-01-19T12:42:17ZengBMCBMC Public Health1471-24582025-01-0125111210.1186/s12889-025-21471-7A workplace-based HIV self-testing intervention as a determinant for self-testing knowledge, beliefs, and use among unskilled workers in Wakiso UgandaGerald Mukisa Nsereko0Khamisi Musanje1Eron Robinah Ayesiga2Loyce Kiiza Kobusingye3Rhoda Namubiru4Moses Sempala5Christine Kiwala6Martin Mabunda Baluku7School of Psychology, Department of Educational, Social and Organizational Psychology, Makerere UniversitySchool of Psychology, Department of Educational, Social and Organizational Psychology, Makerere UniversityUganda Cancer InstituteSchool of Psychology, Department of Educational, Social and Organizational Psychology, Makerere UniversityClinical Research Building, College of Health Sciences, Makerere UniversityClinical Research Building, College of Health Sciences, Makerere UniversitySchool of Psychology, Department of Mental Health and Community Psychology, Makerere UniversitySchool of Psychology, Department of Educational, Social and Organizational Psychology, Makerere UniversityAbstract Background The HIV burden still persists to date, as a public global health challenge despite numerous prevention interventions that have been proposed toward achieving 95% of all people living with HIV aware of their HIV status by 2030. Therefore, this study set out to examine the effect of a workplace-based HIV self-testing intervention on the use of HIV self-testing among unskilled workers in Wakiso Uganda. Methods A quasi-experimental one-group pretest-posttest design was conducted among 46 participants systematically and randomly selected. Data was collected via a validated structured self-administered questionnaire and analysed using the paired samples t-tests and hierarchical multiple regression analysis in SPSS v27. Results A comparison of the mean differences between the pre-post-test scores for the intervention group showed a statistically significant difference for HIVST knowledge [M=-1.38, SD = 0.719, t=-13.0, df = 45, p ≤.05], perceived susceptibility [M=-0.92, SD = 0.867, t=-7.20, df = 45, p ≤.05], perceived benefits [M=-0.92, SD = 0.593, t=-5.63, df = 45, p ≤.05], perceived barriers [M=-1.22, SD = 1.12, t=-5.63, df = 45, p ≤.05], and HIVST use [M=-1.22, SD = 1.12, t=-5.63, df = 45, p ≤.05]. However, it’s noteworthy to state that perceived barriers increased exponentially than earlier hypothesized amidst the knowledge acquired. Multiple regression model showed that HIVST knowledge and individual beliefs predict 37.2% [F(11,34) = 3.485, p ≤.05] of the variance in HIVST use and the overall biggest predictor of HIVST use was perceived susceptibility 53.7% (Beta = 0.537, t = 2.44, p ≤.05). Conclusions Efforts should be directed toward advocating for frequent knowledge sharing about self-testing such as this study has provided among unskilled working populations in Uganda. Organizations, alongside HIV testing implementing partners, should awaken people operating in risky environments and those engaging in risky sexual acts on the threat of succumbing to HIV as this greatly increases HIVST and repeat testing.https://doi.org/10.1186/s12889-025-21471-7HIV self-testingHealth belief modelUnskilled workersQuasi-experimentKnowledgeIntervention
spellingShingle Gerald Mukisa Nsereko
Khamisi Musanje
Eron Robinah Ayesiga
Loyce Kiiza Kobusingye
Rhoda Namubiru
Moses Sempala
Christine Kiwala
Martin Mabunda Baluku
A workplace-based HIV self-testing intervention as a determinant for self-testing knowledge, beliefs, and use among unskilled workers in Wakiso Uganda
BMC Public Health
HIV self-testing
Health belief model
Unskilled workers
Quasi-experiment
Knowledge
Intervention
title A workplace-based HIV self-testing intervention as a determinant for self-testing knowledge, beliefs, and use among unskilled workers in Wakiso Uganda
title_full A workplace-based HIV self-testing intervention as a determinant for self-testing knowledge, beliefs, and use among unskilled workers in Wakiso Uganda
title_fullStr A workplace-based HIV self-testing intervention as a determinant for self-testing knowledge, beliefs, and use among unskilled workers in Wakiso Uganda
title_full_unstemmed A workplace-based HIV self-testing intervention as a determinant for self-testing knowledge, beliefs, and use among unskilled workers in Wakiso Uganda
title_short A workplace-based HIV self-testing intervention as a determinant for self-testing knowledge, beliefs, and use among unskilled workers in Wakiso Uganda
title_sort workplace based hiv self testing intervention as a determinant for self testing knowledge beliefs and use among unskilled workers in wakiso uganda
topic HIV self-testing
Health belief model
Unskilled workers
Quasi-experiment
Knowledge
Intervention
url https://doi.org/10.1186/s12889-025-21471-7
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