HIV testing attitudes among fishers of Elmina fishing community in Ghana: A cross-sectional study

Abstract

This study examined factors affecting fishers' interest in participating in human immunodeficiency virus (HIV) testing at Elmina fishing community in the Central Region of Ghana. The study additionally inquired of respondents if they would be willing to submit to an HIV test and, if so, if they knew where to go for the test. The study also looked at the barriers that prevented fishers from getting tested for HIV. A cross-sectional convergent parallel mixed-method design was used to examine 385 fishers who were at least 18 years old and engaged in any form of fishing activity. Only about 9% of respondents reported having ever tested for HIV. Although the overall testing rate was low, the results indicate a higher testing rate in females than among males. Multivariate analysis shows that sex, age and type of fishing occupation are significant predictors of willingness to test for HIV among the study participants. Even though many people in the study location may know where to get tested for HIV, they are unwilling to do so. Many residents of the research area may be aware of where to get tested for HIV, but they are unwilling to go. This suggests a lack of enthusiasm due to misunderstandings and misconceptions about what HIV testing uptake entails. Additionally, stigmatization is a significant barrier to the acceptance of HIV testing in the study area and needs to be reduced by increased education.