Denison Julie A, McCauley Ann P, Dunnett-Dagg Wendy A, Lungu Nalakwanji, Sweat Michael D
Behavioral and Biomedical Research, Family Health International, Arlington, VA 22203, USA.
AIDS Educ Prev. 2009 Aug;21(4):314-24. doi: 10.1521/aeap.2009.21.4.314.
This study examined how individual, relational and environmental factors related to adolescent demand for HIV voluntary counseling and testing (VCT). A cross-sectional survey among randomly selected 16-19-year-olds in Ndola, Zambia, covered individual (e.g., HIV knowledge), environmental (e.g., distance), and relational factors (e.g., discussed VCT with family). Multivariate regression analysis compared 98 respondents who planned to test for HIV within the year with 341 respondents who did not. Discussing HIV testing with family members was strongly associated with planning to test (odds ratio [OR] = 6.1; 95% confidence interval [CI] = 2.24-16.58). VCT discussions with sex partners (OR = 3.64; 95% CI = 1.13-11.71) and with friends (OR = 2.61; 95% CI = 1.34-5.08) were also associated with HIV testing plans. Significant individual factors were having ever had sex (OR = 2.33; 95% CI = 1.41-3.84) and HIV risk perception (OR = 2.71; 95% CI = 1.51-4.88). Relational and individual factors strongly correlated with VCT demand, supporting the need to examine these factors when implementing and evaluating adolescent VCT strategies.
本研究探讨了与青少年艾滋病病毒自愿咨询检测（VCT）需求相关的个人、关系及环境因素。在赞比亚恩多拉对随机抽取的16至19岁青少年进行的一项横断面调查涵盖了个人因素（如艾滋病病毒知识）、环境因素（如距离）和关系因素（如与家人讨论过VCT）。多变量回归分析比较了98名计划在年内进行艾滋病病毒检测的受访者与341名未计划检测的受访者。与家庭成员讨论艾滋病病毒检测与计划检测密切相关（优势比[OR]=6.1；95%置信区间[CI]=2.24 - 16.58）。与性伴侣进行VCT讨论（OR = 3.64；95% CI = 1.13 - 11.71）以及与朋友进行VCT讨论（OR = 2.61；95% CI = 1.34 - 5.08）也与艾滋病病毒检测计划相关。重要的个人因素包括曾经有过性行为（OR = 2.33；95% CI = 1.41 - 3.84）和艾滋病病毒风险认知（OR = 2.71；95% CI = 1.51 - 4.88）。关系因素和个人因素与VCT需求密切相关，这支持了在实施和评估青少年VCT策略时审视这些因素的必要性。
