Nwachukwu Chukwuemeka E, Odimegwu Clifford
Dept of Epidemiology and Biostatistics, School of Public Health, University of the Witwatersrand, South Africa.
Afr J Reprod Health. 2011 Jun;15(2):131-46.
Prevalence of Voluntary Counselling and Testing (VCT) for HIV among young people in Nigeria is low with implications on the epidemic control. Using the 2003 Nigerian National Demographic and Health Survey, we examined the regional prevalence, pattern and correlates of VCT for HIV among youths aged 15 to 24 in Nigeria. Analysis was based on 3573 (out of 11,050) observations using logistic regression model to estimate the effects of identified predictors of volunteering for HIV testing. Results show that national prevalence of VCT is low (2.6%) with regional variations. Generally, the critical factors associated with VCT uptake are age, sex, education, wealth index and risk perception with North (sex, education, religion, occupation and risk perception) and South (age and education) variance. It is recommended that Nigerian HIV programmers should introduce evidence based youth programmes to increase the uptake of VCT with differing approaches across the regions.
在尼日利亚，年轻人中自愿咨询检测（VCT）服务用于艾滋病毒检测的普及率较低，这对疫情防控产生了影响。利用2003年尼日利亚全国人口与健康调查，我们研究了尼日利亚15至24岁青少年中艾滋病毒自愿咨询检测的地区普及率、模式及相关因素。分析基于11,050份观察数据中的3573份，使用逻辑回归模型来估计已确定的艾滋病毒检测自愿因素的影响。结果显示，全国自愿咨询检测的普及率较低（2.6%），且存在地区差异。总体而言，与接受自愿咨询检测相关的关键因素包括年龄、性别、教育程度、财富指数和风险认知，北部地区（性别、教育程度、宗教、职业和风险认知）和南部地区（年龄和教育程度）存在差异。建议尼日利亚的艾滋病毒项目规划者应推出基于证据的青年项目，以不同方式提高各地区对自愿咨询检测的接受度。
