Mangeni J N, Ballidawa J B, Ndege S
Global Network, Moi Teaching and Referral Hospital Eldoret, Kenya.
East Afr J Public Health. 2012 Mar;9(1):44-9.
Although Voluntary Counseling and Testing (VCT) has existed for more than 10 years, majority of Kenyans still do not know their HIV status, thus necessitating the introduction of other testing strategies to increase the number of people taking the test. The routine offer of an HIV test to all patients in health-care settings has been proposed to increase access to care. The main objective of this study was to identify factors associated with willingness to accept a routine offer of an HIV test.
This was a cross sectional study. The Setting was in the Outpatient department at a large Referral Hospital in Western Kenya. A total of 384 adult patients (both males and females) were recruited using systematic random sampling. Information was collected on basic socio demographic characteristics, knowledge about the routine offer of an HIV test, attitudes towards the testing and HIV testing practise.
Of the 384 respondents, 64.3% were unaware about the routine offer of HIV testing in Health facilities. Multivariate analysis identified the main predictors of willingness to accept an HIV test offered in hospital as the age (OR 3.7, C.I 0.068-1.075), level of education (OR 3.4, C.I 0.186-62.602), Knowledge about the routine HIV testing (OR 4.6,C.I 2.118-9.847), self-perception of HIV risk (OR 8.4,C.I 3.424-20.496) and attitude towards routine offer of HIV testing (OR 9.2, C.I 0.042-0.284).
There is a need to come up with tailored training on the routine offer of an HIV test and devising strategies to address the main factors that influence the decision for patients to test as identified above.
尽管自愿咨询检测（VCT）已经存在了十多年，但大多数肯尼亚人仍然不知道自己的艾滋病毒感染状况，因此有必要引入其他检测策略以增加接受检测的人数。有人提议在医疗机构为所有患者常规提供艾滋病毒检测，以增加获得护理的机会。本研究的主要目的是确定与愿意接受常规艾滋病毒检测相关的因素。
这是一项横断面研究。研究地点是肯尼亚西部一家大型转诊医院的门诊部。采用系统随机抽样法共招募了384名成年患者（包括男性和女性）。收集了有关基本社会人口统计学特征、对常规艾滋病毒检测的了解、对检测的态度以及艾滋病毒检测实践的信息。
在384名受访者中，64.3%不知道医疗机构提供常规艾滋病毒检测。多变量分析确定，愿意接受医院提供的艾滋病毒检测的主要预测因素为年龄（比值比3.7，置信区间0.068 - 1.075）、教育程度（比值比3.4，置信区间0.186 - 62.602）、对常规艾滋病毒检测的了解（比值比4.6，置信区间2.118 - 9.847）、对艾滋病毒风险的自我认知（比值比8.4，置信区间3.424 - 20.496）以及对常规艾滋病毒检测的态度（比值比9.2，置信区间0.042 - 0.284）。
有必要针对常规艾滋病毒检测开展量身定制的培训，并制定策略来解决上述影响患者检测决策的主要因素。
