Peltzer K, Matseke G
HIV/STI and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa ; Department of Psychology, University of Limpopo, Turfloop, South Africa ; ASEAN Institute for Health and Development, Mahidol University, Bangkok, Thailand.
HIV/STI and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa.
Afr Health Sci. 2013 Dec;13(4):1012-20. doi: 10.4314/ahs.v13i4.22.
BACKGROUND: Although recent estimates of the HIV/AIDS burden in South Africa show the particular vulnerability of youth to HIV, HIV testing and its determinants are largely understudied in this age group. OBJECTIVE: To investigate the prevalence and determinants of HIV testing among young people aged 18 to 24 years, as part of an evaluation of the impact of loveLife. METHODS: South Africa's national HIV prevention campaign for young people, on HIV and related risk behaviours. A cross-sectional population-based household survey was conducted using a multistage stratified cluster sampling approach. The total sample included 3123 participants, aged 18-24, 54.6% men and 45.4% women, from four provinces (Eastern Cape, Gauteng, KwaZulu-Natal and Mpumalanga). RESULTS: The results indicated that over half (52.2%) of the youth reported testing for HIV, with more young females (60.1%) testing for HIV compared to their male counterparts (39.9%). In the multivariate analysis, older age, being female, HIV knowledge, having ever talked to the mother or female guardian about HIV and having ever been pregnant or made someone pregnant were found to be associated with testing for HIV. CONCLUSION: There is still room for improving the low proportion of young people who test for HIV. Specific attention needs to be paid to younger males, with lack of HIV knowledge, having never talked to the mother or female guardian about HIV and having never been pregnant or made someone pregnant were less likely to be tested. Outreach at individual and community levels and public health messages targeting these youth should be implemented.
背景:尽管最近对南非艾滋病毒/艾滋病负担的估计显示青年特别容易感染艾滋病毒,但在这个年龄组中,艾滋病毒检测及其决定因素在很大程度上未得到充分研究。 目的:作为对“热爱生命”项目影响评估的一部分,调查18至24岁年轻人中艾滋病毒检测的流行情况及其决定因素。 方法:南非针对年轻人开展的关于艾滋病毒及相关风险行为的全国性预防运动。采用多阶段分层整群抽样方法进行基于人群的横断面家庭调查。总样本包括来自四个省份(东开普省、豪登省、夸祖鲁-纳塔尔省和姆普马兰加省)的3123名年龄在18 - 24岁之间的参与者,其中男性占54.6%,女性占45.4%。 结果:结果表明,超过一半(52.2%)的青年报告进行过艾滋病毒检测,检测艾滋病毒的年轻女性(60.1%)多于男性(39.9%)。在多变量分析中,年龄较大、女性、具备艾滋病毒知识、曾与母亲或女性监护人谈论过艾滋病毒以及曾怀孕或致使他人怀孕与艾滋病毒检测相关。 结论:在提高进行艾滋病毒检测的青年比例方面仍有改进空间。需要特别关注年轻男性,缺乏艾滋病毒知识、从未与母亲或女性监护人谈论过艾滋病毒且从未怀孕或致使他人怀孕的年轻男性接受检测的可能性较小。应在个人和社区层面开展外展活动,并针对这些青年发布公共卫生信息。
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