Ettarh Remare Renner, Kimani James, Kyobutungi Catherine, Wekesah Frederick
a African Population and Health Research Center (APHRC) , Manga Close, PO Box 10787 , Nairobi , 00100 , Kenya.
Afr J AIDS Res. 2012 Dec;11(4):337-42. doi: 10.2989/16085906.2012.754833.
The prevalence of HIV in the adult population in slum areas in Nairobi, Kenya, is higher than for residents in the city as a whole. This disparity suggests that the characteristics of slum areas may adversely influence the HIV-prevention strategies directed at reducing the national prevalence of HIV. The objective of the study was to identify some of the sociodemographic and behavioural correlates of HIV-status awareness among the adult population of two slums in Nairobi. In a household-based survey conducted by the African Population and Health Research Center (APHRC), 4 767 men and women aged between 15 and 54 years were randomly sampled from two slums (Korogocho and Viwandani) in Nairobi and data were collected on the social and health context of HIV and AIDS in these settlements. Bivariate and multivariate logistic regression analyses were conducted to identify factors associated with HIV-status awareness. The proportion of respondents that had ever been tested and knew their HIV status was 53%, with the women having greater awareness of their HIV status (62%) than the men (38%). Awareness of HIV status was significantly associated with age, sex, level of education, marital status and slum of residence. The lower level of HIV-status awareness among the men compared with the women in the slums suggests a poor uptake of HIV-testing services by males. Innovative strategies are needed to ensure greater access and uptake of HIV-testing services by the younger and less-educated residents of these slums if the barriers to HIV-status awareness are to be overcome.
肯尼亚内罗毕贫民窟地区成年人口中的艾滋病毒流行率高于整个城市的居民。这种差异表明，贫民窟地区的特征可能会对旨在降低全国艾滋病毒流行率的预防策略产生不利影响。该研究的目的是确定内罗毕两个贫民窟成年人口中艾滋病毒感染状况知晓率的一些社会人口学和行为相关因素。在非洲人口与健康研究中心（APHRC）开展的一项基于家庭的调查中，从内罗毕的两个贫民窟（科罗戈乔和维万达尼）随机抽取了4767名年龄在15至54岁之间的男性和女性，并收集了这些定居点艾滋病毒和艾滋病的社会及健康背景数据。进行了双变量和多变量逻辑回归分析，以确定与艾滋病毒感染状况知晓率相关的因素。曾经接受检测并知晓自己艾滋病毒感染状况的受访者比例为53%，女性对自己艾滋病毒感染状况的知晓率（62%）高于男性（38%）。艾滋病毒感染状况知晓率与年龄、性别、教育程度、婚姻状况和居住贫民窟显著相关。贫民窟中男性的艾滋病毒感染状况知晓率低于女性，这表明男性对艾滋病毒检测服务的接受度较低。如果要克服艾滋病毒感染状况知晓率的障碍，就需要创新策略，以确保这些贫民窟中较年轻和受教育程度较低的居民能更多地获得并接受艾滋病毒检测服务。
