Adejumo Olusola Adedeji, Bowale Abimbola, Adesola Sunday, Adepoju Victor Abiola, Shogbamimu Yeside, Dacosta Adetokunbo, Seidu Lukman, Disu Ola-Ayinde Ahmed, Omikunle Temitope Omotayo, Abinde Oluwaseun, Oshindero Olusola Adeyemi
Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital Ikeja, Lagos,Nigeria.
Directorate of Disease Control, Lagos State Ministry of Health, Alausa, Ikeja, Lagos State, Nigeria.
Afr J Infect Dis. 2020 Jan 8;14(1):16-23. doi: 10.21010/ajid.v14i1.3. eCollection 2020.
HIV counselling and testing (HCT) provides an opportunity for people to learn more about the human immune deficiency virus (HIV). This study assessed the knowledge of, and factors associated with, HIV infections among clients assessing HCT services referral hospital in Lagos, Nigeria.
Retrospective review of records of clients who assessed HCT services at Mainland Hospital Lagos, Nigeria, between July 1, 2016, and December 31, 2017, was done. Multivariate analysis was done to identify the factors associated with HIV infection and knowledge of HIV.
A total of 4273 clients were screened for HIV within the study period. The mean age of clients was 38.5±14.4. Male: Female ratio was 1:0.87. The prevalence of HIV infection was 19%. Factors associated with HIV infection were: age above 24 years, being female (AOR 1.6 95% CI 1.4-2.0, p<0.001), previous marriage (divorced, widowed, separated) (AOR 2.3 95% CI 1.7- 3.3, p<0.001) and poor knowledge of HIV (AOR 2.9 95% CI 2.2-3.6, p<0.001). Males were 15 times more likely to have good knowledge of HIV than females (AOR 14.5 95% CI 10.5- 20.0, p<0.001). In addition, the clients who were single (AOR 3.6 95% CI 2.4-5.4, p<0.001) and married (AOR 3.9 95% CI 2.9-5.3, p<0.001) were four times more likely to have good knowledge of HIV than clients who were previously married.
More proactive measures are required to educate the public, especially women who were previously married, on HIV transmission and prevention.
艾滋病毒咨询与检测（HCT）为人们提供了更多了解人类免疫缺陷病毒（HIV）的机会。本研究评估了尼日利亚拉各斯一家提供HCT服务的转诊医院的就诊者对HIV感染的了解情况及其相关因素。
对2016年7月1日至2017年12月31日期间在尼日利亚拉各斯大陆医院接受HCT服务的就诊者记录进行回顾性分析。采用多变量分析确定与HIV感染及HIV知识相关的因素。
在研究期间，共有4273名就诊者接受了HIV筛查。就诊者的平均年龄为38.5±14.4岁。男女比例为1:0.87。HIV感染率为19%。与HIV感染相关的因素包括：年龄在24岁以上、女性（调整后比值比[AOR]为1.6，95%置信区间[CI]为1.4 - 2.0，p<0.001）、既往婚姻状况（离婚、丧偶、分居）（AOR为2.3，95%CI为1.7 - 3.3，p<0.001）以及对HIV知识了解不足（AOR为2.9，95%CI为2.2 - 3.6，p<0.001）。男性对HIV知识了解良好的可能性是女性的15倍（AOR为14.5，95%CI为10.5 - 20.0，p<0.001）。此外，单身（AOR为3.6，95%CI为2.4 - 5.4，p<0.001）和已婚（AOR为3.9，95%CI为2.9 - 5.3，p<0.001）的就诊者对HIV知识了解良好的可能性是既往已婚者的四倍。
需要采取更积极的措施，向公众，尤其是既往已婚的女性，宣传HIV传播与预防知识。
