Department of Community Medicine, Bayero University, Kano, Nigeria.
Centre for Infectious Diseases Research, Bayero University, Kano, Nigeria.
Int J STD AIDS. 2020 Aug;31(9):820-831. doi: 10.1177/0956462420920136. Epub 2020 Jul 5.
Concerns about stigma and confidentiality limit the uptake of HIV testing and counseling (HTC) among young adults. HIV self-testing has been offered as a youth-friendly alternative to conventional HTC. We conducted a cross-sectional study to assess HTC uptake, willingness to self-test, and their predictors among university students (=399) in Kano, Nigeria. Anonymous self-administered questionnaires were provided to participants. Adjusted odd ratios were generated for predictors with logistic regression models. The results showed that only 35.8% (=143) of participants had previous HTC.Most respondents (70.4%, =281) were willing to self-test. HTC was associated with year of college (500 Level vs. 100 Level), adjusted odds ratio (AOR, [95% Confidence Interval (CI)] = 0.44 (0.19-0.97), campus residence (off- vs. on-campus, AOR = 0.45; 95%CI: 0.28-0.73), sexual activity in the past six months (AOR = 0.39; 95%CI: 0.24-0.64), willingness to self-test (AOR = 0.38; 95%CI: 0.22-0.66), and consistent condom use (AOR = 4.45; 95%CI: 1.41-14.08). Students who were older (≥ 30 vs. <20 years, AOR = 0.20; 95%CI: 0.05-0.90) and female (AOR = 0.56; 95%CI: 0.32-0.98) were less likely to be willing to self-test, whereas students who were more senior (500 Level vs. 100 Level, AOR = 5.24; 95%CI: 1.85-14.84), enrolled in clinical science programs (vs. agriculture, AOR = 4.92; 95%CI: 1.51-16.05) or belonging to "other" ethnic groups (vs. Hausa-Fulani, AOR = 2.40; 95%CI: 1.11-5.19) were more willing to self-test. Overall HTC uptake was low, but acceptability of self-testing was high. College seniority, age, ethnicity, and program of study were associated with willingness to self-test. Our findings support the feasibility of scaling up HIV self-testing among university students in Nigeria.
人们对污名和保密性的担忧限制了年轻人接受艾滋病毒检测和咨询（HTC）。艾滋病毒自我检测已作为一种对年轻人友好的替代传统 HTC 的方法。我们在尼日利亚卡诺的大学生中进行了一项横断面研究，以评估 HTC 的采用率、自我检测的意愿及其预测因素（=399）。向参与者提供了匿名自我管理问卷。使用逻辑回归模型对预测因素生成调整后的优势比。结果表明，只有 35.8%（=143）的参与者之前接受过 HTC。大多数受访者（70.4%，=281）愿意自我检测。HTC 与学院年级（500 级与 100 级）相关，调整后的优势比（AOR，[95%置信区间（CI）] = 0.44（0.19-0.97）），校园住宿（校外与校内，AOR = 0.45；95%CI：0.28-0.73）），过去六个月的性活动（AOR = 0.39；95%CI：0.24-0.64）），自我检测意愿（AOR = 0.38；95%CI：0.22-0.66））和持续使用避孕套（AOR = 4.45；95%CI：1.41-14.08））。年龄较大（≥30 岁与<20 岁，AOR = 0.20；95%CI：0.05-0.90））和女性（AOR = 0.56；95%CI：0.32-0.98））的学生不太愿意自我检测，而年龄较大（500 级与 100 级，AOR = 5.24；95%CI：1.85-14.84）），入读临床科学课程（与农业，AOR = 4.92；95%CI：1.51-16.05））或属于“其他”族裔群体（与豪萨-富拉尼族，AOR = 2.40；95%CI：1.11-5.19））的学生更愿意自我检测。总体 HTC 采用率较低，但自我检测的可接受性较高。学院年级、年龄、种族和学习课程与自我检测意愿相关。我们的研究结果支持在尼日利亚扩大大学生 HIV 自我检测的可行性。
