Inghels M, Kouassi A K, Niangoran S, Bekelynck A, Carillon S, Sika L, Danel C, Koné M, Desgrées du Loû A, Larmarange J
Centre population et développement (UMR 196 Paris-Descartes IRD), SageSud (ERL Inserm 1244), Institut de recherche pour le développement, 75006 Paris, France.
Programme PAC-CI/ANRS, centre hospitalier universitaire de Treichville, Abidjan, Côte d'Ivoire.
Bull Soc Pathol Exot. 2020;113(5):268-277. doi: 10.3166/bspe-2021-0154.
With 2.9% of HIV prevalence in the general population, Côte d'Ivoire is one of the countries most affected by the HIV epidemic in West Africa. In this country, only 63% of people infected with HIV are aware of their status. A cross-sectional phone survey was conducted with a representative sample of 3,867 individuals to describe the practices and factors associated with a recent HIV testing (≤ 1 year) in Côte d'Ivoire. Data relative to the last done HIV test as well as the socio-demographic characteristics, sexual behavior, access to information, perceptions, capacities and autonomy as well as social and geographical environment of the participants were collected. Logistical regression models were used to identify the associated factors with a recent HIV test (≤ 1 year). Lack of information is one of the main barriers to HIV testing (only 60% of individuals know a place to get tested). For men, despite the fact that HIV testing is free of charge, poor economic conditions seem to be a barrier to testing. The social environment, including peer influence, also appears to have an effect on testing among men. For women, testing is associated with their perceptions of HIV exposure. There is a need to rethink the current HIV testing communication in Côte d'Ivoire and to identify economic or social incentives to remove access barriers to HIV testing.
在科特迪瓦，普通人群中艾滋病毒感染率为2.9%，该国是西非受艾滋病毒疫情影响最严重的国家之一。在这个国家，只有63%的艾滋病毒感染者知晓自己的感染状况。我们对3867名具有代表性的个体进行了一项横断面电话调查，以描述科特迪瓦近期（≤1年）艾滋病毒检测的相关行为和因素。收集了与最近一次艾滋病毒检测相关的数据，以及参与者的社会人口学特征、性行为、信息获取情况、认知、能力和自主性，以及社会和地理环境等信息。采用逻辑回归模型来确定与近期（≤1年）艾滋病毒检测相关的因素。信息匮乏是艾滋病毒检测的主要障碍之一（只有60%的人知道可以进行检测的地点）。对于男性而言，尽管艾滋病毒检测是免费的，但经济条件差似乎是检测的一个障碍。社会环境，包括同伴影响，似乎也对男性的检测有影响。对于女性来说，检测与她们对感染艾滋病毒风险的认知有关。有必要重新思考科特迪瓦目前的艾滋病毒检测宣传方式，并确定经济或社会激励措施，以消除艾滋病毒检测的获取障碍。
