Department of Population and Health, University of Cape Coast, Ghana.
College of Public Health, Medical and Veterinary Services, James Cook University, Australia.
J Biosoc Sci. 2022 Jul;54(4):558-571. doi: 10.1017/S0021932021000237. Epub 2021 Jun 8.
People living with undiagnosed HIV are big contributors to the transmission of the virus. Although measures have been made to scale up HIV prevention and voluntary counselling and testing in sub-Saharan Africa, testing coverage remains low in many sub-Saharan African countries, including Mozambique and Kenya, where most people live with HIV/AIDS. Studies have shown that, in most countries in sub-Saharan Africa, men are less likely to test for HIV compared with women. This study examined the relationship between comprehensive HIV/AIDS knowledge and HIV testing among men in Kenya and Mozambique. Data were from the men's re-code file of the Demographic and Health Surveys of Mozambique and Kenya. Binary logistic regression models were generated and the results presented as crude odds ratios (cOR) and adjusted odds ratios (aOR). The prevalences of HIV testing in Kenya and Mozambique were 80.1% and 46.7%, respectively. Men in Mozambique who had comprehensive HIV/AIDS knowledge (aOR=1.26, CI: 1.07-1.47) were more likely to test for HIV compared with their counterparts who had no comprehensive HIV/AIDS knowledge. In Kenya, men who had comprehensive HIV/AIDS knowledge (aOR=1.23, CI: 1.09-1.39) were more likely to test for HIV compared with their counterparts who had no comprehensive HIV/AIDS knowledge. This study found a statistically strong significant association between comprehensive HIV/AIDS knowledge and HIV testing among men in Kenya and Mozambique. To improve HIV testing rate among men, it is important that interventions are geared towards improving men's comprehensive HIV/AIDS knowledge, perhaps by expanding HIV/AIDS education programmes and campaigns. This could improve HIV testing rates and ensure the realization of the global HIV/AIDS target of 95-95-95 by the year 2030.
未被诊断出 HIV 的感染者是该病毒传播的主要贡献者。尽管撒哈拉以南非洲地区已经采取措施扩大 HIV 预防和自愿咨询检测，但包括莫桑比克和肯尼亚在内的许多撒哈拉以南非洲国家的检测覆盖率仍然很低，而这些国家的大多数人都携带艾滋病毒/艾滋病。研究表明，在撒哈拉以南非洲的大多数国家，男性接受 HIV 检测的可能性低于女性。本研究检查了肯尼亚和莫桑比克男性的综合 HIV/AIDS 知识与 HIV 检测之间的关系。数据来自莫桑比克和肯尼亚的人口与健康调查的男性重新编码文件。生成了二元逻辑回归模型，并以粗比值比 (cOR) 和调整比值比 (aOR) 呈现结果。肯尼亚和莫桑比克的 HIV 检测率分别为 80.1%和 46.7%。与没有综合 HIV/AIDS 知识的男性相比，莫桑比克具有综合 HIV/AIDS 知识的男性 (aOR=1.26, CI: 1.07-1.47) 更有可能接受 HIV 检测。在肯尼亚，与没有综合 HIV/AIDS 知识的男性相比，具有综合 HIV/AIDS 知识的男性 (aOR=1.23, CI: 1.09-1.39) 更有可能接受 HIV 检测。本研究发现，肯尼亚和莫桑比克男性的综合 HIV/AIDS 知识与 HIV 检测之间存在统计学上显著的关联。为了提高男性的 HIV 检测率，重要的是要针对提高男性的综合 HIV/AIDS 知识进行干预，也许可以通过扩大 HIV/AIDS 教育计划和运动来实现。这可以提高 HIV 检测率，并确保到 2030 年实现全球 HIV/AIDS 目标 95-95-95。
