Hensen B, Phiri M, Schaap A, Sigande L, Simwinga M, Floyd S, Belemu S, Simuyaba M, Shanaube K, Fidler S, Hayes R, Ayles H M
Faculty of Infectious and Tropical Diseases, Clinical Research Department, London School of Hygiene and Tropical Medicine, London, UK.
Zambart, Lusaka, Zambia.
AIDS Behav. 2022 Jan;26(1):172-182. doi: 10.1007/s10461-021-03368-9. Epub 2021 Jul 24.
Adolescents and young people aged 15-24 are underserved by available HIV-testing services (HTS). Delivering HTS through community-based, peer-led, hubs may prove acceptable and accessible to adolescents and young people, thus increasing HIV-testing coverage. We used data from the pilot phase of a cluster-randomised trial of community-based sexual and reproductive health services for adolescents and young people in Lusaka, Zambia, between September 2019 and January 2020, to explore factors associated with uptake of HTS through community-based hubs. 5,757 adolescents and young people attended the hubs (63% female), among whom 75% tested for HIV (76% of females, 75% of males). Community-based hubs provided HTS to 80% of adolescents and young people with no history of HIV-testing. Among females, uptake of HTS was lower among married/cohabiting females; among males, uptake was lower among unmarried males and among individuals at risk of hazardous alcohol use. The high number of adolescents and young people accessing hubs for HIV testing suggests they are acceptable. Enhanced targeting of HTS to groups who may not perceive their HIV risk needs to be implemented.
15至24岁的青少年和年轻人无法充分获得现有的艾滋病毒检测服务(HTS)。通过社区主导、同伴引领的中心提供艾滋病毒检测服务,可能会被青少年和年轻人接受并易于获得,从而提高艾滋病毒检测覆盖率。我们利用2019年9月至2020年1月在赞比亚卢萨卡进行的一项针对青少年和年轻人的社区性与生殖健康服务整群随机试验试点阶段的数据,来探索与通过社区中心接受艾滋病毒检测相关的因素。5757名青少年和年轻人前往这些中心(63%为女性),其中75%接受了艾滋病毒检测(女性为76%,男性为75%)。社区中心为80%无艾滋病毒检测史的青少年和年轻人提供了艾滋病毒检测服务。在女性中,已婚/同居女性接受艾滋病毒检测的比例较低;在男性中,未婚男性以及有危险饮酒风险的个体接受检测的比例较低。大量青少年和年轻人前往中心进行艾滋病毒检测,这表明这些中心是可以接受的。需要加强针对那些可能未意识到自身艾滋病毒感染风险的群体的艾滋病毒检测服务。
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