文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

肯尼亚艾滋病毒自我检测使用者的特征、结果以及与使用相关的因素:基于人群的艾滋病毒影响评估的结果,2018 年。

Characteristics of users of HIV self-testing in Kenya, outcomes, and factors associated with use: results from a population-based HIV impact assessment, 2018.

机构信息

US Centers for Disease Control and Prevention, Division of Global, HIV & TB, Nairobi, Kenya.

Ministry of Health Kenya, National AIDS &, STI Control Program, Nairobi, Kenya.

出版信息

BMC Public Health. 2022 Apr 2;22(1):643. doi: 10.1186/s12889-022-12928-0.


DOI:10.1186/s12889-022-12928-0
PMID:35366838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8977000/
Abstract

BACKGROUND AND SETTING: About 20% of persons living with HIV aged 15-64 years did not know their HIV status in Kenya, by 2018. Kenya adopted HIV self-testing (HIVST) to help close this gap. We examined the sociodemographic characteristics and outcomes of self-reported users of HIVST as our primary outcome. METHODS: We used data from a 2018 population-based cross-sectional household survey in which we included self-reported sociodemographic and behavioral characteristics and HIV test results. To compare weighted proportions, we used the Rao-Scott χ-square test and Jackknife variance estimation. In addition, we used logistic regression to identify associations of sociodemographic, behavioral, and HIVST utilization. RESULTS: Of the 23,673 adults who reported having ever tested for HIV, 937 (4.1%) had ever self-tested for HIV. There were regional differences in HIVST, with Nyanza region having the highest prevalence (6.4%), p < 0.001. Factors independently associated with having ever self-tested for HIV were secondary education (adjusted odds ratio [aOR], 3.5 [95% (CI): 2.1-5.9]) compared to no primary education, being in the third (aOR, 1.7 [95% CI: 1.2-2.3]), fourth (aOR, 1.6 [95% CI: 1.1-2.2]), or fifth (aOR, 1.8 [95% CI: 1.2-2.7]) wealth quintiles compared to the poorest quintile and having one lifetime sexual partner (aOR, 1.8 [95% CI: 1.0-3.2]) or having ≥ 2 partners (aOR, 2.1 [95% CI: 1.2-3.7]) compared to none. Participants aged ≥ 50 years had lower odds of self-testing (aOR, 0.6 [95% CI: 0.4-1.0]) than those aged 15-19 years. CONCLUSION: Kenya has made progress in rolling out HIVST. However, geographic differences and social demographic factors could influence HIVST use. Therefore, more still needs to be done to scale up the use of HIVST among various subpopulations. Using multiple access models could help ensure equity in access to HIVST. In addition, there is need to determine how HIVST use may influence behavior change towardsaccess to prevention and HIV treatment services.

摘要

背景与设置:2018 年,肯尼亚 15-64 岁的 HIV 感染者中约有 20%不知道自己的 HIV 状况。肯尼亚采用 HIV 自我检测(HIVST)来帮助缩小这一差距。我们将自我报告的 HIVST 用户的社会人口统计学特征和结果作为主要结果进行了研究。

方法:我们使用了 2018 年一项基于人群的横断面家庭调查的数据,其中包括自我报告的社会人口统计学和行为特征以及 HIV 检测结果。为了比较加权比例,我们使用了 Rao-Scott χ2 检验和 Jackknife 方差估计。此外,我们还使用逻辑回归来确定社会人口统计学、行为和 HIVST 使用情况之间的关联。

结果:在报告曾经接受过 HIV 检测的 23673 名成年人中,有 937 人(4.1%)曾经进行过 HIV 自我检测。HIVST 在地区间存在差异,其中奈瓦沙地区的患病率最高(6.4%),p<0.001。与未接受过小学教育的人相比,接受过中等教育(调整后的优势比 [aOR],3.5 [95%置信区间:2.1-5.9])、处于第三(aOR,1.7 [95%置信区间:1.2-2.3])、第四(aOR,1.6 [95%置信区间:1.1-2.2])或第五(aOR,1.8 [95%置信区间:1.2-2.7])财富五分位数的人,以及有一个终生性伴侣(aOR,1.8 [95%置信区间:1.0-3.2])或有≥2 个性伴侣(aOR,2.1 [95%置信区间:1.2-3.7])的人,比没有性伴侣的人更有可能进行自我检测。年龄≥50 岁的参与者进行自我检测的可能性较低(aOR,0.6 [95%置信区间:0.4-1.0]),而 15-19 岁的参与者则相反。

结论:肯尼亚在推广 HIVST 方面取得了进展。然而,地理差异和社会人口统计学因素可能会影响 HIVST 的使用。因此,仍需要在不同人群中进一步推广 HIVST 的使用。使用多种获取模式可以帮助确保 HIVST 的获取公平。此外,还需要确定 HIVST 的使用如何影响人们获得预防和 HIV 治疗服务的行为变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b760/8977000/d97479accdd3/12889_2022_12928_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b760/8977000/e55b200a2026/12889_2022_12928_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b760/8977000/d97479accdd3/12889_2022_12928_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b760/8977000/e55b200a2026/12889_2022_12928_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b760/8977000/d97479accdd3/12889_2022_12928_Fig2_HTML.jpg

相似文献

[1]
Characteristics of users of HIV self-testing in Kenya, outcomes, and factors associated with use: results from a population-based HIV impact assessment, 2018.

BMC Public Health. 2022-4-2

[2]
Prevalence and associated factors of HIV self-testing among men who have sex with men in Ningbo, China: a cross-sectional study.

AIDS Res Ther. 2021-4-20

[3]
Knowledge, and utilization of HIV self-testing, and its associated factors among women in sub-Saharan Africa: evidence from 21 countries demographic and health survey.

BMC Public Health. 2024-7-23

[4]
Did you hear about HIV self-testing? HIV self-testing awareness after community-based HIVST distribution in rural Zimbabwe.

BMC Infect Dis. 2022-1-13

[5]
HIV self-testing acceptability among injured persons seeking emergency care in Nairobi, Kenya.

Glob Health Action. 2023-12-31

[6]
Level of knowledge and intention to use oral fluid HIV self-testing and associated factors among Ethiopian health care workers in southern Ethiopia.

AIDS Res Ther. 2024-8-24

[7]
Effectiveness of HIV self-testing when offered within assisted partner services in Western Kenya (APS-HIVST Study): a cluster randomized controlled trial.

J Int AIDS Soc. 2024-7

[8]
Can HIV self-testing reach first-time testers? A telephone survey among self-test end users in Côte d'Ivoire, Mali, and Senegal.

BMC Infect Dis. 2023-9-25

[9]
Willingness to Receive HIV Self-Testing Kits from Recent Sexual Partners Among Men in Dar Es Salam, Tanzania: Findings from the STEP Project Baseline Survey.

AIDS Behav. 2024-7

[10]
HIV self-testing adoption and post-test linkage to care among men who have sex with men in China: a nationwide cross-sectional survey.

BMC Infect Dis. 2024-5-27

引用本文的文献

[1]
Unlocking self-testing: predictors of HIV self-testing kit use among reproductive-aged women in tanzania; a multilevel analysis of the 2022 demographic and health survey.

AIDS Res Ther. 2025-8-4

[2]
Comparison of HIV self-test distribution modalities to reduce HIV transmission and burden in western Kenya: a mathematical modelling study.

BMJ Open. 2025-7-30

[3]
Participants and Recipients in Social Network Distribution of HIV Self-Testing Kits Among Men Who Have Sex With Men in China.

Sex Transm Dis. 2025-7-11

[4]
Prevalence and factors associated with knowledge of HIV Self-Test kit and HIV-Self Testing among Ghanaian women: multi-level analyses using the 2022 Ghana demographic and health survey.

BMC Public Health. 2025-3-27

[5]
Risky sexual behaviours and utilization of HIV testing services among the adolescent girls and young women aged between 15-24 years in Kibra Sub County, Nairobi County, Kenya.

Open Res Eur. 2025-1-31

[6]
Mitigating HIV risk associated with widow cleansing and wife inheritance using combined biomedical and structural interventions in western Kenya: a mathematical modeling study.

BMC Med. 2025-2-12

[7]
Nested case-control study investigating factors affecting initial adoption of HIV self-testing among men who have sex with men in Guangzhou, China: amidst comprehensive service coverage.

Front Public Health. 2025-1-7

[8]
Uptake and acceptability of oral HIV self-testing in the context of assisted partner services in Western Kenya: A mixed-methods analysis.

PLOS Glob Public Health. 2024-11-15

[9]
People Who Self-Reported Testing HIV-Positive but Tested HIV-Negative: A Multi-Country Puzzle of Data, Serology, and Ethics, 2015-2021.

Trop Med Infect Dis. 2024-9-19

[10]
Cofactors of Partner HIV Self-testing and Oral PrEP Acceptance Among Pregnant Women at High Risk of HIV in Kenya.

J Acquir Immune Defic Syndr. 2024-3-1

本文引用的文献

[1]
Implementation outcomes of HIV self-testing in low- and middle- income countries: A scoping review.

PLoS One. 2021

[2]
Measuring linkage to HIV treatment services following HIV self-testing in low-income settings.

J Int AIDS Soc. 2020-6

[3]
Who is Reached by HIV Self-Testing? Individual Factors Associated With Self-Testing Within a Community-Based Program in Rural Malawi.

J Acquir Immune Defic Syndr. 2020-10-1

[4]
Use and awareness of and willingness to self-test for HIV: an analysis of cross-sectional population-based surveys in Malawi and Zimbabwe.

BMC Public Health. 2020-5-25

[5]
Preferences for HIV testing services among young people in Nigeria.

BMC Health Serv Res. 2019-12-27

[6]
Effect of Prices, Distribution Strategies, and Marketing on Demand for HIV Self-testing in Zimbabwe: A Randomized Clinical Trial.

JAMA Netw Open. 2019-8-2

[7]
Factors associated with acceptability of HIV self-testing (HIVST) among university students in a Peri-Urban area of the Democratic Republic of Congo (DRC).

Pan Afr Med J. 2018-12-27

[8]
An Internet-Based HIV Self-Testing Program to Increase HIV Testing Uptake Among Men Who Have Sex With Men in Brazil: Descriptive Cross-Sectional Analysis.

J Med Internet Res. 2019-8-1

[9]
Acceptability and outcomes of distributing HIV self-tests for male partner testing in Kenyan maternal and child health and family planning clinics.

AIDS. 2019-7-1

[10]
Applying user preferences to optimize the contribution of HIV self-testing to reaching the "first 90" target of UNAIDS Fast-track strategy: results from discrete choice experiments in Zimbabwe.

J Int AIDS Soc. 2019-3

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索