Musekiwa Alfred, Bamogo Assanatou, Shisana Olive, Robsky Katherine, Zuma Khangelani, Zungu Nompumelelo P, Celentano David D
School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Public Health Pract (Oxf). 2021 Feb 6;2:100093. doi: 10.1016/j.puhip.2021.100093. eCollection 2021 Nov.
This article estimated the prevalence of self-reported HIV testing and identified associated factors among sexually active adolescent girls and young women (AGYW), aged 15-24 years, in South Africa.
This is a secondary data analysis of a nationally representative population-based cross-sectional multi-stage cluster survey of households in South Africa conducted in 2017.
Descriptive statistics were used to describe AGYW characteristics and the multivariable logistic regression model was used to determine factors associated with HIV testing. All analyses were adjusted for unequal sampling probabilities using survey weights.
From the 1360 AGYW analysed (70.3% aged 20-24 years, 89.0% Black African, 95.5% unmarried, 88.7% unemployed), 1154 (estimate 85.8% (95% Confidence Interval (CI): 83.0 to 88.1)) had ever tested for HIV. In adjusted analysis, AGYW who had been pregnant in the past 24 months (adjusted Odds Ratio [aOR] 3.67, 95%CI: 1.68 to 8.02), were older (20-24 years: aOR 3.13, 95%CI: 1.86 to 5.28), or did not use condoms consistently compared to using them every time (almost every time: aOR 3.31, 95%CI: 1.07 to 10.22; sometimes: aOR 2.54, 95%CI: 1.29 to 4.98) had significantly higher odds of ever testing for HIV.
This research identified an unmet need for HIV testing among AGYW and increasing awareness of HIV counselling and testing among AGYW in South Africa is recommended.
本文估计了南非15至24岁性活跃少女及年轻女性（AGYW）自我报告的艾滋病毒检测流行率，并确定了相关因素。
这是对2017年在南非进行的一项具有全国代表性的基于人群的横断面多阶段整群家庭调查的二次数据分析。
采用描述性统计来描述AGYW的特征，并使用多变量逻辑回归模型来确定与艾滋病毒检测相关的因素。所有分析均使用调查权重对不等抽样概率进行了调整。
在分析的1360名AGYW中（70.3%年龄在20至24岁之间，89.0%为非洲黑人，95.5%未婚，88.7%失业），1154人（估计85.8%（95%置信区间（CI）：83.0至88.1））曾接受过艾滋病毒检测。在调整分析中，过去24个月内怀孕的AGYW（调整后优势比[aOR] 3.67，95%CI：1.68至8.02）、年龄较大（20至24岁：aOR 3.13，95%CI：1.86至5.28）或与每次都使用避孕套相比并非始终使用避孕套的AGYW（几乎每次：aOR 3.31，95%CI：1.07至10.22；有时：aOR 2.54，95%CI：1.29至4.98）接受艾滋病毒检测的几率显著更高。
本研究发现AGYW中存在未满足的艾滋病毒检测需求，建议提高南非AGYW对艾滋病毒咨询和检测的认识。
