Mthiyane Hloniphile R, Makatini Zinhle, Tsukulu Refilwe, Jeena Rumaanah, Mutloane Motheo, Giddings David, Mahlangu Sifiso, Likotsi Paballo, Majavie Liezl, Druker Tali, Treurnicht Florette
Department of Virology, School of Pathology.
Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
J Public Health Afr. 2023 Apr 28;14(5):2227. doi: 10.4081/jphia.2023.2227. eCollection 2023 Apr 30.
BACKGROUND: Despite the growing evidence for reasonable acceptance and the willingness to use HIV self-testing (HIVST), South Africa has not yet fully explored HIVST. OBJECTIVE: This study's objective was to determine knowledge, attitudes, and practices for HIVST among students aged 18 to 29 years from the University of the Witwatersrand, Johannesburg. METHODS: An online cross-sectional self-administered survey was used to collect data from 01 January 2020 to 31 June 2020. Chi-squared test was used to determine the contribution between categorical variables and HIVST outcomes at a P-value of ≤0.05. Logistic regression was performed to analyze the association between categorical variables with HIVST at a 95% confidence interval. RESULTS: A total of 227 students were included and more than half were females and 68% were between 20 and 24 years of age. Only 15% reported prior access to HIVST. Almost all students (99%) indicated that they would confirm self-test results if positive. Age group 25-29 (aOR 3.43; 95% CI 1.7-77) was associated with HIVST access compared to ≤19 and 24-29 age groups. CONCLUSIONS: HIVST awareness was generally high among this study population. Of concern is the extremely low number of students who had previously used HIVST, as well as those who were unaware of HIVST's existence. Our findings highlight a necessity for HIVST advocacy in South Africa that provides information on where and how HIVST kits can be accessed to potentially upscale HIV testing - essential for achieving UNAIDS targets towards the elimination of HIV/AIDS epidemic as a public health threat.
背景:尽管有越来越多的证据表明人们合理接受并愿意使用艾滋病毒自我检测(HIVST),但南非尚未充分探索HIVST。 目的:本研究的目的是确定约翰内斯堡金山大学18至29岁学生对HIVST的知识、态度和实践情况。 方法:采用在线横断面自填式调查于2020年1月1日至2020年6月31日收集数据。卡方检验用于确定分类变量与HIVST结果之间的关系,P值≤0.05。进行逻辑回归分析分类变量与HIVST之间在95%置信区间的关联。 结果:共纳入227名学生,其中一半以上为女性,68%年龄在20至24岁之间。只有15%的人报告曾有过HIVST检测经历。几乎所有学生(99%)表示如果检测结果呈阳性,他们会去确认。与19岁及以下和20至24岁年龄组相比,25至29岁年龄组(调整后比值比3.43;95%置信区间1.7 - 7.7)与HIVST检测经历相关。 结论:本研究人群中对HIVST的知晓率普遍较高。令人担忧的是,之前使用过HIVST的学生数量极少,以及那些不知道有HIVST的学生。我们的研究结果凸显了在南非开展HIVST宣传的必要性,该宣传应提供关于何处以及如何获取HIVST检测试剂盒的信息,以潜在地扩大艾滋病毒检测范围,这对于实现联合国艾滋病规划署消除艾滋病毒/艾滋病作为公共卫生威胁的目标至关重要。
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