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Predictors of never testing for HIV among sexually active individuals aged 15-56 years in Rwanda.

作者信息

Niyompano Hosee, Biracyaza Emmanuel, Hakizayezu François, Niyoyita Jean Claude, Ndayisenga Jerome, Omolo Jared, Umubyeyi Aline

机构信息

Department of Biostatistics and Epidemiology, School of Public Health, University of Rwanda, Kigali, Rwanda.

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, QC, Canada.

出版信息

Sci Rep. 2024 Jan 26;14(1):2259. doi: 10.1038/s41598-024-52652-w.


DOI:10.1038/s41598-024-52652-w
PMID:38278987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10817977/
Abstract

Human Immunodeficiency Virus (HIV) testing services are known as the primary step in preventing the spread of HIV. However, access to these crucial services varies across regions within continents due to disparities in healthcare infrastructure, resources, and awareness. Approximately one in every five people living with HIV (PLWH) encounters obstacles in accessing HIV testing, notably in Eastern and Southern Africa, where geographical, resource, awareness, and infrastructure limitations prevail. Consequently, HIV remains a significant public health concern in these regions, necessitating expanded testing efforts to combat the HIV/AIDS disaster. Despite these challenges, there is a lack of scientific evidence on the prevalence of HIV testing and its determining factors in Rwanda. This study determined the prevalence of never being tested for HIV and its associated factors among sexually active individuals aged 15-56 who participated in the Rwanda AIDS Indicators and HIV Incidence Survey (RAIHIS). This cross-sectional study enrolled 1846 participants. The variables were extracted from the RAIHIS dataset and statistically analyzed using STATA software version 13. Bivariate and multivariate logistic regression models were employed to identify predictors of never having undergone HIV testing, with a 95% confidence interval and a 5% statistical significance level applied. The prevalence of non-testing for HIV was 17.37%. Being aged 15-30 years (aOR 2.57, 95%CI 1.49-4.43, p < 0.001) and male (aOR 2.44, 95%CI 1.77-3.36, p < 0.001) was associated with an increase in the odds of never testing for HIV. Further, those from urban area were less likely than those living in rural areas to have never tested for HIV (aOR 0.31; 95% CI 0.38-0.67; p < 0.001). Participants who were not aware of HIV test facilitates were more likely to have never undergone HIV testing (aOR 1.75; 95% CI 1.25-2.47; p = 0.031) than their counterparts. While the prevalence of HIV non-testing remains modest, the significance of youth, male gender, lack of awareness, and rural residence as influential factors prompts a call for inventive strategies to tackle the reasons behind never having undergone HIV testing. Further exploration using mixed methodologies is advocated to better comprehend socio-cultural impacts and causation relating to these identified factors.

摘要

相似文献

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Predictors of never testing for HIV among sexually active individuals aged 15-56 years in Rwanda.

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引用本文的文献

[1]
Social-ecological predictors of HIV testing among adult men: analysis of the 2022 Tanzania demographic and health survey data.

BMJ Glob Health. 2025-7-17

本文引用的文献

[1]
Prevalence and predictors of HIV testing among young men in Papua New Guinea: A cross-sectional analysis of a nationally representative sample.

PLoS One. 2024

[2]
HIV testing and associated factors among men (15-64 years) in Eastern Africa: a multilevel analysis using the recent demographic and health survey.

BMC Public Health. 2022-11-24

[3]
Factors Associated with HIV Testing among Reproductive Women Aged 15-49 Years in the Gambia: Analysis of the 2019-2020 Gambian Demographic and Health Survey.

Int J Environ Res Public Health. 2022-4-16

[4]
Prevalence and associated factors of HIV testing among young (15-24) women in eastern Africa: a multilevel analysis of demographic health survey data (2008-2018).

Arch Public Health. 2022-4-11

[5]
Predictors of HIV testing among youth aged 15-24 years in The Gambia.

PLoS One. 2022

[6]
Predictors of testing history and new HIV diagnosis among adult outpatients seeking care for symptoms of acute HIV infection in coastal Kenya: a cross-sectional analysis of intervention participants in a stepped-wedge HIV testing trial.

BMC Public Health. 2022-2-11

[7]
HIV incidence and prevalence among adults aged 15-64 years in Rwanda: Results from the Rwanda Population-based HIV Impact Assessment (RPHIA) and District-level Modeling, 2019.

Int J Infect Dis. 2022-3

[8]
Socio-economic and demographic factors associated with never having tested for HIV among sexually active men across the four administrative regions of Uganda.

BMC Public Health. 2021-12-19

[9]
HIV testing attitudes and practices amongst 'wealthy men': qualitative evidence from Tanzania.

Cult Health Sex. 2022-9

[10]
Understanding barriers and facilitators to HIV testing in Canada from 2009-2019: A systematic mixed studies review.

Can Commun Dis Rep. 2021-3-4

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