Melato Ipeleng Caroline Victoria, Musekiwa Alfred, Nxele Siphesihle Robin
School of Health Systems and Public Health, Faculty of Health Sciences, University Of Pretoria, Pretoria Private Bag X20, Hatfield, Pretoria 0028, South Africa.
Int J Environ Res Public Health. 2025 Aug 18;22(8):1291. doi: 10.3390/ijerph22081291.
Sub-Saharan Africa bears the heaviest burden of HIV/AIDS. Kenya alone has an estimated 1.4 million people living with HIV. Therefore, this study determined HIV testing prevalence and associated factors among men aged 15-54 years in Kenya. The study is a secondary data analysis of the 2022 Kenya Demographic and Health Survey, a nationally representative population-based cross-sectional survey. A multivariable logistic regression model was used to determine factors associated with HIV testing. Survey weights were used to adjust analyses for unequal sampling probabilities. Out of 14,453 men included in the study, the prevalence of self-reported HIV testing was 73.5%, which was higher among men aged 30-34 years old compared to the 15-19 years (90.2% vs. 33.3%), married or living with a partner (89.1% vs. 55.5%), residing in urban areas (82.5% vs. 67.8%), with higher education (90.6% vs. 58.4%), employed (80.5% vs. 43.1%), richest (83.8% vs. 60.4%), and those with three or more sexual partners (81.7% vs. 68.0%) groups. Targeted interventions to encourage more men to participate in regular HIV testing are needed. This can be achieved by bringing HIV testing sites closer to males through HIV self-testing and community testing, particularly home-based testing.
撒哈拉以南非洲地区承受着最沉重的艾滋病毒/艾滋病负担。仅肯尼亚就估计有140万人感染艾滋病毒。因此,本研究确定了肯尼亚15至54岁男性的艾滋病毒检测率及相关因素。该研究是对2022年肯尼亚人口与健康调查的二次数据分析,这是一项具有全国代表性的基于人群的横断面调查。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。调查权重用于调整因抽样概率不均等而产生的分析结果。在纳入研究的14453名男性中,自我报告的艾滋病毒检测率为73.5%,30至34岁男性的检测率高于15至19岁男性(90.2%对33.3%),已婚或与伴侣同居的男性(89.1%对55.5%),居住在城市地区的男性(82.5%对67.8%),受过高等教育的男性(90.6%对58.4%),就业男性(80.5%对43.1%),最富有的男性(83.8%对60.4%),以及有三个或更多性伴侣的男性(81.7%对68.0%)群体。需要采取有针对性的干预措施,鼓励更多男性定期参与艾滋病毒检测。这可以通过艾滋病毒自我检测和社区检测,特别是家庭检测,使艾滋病毒检测点更靠近男性来实现。