Ekholuenetale Michael, Okonji Osaretin C, Nzoputam Chimezie I, Barrow Amadou
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
School of Pharmacy, University of the Western Cape, Cape Town, South Africa.
J Coll Med S Afr. 2024 May 10;2(1):21. doi: 10.4102/jcmsa.v2i1.21. eCollection 2024.
Human immunodeficiency virus (HIV) self-testing (ST) is a convenient and discreet practice to know HIV status. It is required to reach the underserved population subgroups. We examined the uptake and factors associated with HIVST among reproductive-aged South African women.
A sample of 8182 women from 2016 South African Demographic and Health Survey data were analysed. Percentage and multivariable logistic regression model were conducted. The significance level was set at < 0.05.
Approximately 3.1% of women had HIVST uptake. Respondents with primary education had a 75% reduction in the odds of HIVST, compared with women who had no formal education. Women who are employed were 1.44 times as likely to have HIVST uptake compared to those not employed. Women aged 20-24 years, 25-29 years, 30-34 years, and 40-44 years had about two times higher odds of HIVST, when compared with women aged 15-19 years. Women who read newspaper or magazine less than once a week or at least once a week were 1.90 and 2.25 times as likely to have HIVST uptake, respectively, when compared with those who do not read at all.
The prevalence of HIVST uptake was low. HIVST was associated with women's sociodemographic characteristics. The findings highlight the importance of addressing women's needs to know their HIV status.
This study adds to the body of literature in understanding the utilisation patterns of HIVST across women in South Africa.
人类免疫缺陷病毒（HIV）自我检测是一种了解HIV感染状况的便捷且私密的方式。它对于覆盖未得到充分服务的人群亚组很有必要。我们研究了南非育龄妇女中HIV自我检测的接受情况及相关因素。
分析了来自2016年南非人口与健康调查数据中的8182名妇女样本。进行了百分比分析和多变量逻辑回归模型分析。显著性水平设定为<0.05。
约3.1%的妇女进行了HIV自我检测。与未接受过正规教育的妇女相比，接受过小学教育的受访者进行HIV自我检测的几率降低了75%。就业妇女进行HIV自我检测的可能性是未就业妇女的1.44倍。与15 - 19岁的妇女相比，20 - 24岁、25 - 29岁、30 - 34岁和40 - 44岁的妇女进行HIV自我检测的几率高出约两倍。与根本不阅读的妇女相比，每周阅读报纸或杂志少于一次或至少一次的妇女进行HIV自我检测的可能性分别是其1.90倍和2.25倍。
HIV自我检测的普及率较低。HIV自我检测与妇女的社会人口学特征相关。研究结果凸显了满足妇女了解自身HIV感染状况需求的重要性。
本研究为理解南非妇女中HIV自我检测的使用模式增添了文献资料。
