Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings.
Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings.
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DOI：
10.1177/09564624211069236
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发表时间：
2022-03
影响因子：
1.4
通讯作者：
Kyambadde P
中科院分区：
文献类型：
--
作者：
Logie CH;Okumu M;Berry I;Loutet M;Hakiza R;Kibuuka Musoke D;Mwima S;Kiera UM;MacNamee C;Kyambadde P
城市难民青年可能生活在以贫穷和暴力等艾滋病毒结构性驱动因素为特征的社会环境中。尽管难民越来越多地定居在城市环境中，但城市难民青年在艾滋病毒检测做法方面仍然存在知识差距。本研究探讨了社会背景因素与终身艾滋病毒检测城市难民青年在乌干达坎帕拉。我们进行了一项以社区为基础的研究，同龄人招募队列的城市难民青年，年龄在16-24岁之间，生活在坎帕拉的非正式住区，目前的基线横断面调查结果。我们进行了描述性统计和逻辑回归，以检查社会人口统计学（例如，性别和年龄），材料（例如，收入不安全和教育），关系（例如，社会支持），和象征性背景（例如，艾滋病毒相关的耻辱和亲密伴侣暴力（IPV）与终身艾滋病毒检测。参与者（n = 450）的平均年龄为20.4岁（标准差：2.4岁），大多数人在乌干达生活了1-5年（53.2%），不到一半的人报告了终身艾滋病毒检测（43.4%）。在多变量分析中，终身HIV检测的几率在具有中学教育或更高学历的年轻人中更高（调整后的比值比（aOR）：2.30，95%置信区间（CI）：1.27-4.17），目前就业（aOR：1.79，95% CI：1.03-3.10）和报告IPV（aOR：3.61，95% CI：1.43-9.10）。有孩子与HIV检测轻微相关（aOR：2.17，95% CI：0.98-4.81，p = 0.052）。调查结果表明，艾滋病毒检测不够理想，必须采取针对性战略，帮助失业和正规教育有限的城市难民青年。有必要让城市难民青年有意义地参与创造有利于性健康的环境。
Urban refugee youth may live in social contexts characterized by structural drivers of HIV such as poverty and violence. Knowledge gaps remain regarding HIV testing practices among urban refugee youth, despite the increasing trend toward refugee settlement in urban contexts. This study examined social contextual factors associated with lifetime HIV testing among urban refugee youth in Kampala, Uganda. We conducted a community-based study with a peer-recruited cohort of urban refugee youth aged 16–24 years living in Kampala’s informal settlements, and present baseline cross-sectional findings. We conducted descriptive statistics and logistic regression to examine socio-demographic (e.g., gender and age), material (e.g., income insecurity and education), relational (e.g., social support), and symbolic contexts (e.g., HIV-related stigma and intimate partner violence (IPV]) associated with lifetime HIV testing. Participants (n = 450) had a mean age of 20.4 years (standard deviation: 2.4 years), most lived in Uganda for 1–5 years (53.2%), and less than half reported lifetime HIV testing (43.4%). In multivariable analyses, odds of lifetime HIV testing were higher among youth with secondary school education or higher (adjusted odds ratio (aOR]: 2.30, 95% confidence interval (CI]: 1.27–4.17), currently employed (aOR: 1.79, 95% CI: 1.03–3.10), and reporting IPV (aOR: 3.61, 95% CI: 1.43–9.10). Having children was marginally associated with HIV testing (aOR: 2.17, 95% CI: 0.98–4.81, p = 0.052). Findings demonstrate suboptimal HIV testing and the importance of tailored strategies to reach urban refugee youth who are unemployed and have limited formal education. There is a need to meaningfully engage urban refugee youth to create enabling environments for sexual health.
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影响因子：
6
作者：
Logie CH;Okumu M;Kibuuka Musoke D;Hakiza R;Mwima S;Kyambadde P;Abela H;Gittings L;Musinguzi J;Mbuagbaw L;Baral S
通讯作者：
Baral S
影响因子：
3.6
作者：
Hall, Kelli Stidham;Manu, Abubakar;Dalton, Vanessa K.
通讯作者：
Dalton, Vanessa K.
影响因子：
3.7
作者：
Gibbs, Andrew;Jewkes, Rachel;Washington, Laura
通讯作者：
Washington, Laura
影响因子：
2.6
作者：
Gibbs, Andrew;Sikweyiya, Yandisa;Jewkes, Rachel
通讯作者：
Jewkes, Rachel
DOI：
10.1515/ijamh-2017-0152
发表时间：
2018-04-09
影响因子：
--
作者：
Iwelunmor, Juliet;Blackstone, Sarah;Curley, Jami
通讯作者：
Curley, Jami