Factors Associated with Uptake of HIV Test Results in a Nationally Representative Population-Based AIDS Indicator Survey.
Factors Associated with Uptake of HIV Test Results in a Nationally Representative Population-Based AIDS Indicator Survey.
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DOI：
10.2174/1874613601408010007
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
Kim AA
中科院分区：
文献类型：
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作者：
Mwangi M;Kellogg TA;Dadabhai SS;Bunnell R;Baltazar G;Ngare C;K'opiyo G;Mburu M;Kim AA
在检测覆盖率低的环境中进行艾滋病毒检测的基于人群的调查为参与者提供了了解其艾滋病毒状况的机会。2007年在肯尼亚进行的具有全国代表性的以人群为基础的艾滋病毒血清学调查的参与者(15-)在抽血6周后收到一张在卫生机构收集艾滋病毒检测结果的代金券。Logistic回归模型被用来确定个体和夫妇结果集合的预测因素。在15853名同意抽血的成年人中，7222人(46.7%)收集了艾滋病毒检测结果(46.5%是男性，46.8%是女性)。三分之一(39.5%)感染艾滋病毒的成年人没有意识到自己的感染，48.2%的从未接受过检测的人在Kais期间了解到他们的艾滋病毒状态。个人收集艾滋病毒检测结果与年龄相关，60-岁的成年人的风险最高(调整后的优势比[AOR]，1.6，95%可信区间[CI]1.2-2.1)；农村居住地(调整后的优势比1.8，95%可信区间1.2-2.6)；以及内罗毕郊外的居住地，其中人口稀少的东北部省份的风险最高(优势比8.0，95%CI 2.9-21.8)。在2685对已婚/同居夫妇中，18.5%的人是以夫妻的身份收集结果的。东部省份和财富第二和中等五分位数的夫妇收集结果的可能性高于内罗毕(AOR 3.2，95%CI 1.1-9.4)和财富最低五分位数(第二AOR 1.5，95%CI 1.1-2.3；中等AOR 1.6，95%CI 1.2-2.3)。许多参与者，包括艾滋病毒携带者，是在Kais了解到他们的艾滋病毒状况的。未来的调查需要解决青年、城市居民、夫妇和未诊断的艾滋病毒感染者对结果的接受程度较低的问题。
Population-based surveys with HIV testing in settings with low testing coverage provide opportunities for participants to learn their HIV status. Survey participants (15-64 years) in a 2007 nationally representative population-based HIV serologic survey in Kenya received a voucher to collect HIV test results at health facilities 6 weeks after blood draw. Logistic regression models were fitted to identify predictors of individual and couple collection of results. Of 15,853 adults consenting to blood draw, 7,222 (46.7%) collected HIV test results (46.5% men, 46.8% women). A third (39.5%) of HIV-infected adults who were unaware of their infection and 48.2% of those who had never been tested learned their HIV status during KAIS. Individual collection of HIV results was associated with older age, with the highest odds among adults aged 60-64 years (adjusted odds ratio [AOR], 1.6, 95% confidence interval [CI] 1.2-2.1); rural residence (AOR 1.8, 95%CI 1.2-2.6); and residence outside Nairobi, with the highest odds in the sparsely populated North Eastern province (AOR 8.0, 95%CI 2.9-21.8). Of 2,685 married/cohabiting couples, 18.5% collected results as a couple. Couples in Eastern province and in the second and middle wealth quintiles were more likely to collect results than those in Nairobi (AOR 3.2, 95%CI 1.1-9.4) and the lowest wealth quintile (second AOR 1.5, 95%CI 1.1-2.3; middle AOR 1.6, 95% CI 1.2-2.3, respectively. Many participants including those living with HIV learned their HIV status in KAIS. Future surveys need to address low uptake of results among youth, urban residents, couples and those with undiagnosed HIV infection.