Determinants of HIV testing among young people aged 18-24 years in South Africa
Determinants of HIV testing among young people aged 18-24 years in South Africa
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DOI：
10.4314/ahs.v13i4.22
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发表时间：
2013-01-01
影响因子：
1
通讯作者：
Matseke, G.
中科院分区：
文献类型：
--
作者：
Peltzer, K.;Matseke, G.
背景：尽管最近对南非艾滋病毒/艾滋病负担的估计表明，青年特别容易感染艾滋病毒，但对这一年龄组的艾滋病毒检测及其决定因素的研究在很大程度上不足。目的：调查18至24岁年轻人中HIV检测的流行情况和决定因素，作为loveLife影响评估的一部分。方法：南非全国青少年艾滋病毒预防运动，关于艾滋病毒和相关危险行为。采用多阶段分层整群抽样方法，进行了一项基于人口的横断面住户调查。总样本包括3123名参与者，年龄在18-24岁之间，54.6%的男性和45.4%的女性，来自四个省（东开普省、豪登省、夸祖鲁-纳塔尔省和普马兰加省）。结果：结果表明，超过一半（52.2%）的青年报告了艾滋病毒检测，年轻女性（60.1%）的艾滋病毒检测高于男性（39.9%）。在多变量分析中，年龄较大，女性，艾滋病知识，曾经与母亲或女性监护人谈论过艾滋病，曾经怀孕或使某人怀孕被发现与艾滋病毒检测有关。结论：青少年艾滋病病毒检测比例低，仍有改善空间。需要特别关注年轻男性，他们缺乏艾滋病毒知识，从未与母亲或女性监护人谈论过艾滋病毒，从未怀孕或使某人怀孕，他们不太可能接受检测。应在个人和社区两级开展外联活动，并针对这些青年开展公共卫生宣传。
Background: Although recent estimates of the HIV/AIDS burden in South Africa show the particular vulnerability of youth to HIV, HIV testing and its determinants are largely understudied in this age group.Objective: To investigate the prevalence and determinants of HIV testing among young people aged 18 to 24 years, as part of an evaluation of the impact of loveLife.Methods: South Africa's national HIV prevention campaign for young people, on HIV and related risk behaviours. A cross-sectional population-based household survey was conducted using a multistage stratified cluster sampling approach. The total sample included 3123 participants, aged 18-24, 54.6% men and 45.4% women, from four provinces (Eastern Cape, Gauteng, KwaZulu-Natal and Mpumalanga).Results: The results indicated that over half (52.2%) of the youth reported testing for HIV, with more young females (60.1%) testing for HIV compared to their male counterparts (39.9%). In the multivariate analysis, older age, being female, HIV knowledge, having ever talked to the mother or female guardian about HIV and having ever been pregnant or made someone pregnant were found to be associated with testing for HIV.Conclusion: There is still room for improving the low proportion of young people who test for HIV. Specific attention needs to be paid to younger males, with lack of HIV knowledge, having never talked to the mother or female guardian about HIV and having never been pregnant or made someone pregnant were less likely to be tested. Outreach at individual and community levels and public health messages targeting these youth should be implemented.