Community-Based HIV Testing for Urban Youth in Western Kenya.

Community-Based HIV Testing for Urban Youth in Western Kenya.
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DOI:
10.1007/s10461-021-03441-3
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发表时间:
2022-03
期刊:
影响因子:
4.4
通讯作者:
Cohen, Craig R.
Cohen, Craig R.
中科院分区:
医学2区
文献类型:
--
作者:
Truong, Hong-Ha M.;Guze, Mary A.;Ouma, David;Bushman, Dena;Mocello, A. Rain;Kadede, Kevin;Bukusi, Elizabeth A.;Odhiambo, Francesca;Cohen, Craig R.

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在肯尼亚基苏穆县,15-24岁的青年占艾滋病毒新感染者的48%,占艾滋病毒感染者的15%。我们评估了参与2018年在城市非正式住区实施的社区卫生倡议(CHI)的青年感染艾滋病毒的相关因素。HIV感染的预测因素采用多因素Logistic回归分析。CHI通过社区卫生运动和家庭艾滋病毒检测吸引了4 441名青年。艾滋病毒感染率总体为3.5%,在20-24岁的年轻妇女中为7.1%。在总共157名艾滋病毒抗体阳性青年中,有24名青年被新确认为艾滋病毒抗体阳性。HIV阳性状态与女性(aOR=2.46; 95%CI 1.57,3.84)和20-24岁(aOR=2.40; 95%CI 1.52,3.79)呈正相关,与中学或以上教育呈负相关(aOR=0.27; 95%CI 0.16,0.44)。我们的研究结果强调,需要专门为青年量身定制的艾滋病毒预防计划,以进一步减少这一重点人群的新艾滋病毒感染。
Youth aged 15-24 years comprise 48% of new HIV infections and 15% of persons living with HIV in Kisumu County, Kenya. We assessed factors associated with HIV infection among youth participating in the Community Health Initiative (CHI) implemented in an urban informal settlement in 2018. Predictors of HIV infection were assessed by multivariable logistic regression. CHI engaged 4,441 youth through community health campaigns and home-based HIV testing. HIV prevalence was 3.5% overall and 7.1% among young women aged 20-24. There were 24 youth newly identified as HIV-positive out of 157 total HIV-positive youth. HIV-positive status was positively associated with being female (aOR=2.46; 95% CI 1.57, 3.84) and aged 20-24 (aOR=2.40; 95% CI 1.52, 3.79), and inversely associated with secondary school education or higher (aOR=0.27; 95% CI 0.16, 0.44). Our findings highlight the need for HIV prevention programs specially tailored for youth to further reduce new HIV infections in this priority population.
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