Prevalence and factors associated with awareness and use of HIV self-testing kits among young women aged 15-24 in Ghana.

IF 2.5 4区 医学 Q3 INFECTIOUS DISEASES
Martin Wiredu Agyekum, Margaret Appiah, Frank Kyei-Arthur, Grace Frempong Afrifa-Anane, Sylvester Kyei-Gyamfi, Isaac Yeboah, Marijanatu Abdulai
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Abstract

Introduction: HIV/AIDS remain a major health crisis globally, and it is disproportionately higher among young women. Expanding HIV testing coverage is very critical to help reduce the spread of the disease and speed up HIV epidemic control and elimination. Though there are several studies on HIV care and prevention in Ghana, few of such studies focus on HIV self-testing (HIVST). This study examined the prevalence and factors associated with the awareness and use of HIVST kits among young women aged 15-24 in Ghana.

Methods: This study used the 2022 Ghana Demographic and Health Survey data conducted in 2022/2023. The sample was restricted to young women aged 15-24 who have ever had sex, yielding a sample size of 3312. The dependent variables were awareness and use of HIVST kits. Binary logistic regression models were used to examine the factors associated with awareness and use of HIVST kit.

Results: Out of the 3,312 respondents, 17.8% were aware of HIVST kits, and 9.9% have ever used the HIVST kit to check their HIV status. Women with HIV testing history were more likely to be aware and use HIVST kits, while those with no formal, primary and secondary educations were less likely to be aware and use HIVST kits. Also, significant factors associated with only awareness of HIVST kits were age, ecological zones, marital status, religion, and heard of antiretrovirals (ARVs). Specifically, women aged 20-24 and those who have ever heard of ARVs were more likely to be aware of HIVST kits. Moreover, women who used condom during last sex in the past year were more likely to use the HIVST kits.

Conclusion: Awareness and use of HIVST kits were generally low among young women in Ghana. Policymakers should strengthen HIV/AIDS education interventions by targeting vulnerable women (those with no, primary and secondary education, those not using condom during last sex in the past year, and those without HIV testing history) to promote the uptake of HIVST kits.

Abstract Image

加纳15-24岁年轻妇女中艾滋病毒自检试剂盒的流行情况及其与认识和使用相关的因素。
导言:艾滋病毒/艾滋病仍然是全球主要的健康危机,在年轻妇女中比例更高。扩大艾滋病毒检测覆盖面对于帮助减少该疾病的传播和加快控制和消除艾滋病毒流行病至关重要。虽然在加纳有一些关于艾滋病毒护理和预防的研究,但这些研究很少关注艾滋病毒自我检测(HIVST)。本研究调查了加纳15-24岁年轻女性中艾滋病毒传播试剂盒的流行情况和相关因素。方法:本研究使用2022/2023年加纳人口与健康调查数据。样本仅限于15-24岁有过性行为的年轻女性,样本量为3312人。因变量为艾滋病病毒检测试剂盒的知晓度和使用情况。使用二元逻辑回归模型来检查与艾滋病毒检测试剂盒的认识和使用相关的因素。结果:在3312名受访者中,17.8%的人知道艾滋病毒检测试剂盒,9.9%的人曾经使用过艾滋病毒检测试剂盒检查自己的艾滋病毒状况。有艾滋病毒检测史的妇女更有可能意识到并使用艾滋病毒传播试剂盒,而没有受过正规小学和中学教育的妇女则不太可能意识到并使用艾滋病毒传播试剂盒。此外,年龄、生态区域、婚姻状况、宗教信仰和听说过抗逆转录病毒药物(ARVs)等因素与仅了解艾滋病毒试剂盒相关。具体来说,年龄在20-24岁之间的妇女和曾经听说过抗逆转录病毒药物的妇女更有可能了解艾滋病毒传播试剂盒。此外,在过去一年的最后一次性行为中使用避孕套的妇女更有可能使用艾滋病毒传播试剂盒。结论:加纳年轻妇女对艾滋病毒检测试剂盒的认识和使用普遍较低。政策制定者应加强艾滋病毒/艾滋病教育干预措施,针对弱势妇女(未受过小学和中学教育的妇女、去年最后一次性行为中未使用避孕套的妇女以及没有艾滋病毒检测史的妇女),促进艾滋病毒/艾滋病试剂盒的使用。
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来源期刊
AIDS Research and Therapy
AIDS Research and Therapy INFECTIOUS DISEASES-
CiteScore
3.80
自引率
4.50%
发文量
51
审稿时长
16 weeks
期刊介绍: AIDS Research and Therapy publishes articles on basic science, translational, clinical, social, epidemiological, behavioral and educational sciences articles focused on the treatment and prevention of HIV/AIDS, and the search for the cure. The Journal publishes articles on novel and developing treatment strategies for AIDS as well as on the outcomes of established treatment strategies. Original research articles on animal models that form an essential part of the AIDS treatment research are also considered
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