埃塞俄比亚农村男性接受艾滋病毒检测:来自2016年埃塞俄比亚人口和健康调查数据的证据

IF 1.5 Q4 INFECTIOUS DISEASES

HIV AIDS-Research and Palliative Care Pub Date : 2023-01-01 DOI:10.2147/HIV.S409152

Melash Belachew Asresie, Getasew Tadesse Worku, Yibeltal Alemu Bekele

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引用次数: 0

摘要

背景:在埃塞俄比亚，人类免疫缺陷病毒(HIV)检测在男性中的覆盖率仍然很低;艾滋病毒检测覆盖面有限的问题在农村地区最为严重。因此，本研究旨在确定埃塞俄比亚农村男性接受艾滋病毒检测的相关因素。方法:从2016年埃塞俄比亚人口与健康调查中提取10187名农村男性的数据。所有的分析都是使用复杂的样本分析程序进行的，以解释多阶段采样。进行了双变量和多变量回归分析，以确定与HIV检测吸收相关的因素。统计学显著性定义为95%置信区间(CI)， p值小于0.05。结果:总体而言，只有40.3%的农村男性接受过艾滋病毒检测。年龄31-44岁(调整优势比(AOR) =1.12, 95% CI[1.01-1.42])，生活在发达地区(AOR=1.43, 95% CI[1.09-1.88])，从事非农业活动(AOR= 1.27, 95% CI[1.05-1.52])，为穆斯林(AOR= 2.07;(AOR =1.31, 95% CI[1.12-1.54])，来自中等家庭(AOR = 0.56, 95% CI[0.47-0.93])和富裕家庭(AOR = 0.80, 95% CI[0.56-0.80])，上小学(AOR = 0.21, 95% CI[0.16-0.28])和中学(AOR = 0.35, 95% CI[0.25-0.35])， 17岁或以下有第一次性经历(AOR = 0.26, 95% CI[0.19-0.93])，对艾滋病毒患者有歧视态度(AOR = 0.67, 95% CI:0.47-0.93)和没有医疗保险(AOR = 0.54, 95% CI[0.42-0.69])与艾滋病毒检测的接受程度显著相关。结论:农村男性艾滋病病毒检测接受率较低。加强对艾滋病毒和艾滋病毒检测的认识方案，将艾滋病毒检测与所有其他保健结合起来，在怀孕和分娩期间加强伴侣陪伴和艾滋病毒检测，以及提供家庭艾滋病毒检测，可能会增加艾滋病毒检测的接受程度。

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HIV Testing Uptake Among Ethiopian Rural Men: Evidence from 2016 Ethiopian Demography and Health Survey Data.

Background: Human immunodeficiency virus (HIV) testing coverage among men remains low in Ethiopia; the problem of limited HIV testing coverage is worst in rural areas. Therefore, this study aims to identify factors associated with HIV testing uptake among rural men in Ethiopia.

Methods: Data from 10,187 rural men was extracted from the 2016 Ethiopian Demography and Health Survey. All analyses were performed using the complex sample analysis procedure to account for the multistage sampling. Bivariable and multivariable regression analyses were performed to identify factors associated with HIV testing uptake. Statistical significance was defined as a 95% Confidence Interval (CI) with a p-value of less than 0.05.

Results: Overall, only 40.3% of rural men have ever been tested for HIV. Being aged 31-44 years (Adjusted Odds Ratio (AOR) =1.12, 95% CI [1.01-1.42]), living in developed regions (AOR=1.43, 95% CI [1.09-1.88]), engaging in non-agricultural activities (AOR = 1.27, 95% CI [1.05-1.52]), being Muslim (AOR = 2.07; 95% CI [1.67-2.67]), having comprehensive knowledge about HIV (AOR =1.31, 95% CI [1.12-1.54]), being from a medium (AOR = 0.56, 95% CI [0.47-0.93]) and rich (AOR = 0.80, 95% CI [0.56-0.80]) households, attending primary (AOR = 0.21, 95% CI [0.16-0.28]) and secondary (AOR = 0.35, 95% CI [0.25-0.35]) school, having their first sexual experience at the age of 17 or younger (AOR = 0.26, 95% CI [0.19-0.93]), having discriminatory attitudes towards HIV patients (AOR = 0.67, 95% CI: 0.47-0.93) and having no health insurance coverage (AOR = 0.54, 95% CI [0.42-0.69]) were significantly associated with HIV testing uptake.

Conclusion: HIV testing uptake among rural men was low. Strengthening awareness programmes on HIV and HIV testing, integrating HIV testing with all other healthcare, strengthening partner accompany and HIV testing during pregnancy and delivery, and providing home-based HIV testing may increase HIV testing uptake.

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来源期刊

HIV AIDS-Research and Palliative Care INFECTIOUS DISEASES-

CiteScore

3.00

自引率

6.70%

发文量

审稿时长

16 weeks

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