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Factors associated with HIV testing among sexually active South African youth aged 15-24 years.

机译:在15至24岁之间有性活跃的南非青年中进行HIV检测的相关因素。

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HIV infection is high among South African youth but most report being unaware of their HIV status. We explored the correlates of HIV testing using data from youth aged 15-24 years old who reported being sexually experienced during a national survey conducted in South Africa in 2003 (N=7665). Among sexually experienced youth, 32.7% of females and 17.7% of males reported having been tested for HIV. In multivariable analysis, ever being pregnant (OR = 2.97; 95% CI 2.36-3.73), ever starting a conversation about HIV/AIDS (OR = 1.29; 95% CI 1.0-1.65) and urban residence (OR = 2.0; 95% CI 1.58-2.52) were independent correlates of HIV testing among sexually experienced females. Among sexually experienced males, HIV-positive status (OR = 1.76; 95% CI 1.14-2.73), personally knowing someone that died of AIDS (OR = 1.68; 95% CI 1.14-2.47), being aged 20-24 years (OR = 1.56; 95% CI 1.10-2.22) and having completed high school (OR = 1.58; 95% CI 1.17-2.12) were independent correlates of HIV testing. The following factors were significantly associated with HIV testing among both men and women; ever talking to parents about HIV/AIDS, ever participating in a loveLife programme, a higher frequency of visits to a clinic in the past 12 months and non-black race (p<0.05). There is a need to better understand the correlates of HIV testing to ensure that adolescent HIV prevention programmes actively promote HIV testing among this group. Specific attention needs to be paid to young women who do not access antenatal care and young men who are less regular users of routine clinical care. Communication is a significant predictor of having tested for HIV and should be encouraged with parents and through intervention programmes for adolescents. Finally, specific attention must be paid to increasing access to HIV testing for at-risk adolescents in rural communities.
机译:南非青年中的艾滋病毒感染率很高,但是大多数报告都没有意识到他们的艾滋病毒状况。我们使用2003年在南非进行的一次全国性调查(N = 7665)中15-24岁的年轻人的数据进行了性爱调查,这些数据来自15-24岁的年轻人。有性经历的青年中,据报告接受过艾滋病毒检测的女性为32.7%,男性为17.7%。在多变量分析中,曾经怀孕(OR = 2.97; 95%CI 2.36-3.73),曾经开始谈论艾滋病毒/艾滋病(OR = 1.29; 95%CI 1.0-1.65)和城市居民(OR = 2.0; 95% CI 1.58-2.52)是有性经历的女性中HIV检测的独立相关因素。在有性经历的男性中,艾滋病毒阳性状态(OR = 1.76; 95%CI 1.14-2.73),个人认识某人死于艾滋病(OR = 1.68; 95%CI 1.14-2.47),年龄为20-24岁(OR = 1.56; 95%CI 1.10-2.22)和高中毕业(OR = 1.58; 95%CI 1.17-2.12)是HIV检测的独立相关因素。以下因素与男性和女性的艾滋病毒检测密切相关;曾经与父母谈论艾滋病毒/艾滋病,曾经参加过loveLife计划,在过去的12个月中看诊的频率更高以及非黑人种族(p <0.05)。有必要更好地了解艾滋病毒检测的相关性,以确保青少年艾滋病毒预防计划积极推动这一人群中的艾滋病毒检测。需要特别注意未获得产前护理的年轻女性和不经常使用常规临床护理的年轻男性。交流是检测艾滋病毒的重要预测指标,应与父母并通过青少年干预计划予以鼓励。最后,必须特别注意增加农村社区中处于危险中的青少年接受艾滋病毒检测的机会。

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