Vivienne Kamire1, Faith Magut1, Sammy Khagayi1, Caroline Kambona2, Hellen Muttai2, Lucy Nganga2, Daniel Kwaro1, Rachael H Joseph2. 1. Department of HIV Implementation Science and Services (HISS), Kenya Medical Research Institute-Centre for Global Health Research (KEMRI-CGHR), Kisumu, Kenya; and. 2. Division of Global HIV & TB (DGHT), Center for Global Health, United States Centers for Disease Control and Prevention (CDC), Nairobi, Kenya.
Abstract
BACKGROUND: In sub-Saharan Africa, HIV prevalence in adolescent girls and young women (AGYW) is 2-fold to 3-fold higher than that in adolescent boys and young men. Understanding AGYW's perception of HIV risk is essential for HIV prevention efforts. METHODS: We analyzed data from a HIV biobehavioral survey conducted in western Kenya in 2018. Data from AGYW aged 15-24 years who had a documented HIV status were included. We calculated weighted prevalence and evaluated factors associated with outcomes of interest (HIV infection and high risk perception) using generalized linear models to calculate prevalence ratios. RESULTS: A total of 3828 AGYW were included; 63% were aged 15-19 years. HIV prevalence was 4.5% and 14.5% of sexually active AGYW had high risk perception. Over 70% of participants had accessed HIV testing and counseling in the past 12 months. Factors associated with both HIV infection and high risk perception included having an HIV-positive partner or partner with unknown status and having a sexually transmitted infection in the past 12 months. Having an older (by ≥10 years) partner was associated with HIV infection, but not high risk perception. Less than 30% of sexually active AGYW with 3 or more HIV risk factors had high perception of HIV risk. CONCLUSION: Gaps in perceived HIV risk persist among AGYW in Kenya. High access to HIV testing and prevention services in this population highlights platforms through which AGYW may be reached with improved risk counseling, and to increase uptake of HIV prevention strategies.
BACKGROUND: In sub-Saharan Africa, HIV prevalence in adolescent girls and young women (AGYW) is 2-fold to 3-fold higher than that in adolescent boys and young men. Understanding AGYW's perception of HIV risk is essential for HIV prevention efforts. METHODS: We analyzed data from a HIV biobehavioral survey conducted in western Kenya in 2018. Data from AGYW aged 15-24 years who had a documented HIV status were included. We calculated weighted prevalence and evaluated factors associated with outcomes of interest (HIV infection and high risk perception) using generalized linear models to calculate prevalence ratios. RESULTS: A total of 3828 AGYW were included; 63% were aged 15-19 years. HIV prevalence was 4.5% and 14.5% of sexually active AGYW had high risk perception. Over 70% of participants had accessed HIV testing and counseling in the past 12 months. Factors associated with both HIV infection and high risk perception included having an HIV-positive partner or partner with unknown status and having a sexually transmitted infection in the past 12 months. Having an older (by ≥10 years) partner was associated with HIV infection, but not high risk perception. Less than 30% of sexually active AGYW with 3 or more HIV risk factors had high perception of HIV risk. CONCLUSION: Gaps in perceived HIV risk persist among AGYW in Kenya. High access to HIV testing and prevention services in this population highlights platforms through which AGYW may be reached with improved risk counseling, and to increase uptake of HIV prevention strategies.
Authors: Martien W Borgdorff; Daniel Kwaro; David Obor; George Otieno; Viviane Kamire; Frederick Odongo; Patrick Owuor; Jacques Muthusi; Lisa A Mills; Rachael Joseph; Mary E Schmitz; Peter W Young; Emily Zielinski-Gutierrez; Kevin M De Cock Journal: Lancet HIV Date: 2018-04-09 Impact factor: 12.767
Authors: Judith R Glynn; Michel Caraël; Anne Buvé; Séverin Anagonou; Léopold Zekeng; Maina Kahindo; Rosemary Musonda Journal: Trop Med Int Health Date: 2004-01 Impact factor: 2.622
Authors: Garazi Zulaika; Daniel Kwaro; Elizabeth Nyothach; Duolao Wang; Emily Zielinski-Gutierrez; Linda Mason; Alie Eleveld; Tao Chen; Emily Kerubo; Annemieke van Eijk; Cheryl Pace; David Obor; Jane Juma; Boaz Oyaro; Louis Niessen; Godfrey Bigogo; Isaac Ngere; Carl Henry; Maxwell Majiwa; Clayton O Onyango; Feiko O Ter Kuile; Penelope A Phillips-Howard Journal: BMC Public Health Date: 2019-10-21 Impact factor: 3.295
Authors: Isolde Birdthistle; Susan B Schaffnit; Daniel Kwaro; Maryam Shahmanesh; Abdhalah Ziraba; Caroline W Kabiru; Penelope Phillips-Howard; Natsayi Chimbindi; Kenneth Ondeng'e; Annabelle Gourlay; Frances M Cowan; James R Hargreaves; Bernadette Hensen; Tarisai Chiyaka; Judith R Glynn; Sian Floyd Journal: BMC Public Health Date: 2018-07-25 Impact factor: 3.295