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HIV risk factors and risk perception among adolescent girls and young women: results from a population-based survey in western Kenya, 2018
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9 01 2022
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Source: J Acquir Immune Defic Syndr. 91(1):17-25
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Details:
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Alternative Title:J Acquir Immune Defic Syndr
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Description:Background:
In Sub-Saharan Africa, HIV prevalence in adolescent girls and young women (AGYW) is two- to three-fold higher than 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 bio-behavioral 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 prevalences 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 3,828 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 (HTC) 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 (STI) 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 three 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.
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Pubmed ID:35972852
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Pubmed Central ID:PMC9387564
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Volume:91
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Issue:1
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