Details:

Alternative Title:
J Acquir Immune Defic Syndr
Publisher's site:
http://dx.doi.org/10.1097/QAI.0000000000000106
Personal Author:
Kimani, Daniel ; Kamau, Rachel ; Ssempijja, Victor ; Robinson, Katherine ; Oluoch, Tom ; ... More +
Kimani, Daniel ; Kamau, Rachel ; Ssempijja, Victor ; Robinson, Katherine ; Oluoch, Tom ; Njeru, Mercy ; Mwangi, Jane ; Njogu, David ; Kim, Andrea A. Less -
Description:
Background

Unsafe medical injections remain a potential route of HIV transmission in Kenya. We used data from a national survey in Kenya to study the magnitude of medical injection use, medication preference, and disposal of medical waste in the community.

Methods

The Kenya AIDS Indicator Survey 2012 was a nationally representative population-based survey. Among participants aged 15–64 years, data were collected regarding medical injections received in the year preceding the interview; blood samples were collected from participants for HIV testing.

Results

Of the 13,673 participants who answered questions on medical injections, 35.9% [95% confidence interval (CI): 34.5 to 37.3] reported receiving ≥1 injection in the past 12 months and 51.2% (95% CI: 49.7 to 52.8) preferred receiving an injection over a pill. Among those who received an injection from a health care provider, 95.9% (95% CI: 95.2 to 96.7) observed him/her open a new injection pack, and 7.4% (95% CI: 6.4 to 8.4) had seen a used syringe or needle near their home or community in the past 12 months. Men who had received ≥1 injection in the past 12 months (adjusted odds ratio, 3.2; 95% CI: 1.2 to 8.9) and women who had received an injection in the past 12 months, not for family planning purposes (adjusted odds ratio, 2.6; 95% CI: 1.2 to 5.5), were significantly more likely to be HIV infected compared with those who had not received medical injection in the past 12 months.

Conclusions

Injection preference may contribute to high rates of injections in Kenya. Exposure to unsafe medical waste in the community poses risks for injury and infection. We recommend that community- and facility-based injection safety strategies be integrated in disease prevention programs.


Subjects:
[+]
Administration, Oral Adolescent Adult Age Factors Article Female Health Surveys HIV Seropositivity Humans Injections Male Medical Waste Disposal Middle Aged Needles Patient Preference Pharmaceutical Preparations Practice Patterns, Physicians' Rural Population Self Administration Sex Factors Socioeconomic Factors Syringes Urban Population Young Adult
Source:
J Acquir Immune Defic Syndr. 66(Suppl 1):S57-S65.
Pubmed ID:
24413041
Pubmed Central ID:
PMC4794988
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
Kenya
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:f030181e525b62cc59309bffa342790b517ee685ad0bbd767183c2b2ee7438f1
Download URL:
https://stacks.cdc.gov/view/cdc/38500/cdc_38500_DS1.pdf
File Type:

Supporting Files

• nihms764944.nxml

  bin

More +