PDF(Pubmed)
Abstract：
BACKGROUND: Uptake of HIV testing is vital for the early diagnosis of HIV infection and initiation of treatment, which are used to eliminate the disease\'s progression and reduce HIV-related mortality. Even if determining HIV testing is imperative to prevent HIV/AIDS among multiple sexual partners who are at higher risk of sexually transmitted infections, most of the countries in Sub Saharan Africa did not fulfil the global targets of UNAIDS. Moreover there is a paucity of literature on spatial variation and factors associated with HIV testing among high-risk groups in SSA. This study aimed to assess the pooled prevalence, spatial variation and determinants of HIV testing uptake among multiple sexual partners in Sub Saharan Africa.
METHODS: The Demographic and Health Surveys data conducted between 2011 and 2021 in 30 Sub-Saharan Africa countries was used to analyze total weighted sample of 56,210 multiple sexual partners. Exploratory spatial data analysis, with countries as the unit of analysis was conducted using ArcGIS V10.7.1 and Sat Scan V 10.1 soft wares. A multilevel binary logistic regression model was used to identify the factors associated with the HIV testing uptake. The Adjusted odds Ratio with a 95% confidence interval was reported to declare the strength of association and their statistical significance.
RESULTS: The spatial patterns of HIV testing uptake were found to be non-random. Primary clusters were identified around western and central sub- regions. Multiple sexual partners who were ever married, those attended primary level and above education, those from rich wealth status, aged above 24 years, having good HIV related knowledge, and exposed to media were positive association with HIV testing uptake. However, being male, having working status and living in rural area were negatively associated with HIV testing uptake. At the community-level, multiple sexual partners from communities in Eastern and southern sub regions, countries with upper middle income and countries with the survey year after 2014 were more likely to utilize HIV testing services compared with their counterparts.
CONCLUSIONS: In this study, the pooled prevalence of the HIV testing uptake among multiple sexual partners was found to be lower than the universal target and showed differences in HIV testing uptake across Sub-Saharan Africa region. Both individual and community-level factors affected HIV testing uptake among multiple sexual partners. Stakeholders should implement interventions to help increase the uptake of HIV testing among those risky groups in this region.
METHODS: The Demographic and Health Surveys data conducted between 2011 and 2021 in 30 Sub-Saharan Africa countries was used to analyze total weighted sample of 56,210 multiple sexual partners. Exploratory spatial data analysis, with countries as the unit of analysis was conducted using ArcGIS V10.7.1 and Sat Scan V 10.1 soft wares. A multilevel binary logistic regression model was used to identify the factors associated with the HIV testing uptake. The Adjusted odds Ratio with a 95% confidence interval was reported to declare the strength of association and their statistical significance.
RESULTS: The spatial patterns of HIV testing uptake were found to be non-random. Primary clusters were identified around western and central sub- regions. Multiple sexual partners who were ever married, those attended primary level and above education, those from rich wealth status, aged above 24 years, having good HIV related knowledge, and exposed to media were positive association with HIV testing uptake. However, being male, having working status and living in rural area were negatively associated with HIV testing uptake. At the community-level, multiple sexual partners from communities in Eastern and southern sub regions, countries with upper middle income and countries with the survey year after 2014 were more likely to utilize HIV testing services compared with their counterparts.
CONCLUSIONS: In this study, the pooled prevalence of the HIV testing uptake among multiple sexual partners was found to be lower than the universal target and showed differences in HIV testing uptake across Sub-Saharan Africa region. Both individual and community-level factors affected HIV testing uptake among multiple sexual partners. Stakeholders should implement interventions to help increase the uptake of HIV testing among those risky groups in this region.
摘要：
背景：接受HIV检测对于HIV感染的早期诊断和开始治疗至关重要，用于消除疾病的进展并降低HIV相关死亡率。即使确定艾滋病毒检测对于在性传播感染风险较高的多个性伴侣中预防艾滋病毒/艾滋病至关重要，撒哈拉以南非洲的大多数国家没有实现艾滋病规划署的全球目标。此外，关于SSA高危人群中与HIV检测相关的空间变化和因素的文献很少。这项研究旨在评估合并的患病率，撒哈拉以南非洲多个性伴侣接受艾滋病毒检测的空间变异和决定因素。
方法：2011年至2021年在30个撒哈拉以南非洲国家进行的人口与健康调查数据用于分析56,210名多个性伴侣的总加权样本。探索性空间数据分析，以国家为单位的分析是使用ArcGISV10.7.1和SatScanV10.1软件进行的。使用多水平二元逻辑回归模型来确定与HIV检测吸收相关的因素。据报道，具有95％置信区间的调整后的赔率比宣布了关联强度及其统计意义。
结果：发现HIV检测吸收的空间模式是非随机的。在西部和中部次区域周围确定了主要集群。曾经结婚的多个性伴侣，受过小学及以上教育的人，那些来自富裕财富地位的人，24岁以上,具有良好的艾滋病相关知识，并且暴露于媒体与HIV检测的摄取呈正相关。然而,作为男性，有工作状态和生活在农村地区与艾滋病毒检测的吸收呈负相关。在社区一级，来自东部和南部地区社区的多个性伴侣，中上收入国家和2014年后调查年的国家比其他国家更有可能利用艾滋病毒检测服务。
结论：在这项研究中，发现多个性伴侣中HIV检测的汇总患病率低于普遍目标,并显示了撒哈拉以南非洲地区HIV检测的差异.个人和社区层面的因素都会影响多个性伴侣对艾滋病毒检测的吸收。利益攸关方应实施干预措施，以帮助增加该地区这些风险群体对艾滋病毒检测的接受。
方法：2011年至2021年在30个撒哈拉以南非洲国家进行的人口与健康调查数据用于分析56,210名多个性伴侣的总加权样本。探索性空间数据分析，以国家为单位的分析是使用ArcGISV10.7.1和SatScanV10.1软件进行的。使用多水平二元逻辑回归模型来确定与HIV检测吸收相关的因素。据报道，具有95％置信区间的调整后的赔率比宣布了关联强度及其统计意义。
结果：发现HIV检测吸收的空间模式是非随机的。在西部和中部次区域周围确定了主要集群。曾经结婚的多个性伴侣，受过小学及以上教育的人，那些来自富裕财富地位的人，24岁以上,具有良好的艾滋病相关知识，并且暴露于媒体与HIV检测的摄取呈正相关。然而,作为男性，有工作状态和生活在农村地区与艾滋病毒检测的吸收呈负相关。在社区一级，来自东部和南部地区社区的多个性伴侣，中上收入国家和2014年后调查年的国家比其他国家更有可能利用艾滋病毒检测服务。
结论：在这项研究中，发现多个性伴侣中HIV检测的汇总患病率低于普遍目标,并显示了撒哈拉以南非洲地区HIV检测的差异.个人和社区层面的因素都会影响多个性伴侣对艾滋病毒检测的吸收。利益攸关方应实施干预措施，以帮助增加该地区这些风险群体对艾滋病毒检测的接受。
