Individual factors associated with utilization of HIV self-testing services among adolescent girls and young women between 15-24 years in Iganga District, a cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v6i6.1617Cuvinte cheie:
Utilization, HIV, Self-testing, Adolescents, young women, UgandaRezumat
Introduction:
The uptake of HIV testing services is sub-optimal among adolescent girls and young women. The study was conducted to determine individual factors associated with the utilization of HIV self-testing services among adolescent girls and young women between 15 and 24 years in Iganga District.
Methods:
The study used a cross-sectional design among 384 participants, and questionnaires were administered to collect data. Logistic regression analysis was used to determine the factors associated with HIV self-testing, and the odds ratio was used as a measure of association. The study obtained relevant ethical clearance.
Results:
The response rate of the study was 100%, and 16.7% of the respondents had ever tested for HIV using HIVST services. The study found that 64.1% of the respondents were aged 20-24 years, 48.2% had primary education, 51.6% were never married, and 28.6% were housewives. HIV self-testing was significantly associated with secondary education (AOR: 4.267, 95% CI: 1.310-13.898, P=0.016), having ever heard about HIVST (AOR: 3.406, 95% CI: 1.497-7.749, P-0.003), knowing how to use the HIVST (AOR: 3.161, 95% CI: 1.463-6.827, P-0.003), discrimination in the community because of HIV status (AOR: 5.595, 95% CI: 1.595-20.379, P-0.009), ever been diagnosed with STIs (AOR: 0.266, 95% CI: 0.107-0.663, P-0.004) and having two sexual partners (AOR: 4.415, 95% CI: 1.303-14.962, P-0.017).
Conclusion:
The study demonstrates levels of utilization of HIV self-testing among adolescent girls and young women in association with several factors that include education level, knowledge of HIVST, stigmatization, history of STIs, number of sexual partners, and accessibility of the services.
Recommendation:
The study therefore recommends enhancement of educational and awareness programs on HIV self-testing (HIVST), and these awareness campaigns should emphasize the importance of knowing how to use HIVST kits and their availability, as well as individuals knowledgeable about HIVST.
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