Lack of Knowledge of HIV Status a Major Barrier to HIV Prevention, Care and Treatment Efforts in Kenya: Results from a Nationally Representative Study
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{"title"=>"Lack of knowledge of HIV status a major barrier to HIV prevention, care and treatment efforts in Kenya: Results from a nationally representative study", "type"=>"journal", "authors"=>[{"first_name"=>"Peter", "last_name"=>"Cherutich", "scopus_author_id"=>"23487908700"}, {"first_name"=>"Reinhard", "last_name"=>"Kaiser", "scopus_author_id"=>"56452330500"}, {"first_name"=>"Jennifer", "last_name"=>"Galbraith", "scopus_author_id"=>"34770812900"}, {"first_name"=>"John", "last_name"=>"Williamson", "scopus_author_id"=>"7403200329"}, {"first_name"=>"Ray W.", "last_name"=>"Shiraishi", "scopus_author_id"=>"22136486900"}, {"first_name"=>"Carol", "last_name"=>"Ngare", "scopus_author_id"=>"26635706300"}, {"first_name"=>"Jonathan", "last_name"=>"Mermin", "scopus_author_id"=>"6603765674"}, {"first_name"=>"Elizabeth", "last_name"=>"Marum", "scopus_author_id"=>"6508041078"}, {"first_name"=>"Rebecca", "last_name"=>"Bunnell", "scopus_author_id"=>"6603897938"}], "year"=>2012, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84860538857", "issn"=>"19326203", "pui"=>"364730751", "isbn"=>"1932-6203", "sgr"=>"84860538857", "pmid"=>"22574226", "doi"=>"10.1371/journal.pone.0036797"}, "id"=>"67a1af9b-c357-3c9d-b365-1dd97add6267", "abstract"=>"BACKGROUND: We analyzed HIV testing rates, prevalence of undiagnosed HIV, and predictors of testing in the Kenya AIDS Indicator Survey (KAIS) 2007. METHODS: KAIS was a nationally representative sero-survey that included demographic and behavioral indicators and testing for HIV, HSV-2, syphilis, and CD4 cell counts in the population aged 15-64 years. We used gender-specific multivariable regression models to identify factors independently associated with HIV testing in sexually active persons. RESULTS: Of 19,840 eligible persons, 80% consented to interviews and blood specimen collection. National HIV prevalence was 7.1% (95% CI 6.5-7.7). Among ever sexually active persons, 27.4% (95% CI 25.6-29.2) of men and 44.2% (95% CI 42.5-46.0) of women reported previous HIV testing. Among HIV-infected persons, 83.6% (95% CI 76.2-91.0) were unaware of their HIV infection. Among sexually active women aged 15-49 years, 48.7% (95% CI 46.8-50.6) had their last HIV test during antenatal care (ANC). In multivariable analyses, the adjusted odds ratio (AOR) for ever HIV testing in women >/=35 versus 15-19 years was 0.2 (95% CI: 0.1-0.3; p<0.0001). Other independent associations with ever HIV testing included urban residence (AOR 1.6, 95% CI: 1.2-2.0; p = 0.0005, women only), highest wealth index versus the four lower quintiles combined (AOR 1.8, 95% CI: 1.3-2.5; p = 0.0006, men only), and an increasing testing trend with higher levels of education. Missed opportunities for testing were identified during general or pregnancy-specific contacts with health facilities; 89% of adults said they would participate in home-based HIV testing. CONCLUSIONS: The vast majority of HIV-infected persons in Kenya are unaware of their HIV status, posing a major barrier to HIV prevention, care and treatment efforts. New approaches to HIV testing provision and education, including home-based testing, may increase coverage. Targeted interventions should involve sexually active men, sexually active women without access to ANC, and rural and disadvantaged populations.", "link"=>"http://www.mendeley.com/research/lack-knowledge-hiv-status-major-barrier-hiv-prevention-care-treatment-efforts-kenya-results-national-4", "reader_count"=>58, "reader_count_by_academic_status"=>{"Unspecified"=>6, "Researcher"=>11, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Student > Master"=>17, "Other"=>1, "Student > Bachelor"=>7, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>6, "Researcher"=>11, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Student > Master"=>17, "Other"=>1, "Student > Bachelor"=>7, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>8, "Nursing and Health Professions"=>2, "Mathematics"=>1, "Medicine and Dentistry"=>18, "Agricultural and Biological Sciences"=>7, "Business, Management and Accounting"=>1, "Psychology"=>2, "Social Sciences"=>16, "Immunology and Microbiology"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>18}, "Social Sciences"=>{"Social Sciences"=>16}, "Psychology"=>{"Psychology"=>2}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>7}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>8}}, "reader_count_by_country"=>{"Canada"=>1, "Puerto Rico"=>1, "Argentina"=>1, "Uzbekistan"=>1, "South Africa"=>1, "Uganda"=>1, "Kenya"=>1}, "group_count"=>4}

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  • {"files"=>["https://ndownloader.figshare.com/files/642456"], "description"=>"*<p>Sample size varies slightly across variables due to missing data.</p>", "links"=>[], "tags"=>["characteristics", "persons", "aged", "years", "hiv", "kenya", "aids"], "article_id"=>312933, "categories"=>["Biotechnology", "Infectious Diseases"], "users"=>["Peter Cherutich", "Reinhard Kaiser", "Jennifer Galbraith", "John Williamson", "Ray W. Shiraishi", "Carol Ngare", "Jonathan Mermin", "Elizabeth Marum", "Rebecca Bunnell"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0036797.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Socio_demographic_characteristics_of_persons_aged_15_8211_64_years_reporting_ever_HIV_testing_by_gender_Kenya_AIDS_Indicator_Survey_2007_/312933", "title"=>"Socio-demographic characteristics of persons aged 15–64 years reporting ever HIV testing, by gender, Kenya AIDS Indicator Survey 2007.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 05:32:09"}

PMC Usage Stats | Further Information

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Relative Metric

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