The prevalence and socio-economic determinants of HIV among teenagers aged 15–18 years who were participating in a mobile testing population based survey in 2013–2014 in Zambia

BMC Public Health

Research Article

Nicole Maddox¹  Pascalina Chanda-Kapata¹  William Ngosa¹  Nathan Kapata²  Eveline Klinkenberg³ 

[1] Department of Disease Surveillance, Control and Research, Ministry of Health, Lusaka, Zambia;Department of Epidemiology and Disease Control, Ministry of Community Development, Mother and Child Health, Lusaka, Zambia;KNCV Tuberculosis Foundation, The Hague, Netherlands;Department of Global Health, Amsterdam Institute for Global Health and Development, Academic Medical Centre, Amsterdam, The Netherlands;

关键词: Teenagers;    HIV/AIDS;    Population survey;    Zambia;    Infectious diseases;    Youth;    Adolescents;    Mobile testing;   

DOI  :  10.1186/s12889-016-3449-3

 received in 2015-11-17, accepted in 2016-08-05,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe objective of the study was to estimate the prevalence of HIV among teenagers in Zambia and determine whether age, sex, setting, educational level, marital and socioeconomic status were associated with being HIV positive.MethodsA cross sectional population based survey of the prevalence of HIV among teenagers aged 15–18 years old who were also participants in a national Tuberculosis (TB) prevalence survey. Consenting teenagers were counselled and tested for HIV. The HIV prevalence was estimated using a logistic regression model. Associations of social demographic characteristics with HIV were determined using univariate and multivariate.ResultsThe study involved 6,395 teenagers aged 15–18 years where 2,532 declined HIV testing, 44 tested positive and 3,806 tested negative. The HIV prevalence was estimated to be 1.1 % (95 % CI 0.71-1.60); in females the HIV prevalence was 1.6 % (95 % CI 0.99-2.20) whereas in males it was 0.58 % (95 % CI 0.10-1.10). The prevalence of HIV was twice as high among the urban (1.90 %; 95 % CI 0.99-2.90) than the rural teenagers (0.89 %; 95 % CI 0.46-1.30), and being divorced or widowed was associated with higher risk of HIV regardless of residence. The risk of HIV was lower among students or those who were in school compared to those who were unemployed and not in school.ConclusionHIV prevalence among teenagers was lower than the overall national level prevalence. The patterns of HIV risk among the young population will require further monitoring in order to identify appropriate tools for intervention.

【 授权许可】

CC BY   
© The Author(s). 2016