Community-Based HIV Testing for Urban Youth in Western Kenya

Truong, Hong‐Ha M.; Guzé, Mary A.; Ouma, David; Bushman, Dena; Mocello, A. Rain; Kadede, Kevin; Bukusi, Elizabeth A.; Odhiambo, Francesca; Cohen, Craig R.

doi:10.1007/s10461-021-03441-3

Cited by 6 publications

(19 citation statements)

References 12 publications

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“…Regarding the factors associated with HIV in the adolescents and the youth, we found that the older the youth, the higher their risk of infection by the virus 16 - 17 , 19 , 21 - 22 . However, early sexual initiation and absent condom use in their first sexual intercourse contributed to predisposing them to HIV, increasing infection vulnerability 16 , 21 .…”

Section: Discussionmentioning

confidence: 93%

“…All studies included in this review had been published in English 16 - 22 , in Africa 16 - 22 in 2012 16 , 2014 18 , 2018 17 , 19 - 20 , 2021 19 and 2022 22 . Studies showed a cross-sectional design and were conducted in the following countries: Western Cape 17 - 20 , Malawi 20 , Cape Peninsula 17 , Zimbabwe 16 , Uganda 18 , Kenya 22 , and South Africa 19 . A study reported that it was conducted in 17 countries in Central and West Africa 21 .…”

Section: Resultsmentioning

confidence: 99%

“…A study reported that it was conducted in 17 countries in Central and West Africa 21 . Among the studied population, three included only adolescents and young females 17 , 19 , 21 and three collected primary data 17 , 20 , 22 and four secondary ones 16 , 18 - 19 , 21 ( Figure 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…In total, two studies showed a higher risk of HIV diagnosis among young women 16 , 22 . Studies analyzing gender inequalities in HIV vulnerability in Africa also found this result, showing a feminization of seroprevalence due to aspects related to women’s dependence and submission, difficulties in negotiating condom use, cultural and/or traditional practices, prostitution, and the male refusal to take tests and/or disclose their serological status to partners 25 - 27 in this population group 17 , 19 , 21 .…”

Section: Discussionmentioning

confidence: 99%

“…Although all chosen studies were conducted in Africa, a continent with a larger number of Black people, studies comparing the ethnicity of the subjects showed that ethnicities other than Black and higher levels of education were a protective factor for HIV 19 , 21 - 22 . In this scenario, post-apartheid socio-historical relations show socially unprotected racial groups living with HIV/AIDS, guided by a residual model of social well-being with income transfer programs aimed at individuals in extreme poverty and inserted in basic social services to the detriment of intersectoral policies and technologies that guarantee access to education and health actions 25 .…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Risk factors for HIV infection among adolescents and the youth: a systematic review

Bossonário

Ferreira

Andrade

et al. 2022

Rev. Latino-Am. Enfermagem

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Objective: to identify and analyze HIV infection risk factors among adolescents and the youth. Method: this is a systematic review whose guide question is: what are the risk factors for HIV infection among adolescents and the youth?” In total, five databases and Google Scholar were searched in December 2021 and the found publications between 2012-2022 were filtered without language restriction. Studies were selected by two independent reviewers. The included materials were subjected to methodological quality evaluation and narrative synthesis. Results: overall, we included seven studies out of the 26,191 retrieved. All studies were conducted in Africa. We found that the female gender, older age, low schooling, Black ethnicity, multiple sexual partners, inconsistent use of condoms, alcohol consumption, and early sexual onset constituted risk factors for HIV infection in adolescents and the youth. Conclusion: understanding risk factors underscores the provision of health policies and intervention strategies to strengthen the responsiveness of health services and nursing teams’ care to reduce HIV transmission among adolescents and the youth.

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Section: Discussionmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Risk factors for HIV infection among adolescents and the youth: a systematic review

Bossonário

Ferreira

Andrade

et al. 2022

Rev. Latino-Am. Enfermagem

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Respondent-driven sampling to recruit adolescents in Kenya

Truong¹,

Fatch²,

Ogolla³

et al. 2023

Annals of Epidemiology

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Brief Report: HIV Pre-Exposure Prophylaxis Awareness and Use Among Adolescents in Kenya

Truong,

Heylen,

Kadede

et al. 2024

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: HIV pre-exposure prophylaxis (PrEP) is an effective prevention tool; however, use among adolescents is thought to be low. To determine the unmet need and opportunity to expand use, we assessed awareness, prior use, and willingness to take PrEP among Kenyan adolescents. Methods:The Maneno Yetu study recruited a community-based sample of adolescents aged 15-19 years (N = 3061) in Kisumu for a survey using respondent-driven sampling.Results: Overall, 50% of adolescents had heard of PrEP and 2% had used PrEP. Girls were more likely than boys to have heard of PrEP (53.4% vs. 45.1%; P , 0.001) and used PrEP (3.6% vs. 0.3%; P , 0.001). Among participants, 14% engaged in transactional sex and 21% experienced forced sexual contact. PrEP use was higher among adolescents who engaged in transactional sex (4.8% vs. 0.6%; P , 0.001) and experienced forced sexual contact (2.7% vs. 0.7%; P , 0.001) compared with those who did not. Among adolescents with no prior use, 53% were willing to consider using PrEP, although girls were less willing than boys (49.7% vs. 55.9%; P = 0.001). Conclusions:PrEP is an important prevention tool, especially for adolescents whose circumstances potentially expose them to HIVpositive or unknown status sexual partners, yet remains underused, particularly in resource-limited settings. Although many expressed willingness to use PrEP, low awareness and use highlight the need to expand HIV prevention education and services tailored for adolescents. Our finding that boys were more willing to use PrEP suggests campaigns should also be designed to reach male youth to narrow the gender gap and expand uptake in the adolescent population.

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Community-Based HIV Testing for Urban Youth in Western Kenya

Cited by 6 publications

References 12 publications

Risk factors for HIV infection among adolescents and the youth: a systematic review

Risk factors for HIV infection among adolescents and the youth: a systematic review

Respondent-driven sampling to recruit adolescents in Kenya

Brief Report: HIV Pre-Exposure Prophylaxis Awareness and Use Among Adolescents in Kenya

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