Factors Associated with Uptake of HIV Test Results in a NationallyRepresentative Population-Based AIDS Indicator Survey

摘要

Population-based surveys with HIV testing in settings with low testing coverage provide opportunities forparticipants to learn their HIV status. Survey participants (15-64 years) in a 2007 nationally representative population-basedHIV serologic survey in Kenya received a voucher to collect HIV test results at health facilities 6 weeks after blooddraw. Logistic regression models were fitted to identify predictors of individual and couple collection of results. Of15,853 adults consenting to blood draw, 7,222 (46.7%) collected HIV test results (46.5% men, 46.8% women). A third(39.5%) of HIV-infected adults who were unaware of their infection and 48.2% of those who had never been testedlearned their HIV status during KAIS. Individual collection of HIV results was associated with older age, with the highestodds among adults aged 60-64 years (adjusted odds ratio [AOR], 1.6, 95% confidence interval [CI] 1.2-2.1); ruralresidence (AOR 1.8, 95%CI 1.2-2.6); and residence outside Nairobi, with the highest odds in the sparsely populated NorthEastern province (AOR 8.0, 95%CI 2.9-21.8). Of 2,685 married/cohabiting couples, 18.5% collected results as a couple.Couples in Eastern province and in the second and middle wealth quintiles were more likely to collect results than those inNairobi (AOR 3.2, 95%CI 1.1-9.4) and the lowest wealth quintile (second AOR 1.5, 95%CI 1.1-2.3; middle AOR 1.6,95% CI 1.2-2.3, respectively. Many participants including those living with HIV learned their HIV status in KAIS. Futuresurveys need to address low uptake of results among youth, urban residents, couples and those with undiagnosed HIVinfection.