Factors Influencing HIV Testing in Nairobi's Informal Settlements
Author Information
Author(s): Ziraba Abdhalah K, Madise Nyovani J, Kimani James K, Oti Samuel, Mgomella George, Matilu Mwau, Ezeh Alex
Primary Institution: African Population and Health Research Center
Hypothesis
What are the determinants of HIV testing and counselling in Nairobi's informal settlements?
Conclusion
The study found that while the proportion of individuals ever tested for HIV is similar to the national average, it remains low, particularly among men, and is influenced by factors such as gender, age, education level, HIV status, and marital status.
Supporting Evidence
- 31% of respondents had ever been tested for HIV through client-initiated testing.
- Males were less likely to have had testing compared to females.
- Individuals aged 20-24 years were more likely to have been tested.
- Divorced or separated individuals had higher odds of testing compared to married individuals.
Takeaway
Many people in Nairobi's informal settlements haven't been tested for HIV, but those who want to know their status need more support to get tested.
Methodology
The study used a cross-sectional survey with 3,162 participants, employing multinomial logistic regression to analyze determinants of HIV testing.
Potential Biases
Potential selection bias due to non-participation of a substantial proportion of the initially targeted sample.
Limitations
The study relied on self-reported data, which may be subject to recall bias, and the measurement of stigma was limited due to insufficient questions.
Participant Demographics
Participants included both males and females aged 15-54 years, with a focus on those living in two informal settlements in Nairobi.
Statistical Information
P-Value
<0.001
Confidence Interval
95% CI, 0.48-0.87
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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