Contributing factors to continued HIV infection among adolescents and youths aged 15-24 years in Nakuru county, Kenya
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20262219Keywords:
Barriers, HIV, Prevention strategiesAbstract
Background: Understanding the factors associated with this ongoing risk is crucial for developing targeted interventions to reduce HIV transmission among this vulnerable population. This study aimed to identify the contributing factors to continued HIV infection among adolescents and youths in Nakuru County by examining demographic characteristics, sexual behaviors, awareness of HIV prevention, and other factors related to HIV prevention between 2019 and 2024.
Methods: A cross-sectional study design was employed, involving 226 adolescents and youths aged 15-24 years. The primary outcome was HIV testing status (yes/no). Descriptive statistics were used to summarize demographic and behavioral data. Univariable and multivariable logistic regression analyses were conducted to identify factors associated with HIV testing status and infection risk.
Results: The analysis revealed that age, marital status, sexual history, and awareness of partner’s HIV status significantly influenced HIV testing status among participants. Older age was associated with a higher likelihood of HIV testing. Participants who were married were more likely to have been tested for HIV compared to single individuals. Sexual history also played a crucial role, with those who had a history of sexual intercourse being more likely to have been tested for HIV. Awareness of a partner’s HIV status was associated with a higher likelihood of testing.
Conclusions: The study identified significant demographic and behavioral factors associated with continued HIV infection risk among adolescents and youths in Nakuru County. Interventions should focus on increasing HIV testing and awareness, especially among younger individuals, those who are single, and those lacking awareness of their partner’s status.
References
Kharsany AB, Karim QA. HIV infection and AIDS in sub-Saharan Africa: current status, challenges and opportunities. Open AIDS J. 2016;10:34.
Rosenberg NE, Shook-Sa BE, Liu M, Stranix-Chibanda L, Yotebieng M, Sam-Agudu NA, et al. Adult HIV-1 incidence across 15 high-burden countries in sub-Saharan Africa from 2015 to 2019: a pooled analysis of nationally representative data. Lancet HIV. 2023;10(3):e175-85.
Govender K, Masebo WG, Nyamaruze P, Cowden RG, Schunter BT, Bains A. HIV prevention in adolescents and young people in the Eastern and Southern African region: a review of key challenges impeding actions for an effective response. Open AIDS J. 2018;12:53.
Otara DN, Chebor AK, Raballah E. Influence of HIV/AIDS care and support services accessibility on utilization among HIV infected adults in Baringo County, Kenya. Masinde Muliro University of Science and Technology Research Archive. 2024.
Khalifa A, Stover J, Mahy M, Idele P, Porth T, Lwamba C. Demographic change and HIV epidemic projections to 2050 for adolescents and young people aged 15-24. Glob Health Act. 2019;12(1):1662685.
Buzarquis VG. Epidemiological dynamics of Tuberculosis within the prison population and the community. Universitat de Barcelona. 2024.
Ajayi AI, Awopegba OE, Adeagbo OA, Ushie BA. Low coverage of HIV testing among adolescents and young adults in Nigeria: Implication for achieving the UNAIDS first 95. PloS One. 2020;15(5):e0233368.
Cheuk E, Isac S, Musyoki H, Pickles M, Bhattacharjee P, Gichangi P, et al. Informing HIV prevention programs for adolescent girls and young women: a modified approach to programmatic mapping and key population size estimation. JMIR Public Health Surveill. 2019;5(2):e11196.
Govender K, Poku NK, Armstrong R, George G. Epidemiology of HIV among adolescents and young people in the Eastern and Southern African region: what does the data tell us. InPreventing HIV among young people in Southern and Eastern Africa. Routledge; 2020:11-30.
Jopling R, Nyamayaro P, Andersen LS, Kagee A, Haberer JE, Abas MA. A cascade of interventions to promote adherence to antiretroviral therapy in African countries. Curr HIV/AIDS Rep. 2020;17:529-46.
Kariuki RG. Impact of guidance programme on enhancing risk behaviour change among youth living with HIV/AIDS in Nakuru county, Kenya. Kabarak University. 2017.
Juma MA. Factors influencing adherence to antiretroviral therapy among the Youth attending Rift valley Provincial General Hospital Nakuru County, Kenya: St Paul’s University; 2019.
Okeke-Obayemi DO, Alawode OA, Okeke SR, Mwaniki SW, Mabhala A, Mullens AB, et al. Prevalence and determinants of HIV testing among adolescent girls and young women in 28 sub-Saharan African countries. BMC Public Health. 2026;26(1):164.
Cheruiyot KC. Barriers to utilization of institutional voluntary HIV testing and counselling services among students aged 18-24 in selected Kenyan Public Universities. JKUAT-COHES. 2022.
Mudhune V. Uptake and acceptability of oral HIV self testing in the context of assisted partner services in Western Kenya: a mixed-methods analysis. Jomo Kenyatta University of Agriculture and Technology. 2025.
Oulo BA. Effect of sexual behaviour on the spatial distribution of HIV among Kenyan youth in 2003 and 2008. University of the Witwatersrand, Johannesburg. 2018.
Okoye HU. Intersecting social statuses, health inequities, and macro-social influences on HIV risk behaviour among adolescents in sub-Saharan Africa: A structural determinants exploration. University of British Columbia. 2024.