Individual‐ and School‐Level Correlates of HIV Testing among Secondary School Students in Kenya
Identifieur interne : 000665 ( Main/Exploration ); précédent : 000664; suivant : 000666Individual‐ and School‐Level Correlates of HIV Testing among Secondary School Students in Kenya
Auteurs : Eric Y. Tenkorang [Canada] ; Eleanor Maticka-Tyndale [Canada]Source :
- Studies in Family Planning [ 0039-3665 ] ; 2013-06.
Descripteurs français
- Wicri :
- geographic : Kenya, Ouganda.
- topic : Planification de la famille, Santé publique, Essai.
English descriptors
- KwdEn :
- Activities teacher, African countries, African youth, Aids attitude, Aids care, Anonymous question, Antiretroviral therapy, Better health, Boys girls, Cape town, Center visit, Central rift valley, Class someone, Control variables, Correlate, Counseling, Counseling certificate, Counseling certificates, Counseling services, Direct answers, Eastern province, Family planning, Family planning june, Female adolescents, Female students, Fernando rajulton, Formative research, High risk, High risk perception, Higher level, Individual level, June, Kabiru, Kenya, Kenya table, Kenyan, Kenyan government, Kenyan ministry, Kenyan provinces, Last term teacher, Logit, Logit models, Multilevel logit models, Multilevel modeling, Nairobi, Nascop, Negative values, Null model, Odds ratios, Other students, Peer education, Peer supporters, Population council, Positive attitudes, Positive values, Predictor variables, Pregnant women, Prevention interventions, Primary school, Primary schools, Psabh, Psabh program, Psychosocial models, Public health, Random intercepts, Reference category, Reliability analyses, Reliability coefficient, Response categories, Rift, Risk knowledge, Risk medium risk, Risk perception, Rural kenya, Rural malawi, Scalar measure, Scalar measures, School action, School level, School students, Secondary school, Secondary school implementation score, Secondary school psabh, Secondary school students, Secondary schools, Serostatus, Sexual activity, Sexual behavior, Sexual intercourse, Sexual partners, Stigma, Structural factors, Students teacher, Such testing, Susheela singh, Tenkorang, Tenkorang table, Term region, Test results, Testing, Testing behaviors, Testing practices, Testing rates, Testing treatment, Tropical medicine, Uganda, Universal access, University students, Variable risk perception, Variance component intraclass correlation, Voluntary counseling, Young people, Young women.
- Teeft :
- Activities teacher, African countries, African youth, Aids attitude, Aids care, Anonymous question, Antiretroviral therapy, Better health, Boys girls, Cape town, Center visit, Central rift valley, Class someone, Control variables, Correlate, Counseling, Counseling certificate, Counseling certificates, Counseling services, Direct answers, Eastern province, Family planning, Family planning june, Female adolescents, Female students, Fernando rajulton, Formative research, High risk, High risk perception, Higher level, Individual level, June, Kabiru, Kenya, Kenya table, Kenyan, Kenyan government, Kenyan ministry, Kenyan provinces, Last term teacher, Logit, Logit models, Multilevel logit models, Multilevel modeling, Nairobi, Nascop, Negative values, Null model, Odds ratios, Other students, Peer education, Peer supporters, Population council, Positive attitudes, Positive values, Predictor variables, Pregnant women, Prevention interventions, Primary school, Primary schools, Psabh, Psabh program, Psychosocial models, Public health, Random intercepts, Reference category, Reliability analyses, Reliability coefficient, Response categories, Rift, Risk knowledge, Risk medium risk, Risk perception, Rural kenya, Rural malawi, Scalar measure, Scalar measures, School action, School level, School students, Secondary school, Secondary school implementation score, Secondary school psabh, Secondary school students, Secondary schools, Serostatus, Sexual activity, Sexual behavior, Sexual intercourse, Sexual partners, Stigma, Structural factors, Students teacher, Such testing, Susheela singh, Tenkorang, Tenkorang table, Term region, Test results, Testing, Testing behaviors, Testing practices, Testing rates, Testing treatment, Tropical medicine, Uganda, Universal access, University students, Variable risk perception, Variance component intraclass correlation, Voluntary counseling, Young people, Young women.
Abstract
The policy framework guiding Kenya's response to the AIDS epidemic identifies voluntary counseling and testing as crucial to risk reduction and HIV‐preventive activities. Yet in Kenya, as in most sub‐Saharan countries, voluntary testing rates are low, especially among young people. Using hierarchical linear models, we identify both individual‐ and teacher/school‐level factors that affect voluntary HIV testing among secondary school students in Kenya. Results indicate that adolescents are more likely to test for HIV serostatus when they are knowledgeable about testing, have been involved in HIV/AIDS activities in primary school, have been provided with HIV information in secondary school, perceive themselves as at high risk of contracting HIV or know of someone infected with or who has died from HIV/AIDS, and have ever engaged in sexual intercourse. Barriers include fear of going to testing centers and being perceived as HIV‐positive. Teacher/school‐level characteristics are relevant for explaining rates of HIV testing, especially among girls. To encourage testing, policymakers should attend to teacher/school‐level factors as well as individual characteristics of students.
Url:
DOI: 10.1111/j.1728-4465.2013.00351.x
Affiliations:
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<front><div type="abstract" xml:lang="en">The policy framework guiding Kenya's response to the AIDS epidemic identifies voluntary counseling and testing as crucial to risk reduction and HIV‐preventive activities. Yet in Kenya, as in most sub‐Saharan countries, voluntary testing rates are low, especially among young people. Using hierarchical linear models, we identify both individual‐ and teacher/school‐level factors that affect voluntary HIV testing among secondary school students in Kenya. Results indicate that adolescents are more likely to test for HIV serostatus when they are knowledgeable about testing, have been involved in HIV/AIDS activities in primary school, have been provided with HIV information in secondary school, perceive themselves as at high risk of contracting HIV or know of someone infected with or who has died from HIV/AIDS, and have ever engaged in sexual intercourse. Barriers include fear of going to testing centers and being perceived as HIV‐positive. Teacher/school‐level characteristics are relevant for explaining rates of HIV testing, especially among girls. To encourage testing, policymakers should attend to teacher/school‐level factors as well as individual characteristics of students.</div>
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