Despite recent declines in global HIV/AIDS mortality, HIV/AIDS is still the leading cause of death especially in in Sub-Saharan Countries. Voluntary HIV counseling and testing (VCT) and consistent condom use among BodaBoda operators are very important in the prevention and control of the infection. This study determined the consistent condom and voluntary counseling and testing services utilization among BodaBoda operators in Coastal region of Kenya. A cross-sectional study was carried between February to December 2015. A multi-stage sampling method was applied to randomly select the BodaBoda operators. Stratification, random and systematic sampling techniques were used to identify the study participants. Interviews were conducted using structured questionnaires. Data analysis was done using statistical package for social sciences version 16. Analytical statistics were done using odds ratio to measure strength of association between Condom and VCT uptakes and independent variables. Association with p-value <0,05 was considered significant. Binary regression was used to identify predictors of condom and VCT uptakes. Of 385 participants, 98.7% were male and 1.3% female. This study revealed that the prevalence of VCT uptake and consistent condom use among BodaBoda operators in Coastal Kenya was 53.0% and 60.0% respectively. VCT uptake was found to be significantly predicted bygender (AOR=3.216, 95% CI: 1.410-9.964), visiting a VCT centre with a partner (AOR=16.39, 95%CI: 3.012-17.624), assurance of confidentially of HIV test results (AOR =4.79, 95% CI: 2.033-8.907), known VCT (AOR=0.152, 95% CI: 0.034-0.221) and fear of being seen at VCT centre (AOR=0.551, 95% CI: 0.307-0.988). Consistent condom use was significantly associated with gender (AOR=2.01, 95% CI: 1.04, 2.48), Educational status (AOR=0.80, 95% CI: 0.43, 0.85) and marital status (AOR=1.51, 95% CI: 1.07-2.15). Conclusion: The overall prevalence of VCT uptake and consistent condom use was found to be low. VCT utilization uptake among the operators was influenced by gender, assurance of confidentiality of the HIV test results, going to a VCT with a partner, fear of being seen at a VCT centre and going to a known VCT. The main predictors of consistent condom use were found to be gender, educational level and marital status. Integration of friendly VCT services would increase VCT uptake among BodaBoda operators. Support and care received after knowing the test results should be clearly communicated as it reduces stigma. Therefore, interventions targeting sex, educational status and marital status are recommended.
| Published in | Science Journal of Public Health (Volume 5, Issue 3) |
| DOI | 10.11648/j.sjph.20170503.11 |
| Page(s) | 152-161 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
VCT Uptake, Consistent Condom Utilization, Predictors, HIV Test
| [1] | UNAIDS. (2014). Unaids Report on The global Aids Epidemic. |
| [2] | WHO, 2015. |
| [3] | UNAIDS. (2014). Unaids Report on The global Aids Epidemic. |
| [4] | National AIDS Control Council (NACC). (2014). Global Facts and Figures: The global AIDS epidemic. |
| [5] | Sunmola, A. M., Olley, B. O and Oso, G. E. (2007). Predictors of condom use among sexually active persons involved in compulsory national service in Ibadan, Nigeria. Health educ Res, 22 (44): 459. |
| [6] | Imade, G., Sagay, A., Egah, E. et al. (2008). Prevalence of HIV and other sexually transmissible infections in ration to lemon lime douching among female sex workers in Jose, Nigeria. Sex health, 5 (1): 55-60. |
| [7] | Joshua, O. A., Olutosin, A. A., Isaac, F. A. et al. (2010). Condom use among antiretroviral therapy patients in Ibadan, Nigeria. |
| [8] | Yallowet al. (2012). Patterns of condom use and associated factors among adult HIV positive clients, North Western Ethiopia. |
| [9] | Ncube, N. M., Akunna, J., Babatunde., et al. (2012). Sexual Risk Behaviour among HIV- positive persons in Kumasi, Ghana. Medical Journal, 46 (1). |
| [10] | Hatzell, T., Feldblum, P., Homan, R. et al. (2003). The female condom: is "just as good" good enough. Sex Transm Dis. 30 (5): 440-441. |
| [11] | Musaba, E., Morrison, C. S., Sunkutu, M. R. et al. (1998). Long-term use of the female condom among couples at high risk of human immunodeficiency virus infection in Zambia. Sex Trans Dist. 25 (5): 260-264. |
| [12] | Sayles, J. N., Pettifor, A., Wong, MD, et al. (2006). Factors associated with self-efficacy for use and sexual negotiation among South African Youth. J Aquir Immune DeficSyndr. 43 (2): 226-233. |
| [13] | Gage, A. J. and Ali, D. (2004). Factors associated with self-reported HIV testing among men in Uganda. AIDS Care, 17(2): 153-165. |
| [14] | Centers for Disease Control and Prevention. (2014). Basic information about HIV and AIDs. |
| [15] | Campbell, O. T and Gandhi, R. T. (2011). Update on human immunodeficiency virus (HIV)-2 infection. Journal of infectious Diseases, 52: 780. |
| [16] | Bateganya M., Abdulwadud, O. A. and Kiene, S. M. (2010). Home-based HIV voluntary counselling and testing (VCT) for improving utilization of HIV testing (Review). The Cochrane Library, 7: 1-28. |
| [17] | UNAIDS. (2013). Unaids Report on The global Aids Epidemic. |
| [18] | Kirunga C. T. and Ntozi James, P. M. (1997). Socio-economic determinants of HIV serostatus: a study of Rakai District, Uganda. Health Transition Review, 7: 175-188. |
| [19] | Oduor A. (2010). Risky liaisons: more than usual business going on in Busia border town. Sex for services puts town on high risk map. Standard on Saturday, 255: 12-13. |
| [20] | Okongo, M., Pickering H., Nnalusiba B., Bwanika, K. and Whitworth J. (1997). Sexual Networks in Uganda: Casual and Commercial sex in a trading town. AIDS Care, 9 (2): 199–207. |
| [21] | UNAIDS. (2009). Condoms and HIV prevention: Position statement by UNAIDS, UNFP and WHO. |
| [22] | Omer, S. and Haidar, J. (2009). VCT utilization and associated factors among teachers from Harari Administrative region Ethiopia. Ethiopian Journal of Health Sciences.23 (3):200-205. |
| [23] | Bwambale, M. F., Ssali, N. S., Byaruhanga, S., Kalyyango, N. J., Karamangi, A. C. (2008). Voluntary HIV Counseling and testing among men in rural Western Uganda: Implications for HIV prevention. BMC Public Health. 8: 263. |
| [24] | Rou K., Guan J., Wu Z., Li L., Rotheram M. J., Detels R., Wen Y., Lin C. and Cao H. (2009). Demographic and Behavioural Factors Associated With HIV Testing in China. Journal Acquired Immune Deficiency Syndrome. 50 (4): 432–434. |
| [25] | Karau, P. B., Mueni, S. W., Muriira, G. et al., (2010). Responsiveness to HIV Education and VCT Services among Kenyan Rural Women: A Community-Based Survey. African Journal of Reproductive Health 14(3): 165. |
| [26] | Gatta, A. A. (2011). Knowledge and attitudes towards Voluntary HIV Counseling and Testing services amongst adolescent high school students in addis Ababa Ethiopia. AOSIS Open Journal. 35: 103-8. |
| [27] | Wringe, A., Isidingo, R., Urassa, M., Todd, J., Mbata, D., Maiseli, G. et al. (2007). Trends in uptake of voluntary counseling and testing for HIV in rural Tanzania under widely provision of HIV treatments. Trop Med Int Health. 17 (8):15-25. |
| [28] | Kakoko, D. C. (2006). Voluntary HIV counseling and testing service uptakje among primary school teachers in Mwanza-Tanzania. AIDS Care. 18:554-560. |
| [29] | Zapka J., Stoddard A., Zorn M., Mccusker J. and Mayer K. (1991). HIV antibody test result knowledge, risk perceptions and behaviour among homosexually active men. Patient Education and Counselling, 18:9-17. |
| [30] | Hearst, N and Chen, S. (2004). Condom promotion for AIDS prevention in the developing world: Is it working? StudFamPlann. 35 (1):39-47. |
| [31] | Weller, S and Davis, K. (2002). The effectiveness of condoms in reducing heterosexual HIV transmission. Cochrane DataSyst Rev. |
| [32] | Davis, K and Weller, S. (1999). The effectiveness of condoms in reducing heterosexual transmission of HIV. Fam Plann Perspect. 31 (6): 272-279. |
| [33] | Adih, W. K and Alexander, C. S. (1999). Determinants of condom use to prevent HIV infection among youth in Ghana. J Adolesc Health.:24 (1):63-67. |
| [34] | Akarro, R. R. (2009). Some factors associated with condom use among bar maids in Tanzania. J Biosoc Sci. 41 (1):125-137. |
| [35] | Bobrova, N., Sergeev, O., Grechukhina, T. et al. (2005). Social-cognitive predictors od consistent condom use among young people in Moscow. Perspect Sex Reprod Health. 37 (4): 174-178. |
| [36] | Pendergrast, R. A., DurRant, R. H. et al. (1992). Attitudinal and behavioural correlates of condom use in urban adolescents males. J Adolesc Health. 13:33-39. |
| [37] | Annie, M. N and Linda, R. F. (2010). Sociodemographic Factors Associated to Condom use in Cameroon Military. |
| [38] | Chatterjee, N., Hossain, G. M., Williams, S. (2006). Condom use with steady and casual partners in inner city African-American communities. Sex Trans Infect. 82:238-242. |
| [39] | Adebajo, S., Mafeni, J., Moreland, S. et al. (2002). Knowledge, attitudes and sexual behaviour among Nigerian military concerning HIV/AIDS and STD: Final Technical Report. Abuja, Nigeria. |
| [40] | Essien, J., Monjok, E. M., Ekong, et al. (2010). Correlates of HIV knowledge and sexual behaviours among female military personnel. AIDS Behav. |
| [41] | Mnyika, K. S., Klepp, K., Kvale, G., Ole-Kingori, N. et al. (1997). Determinants of High-risk sexual behaviour and condom use among adults in Arusha, region, Tanzania. Int J STD AIDS. 8:176-83. |
| [42] | Ndinya-Achola, J., Ghee, A. E., Kihara, A. N. et al. (1997). High HIV prevalence, low condom use and gender differences in sexual behaviour among patients with STD-related complaints at a Nairobi primary health care clinic. Int J STD AIDS. 8: 506-4. |
| [43] | Simeon, D. T., Lefranc, E., Brain, B., Wyatt, G. E. (1999). Experiences and socialization of Jamaican men with multiple sex partners. West Indian Med J. 48 (4):212-5. |
| [44] | MacDonald, N. E., Wells, G. A., Fisher, W. A et al. (1990). High risk STD/HIV behaviour among college students. JAMA: 263: 3155-9. |
| [45] | Shafer, M. A and Boyer, C. B. (1991). Psychological and behavioural factors associated with risk of sexually transmitted diseases, including human immunodeficiency virus infection among urban high school students. J Pediatr. 48(4): 212-33. |
APA Style
Shadrack Ayieko Yonge, Michael Fredrick Otieno, Rekha Rani Sharma. (2017). Predictors of Consistent Condom and Voluntary Counselling and Testing Services Utilization Among BodaBoda Operators in Coastal Region of Kenya. Science Journal of Public Health, 5(3), 152-161. https://doi.org/10.11648/j.sjph.20170503.11
ACS Style
Shadrack Ayieko Yonge; Michael Fredrick Otieno; Rekha Rani Sharma. Predictors of Consistent Condom and Voluntary Counselling and Testing Services Utilization Among BodaBoda Operators in Coastal Region of Kenya. Sci. J. Public Health 2017, 5(3), 152-161. doi: 10.11648/j.sjph.20170503.11
AMA Style
Shadrack Ayieko Yonge, Michael Fredrick Otieno, Rekha Rani Sharma. Predictors of Consistent Condom and Voluntary Counselling and Testing Services Utilization Among BodaBoda Operators in Coastal Region of Kenya. Sci J Public Health. 2017;5(3):152-161. doi: 10.11648/j.sjph.20170503.11
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Download@article{10.11648/j.sjph.20170503.11,
author = {Shadrack Ayieko Yonge and Michael Fredrick Otieno and Rekha Rani Sharma},
title = {Predictors of Consistent Condom and Voluntary Counselling and Testing Services Utilization Among BodaBoda Operators in Coastal Region of Kenya},
journal = {Science Journal of Public Health},
volume = {5},
number = {3},
pages = {152-161},
doi = {10.11648/j.sjph.20170503.11},
url = {https://doi.org/10.11648/j.sjph.20170503.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170503.11},
abstract = {Despite recent declines in global HIV/AIDS mortality, HIV/AIDS is still the leading cause of death especially in in Sub-Saharan Countries. Voluntary HIV counseling and testing (VCT) and consistent condom use among BodaBoda operators are very important in the prevention and control of the infection. This study determined the consistent condom and voluntary counseling and testing services utilization among BodaBoda operators in Coastal region of Kenya. A cross-sectional study was carried between February to December 2015. A multi-stage sampling method was applied to randomly select the BodaBoda operators. Stratification, random and systematic sampling techniques were used to identify the study participants. Interviews were conducted using structured questionnaires. Data analysis was done using statistical package for social sciences version 16. Analytical statistics were done using odds ratio to measure strength of association between Condom and VCT uptakes and independent variables. Association with p-value <0,05 was considered significant. Binary regression was used to identify predictors of condom and VCT uptakes. Of 385 participants, 98.7% were male and 1.3% female. This study revealed that the prevalence of VCT uptake and consistent condom use among BodaBoda operators in Coastal Kenya was 53.0% and 60.0% respectively. VCT uptake was found to be significantly predicted bygender (AOR=3.216, 95% CI: 1.410-9.964), visiting a VCT centre with a partner (AOR=16.39, 95%CI: 3.012-17.624), assurance of confidentially of HIV test results (AOR =4.79, 95% CI: 2.033-8.907), known VCT (AOR=0.152, 95% CI: 0.034-0.221) and fear of being seen at VCT centre (AOR=0.551, 95% CI: 0.307-0.988). Consistent condom use was significantly associated with gender (AOR=2.01, 95% CI: 1.04, 2.48), Educational status (AOR=0.80, 95% CI: 0.43, 0.85) and marital status (AOR=1.51, 95% CI: 1.07-2.15). Conclusion: The overall prevalence of VCT uptake and consistent condom use was found to be low. VCT utilization uptake among the operators was influenced by gender, assurance of confidentiality of the HIV test results, going to a VCT with a partner, fear of being seen at a VCT centre and going to a known VCT. The main predictors of consistent condom use were found to be gender, educational level and marital status. Integration of friendly VCT services would increase VCT uptake among BodaBoda operators. Support and care received after knowing the test results should be clearly communicated as it reduces stigma. Therefore, interventions targeting sex, educational status and marital status are recommended.},
year = {2017}
}
TY - JOUR T1 - Predictors of Consistent Condom and Voluntary Counselling and Testing Services Utilization Among BodaBoda Operators in Coastal Region of Kenya AU - Shadrack Ayieko Yonge AU - Michael Fredrick Otieno AU - Rekha Rani Sharma Y1 - 2017/03/01 PY - 2017 N1 - https://doi.org/10.11648/j.sjph.20170503.11 DO - 10.11648/j.sjph.20170503.11 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 152 EP - 161 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20170503.11 AB - Despite recent declines in global HIV/AIDS mortality, HIV/AIDS is still the leading cause of death especially in in Sub-Saharan Countries. Voluntary HIV counseling and testing (VCT) and consistent condom use among BodaBoda operators are very important in the prevention and control of the infection. This study determined the consistent condom and voluntary counseling and testing services utilization among BodaBoda operators in Coastal region of Kenya. A cross-sectional study was carried between February to December 2015. A multi-stage sampling method was applied to randomly select the BodaBoda operators. Stratification, random and systematic sampling techniques were used to identify the study participants. Interviews were conducted using structured questionnaires. Data analysis was done using statistical package for social sciences version 16. Analytical statistics were done using odds ratio to measure strength of association between Condom and VCT uptakes and independent variables. Association with p-value <0,05 was considered significant. Binary regression was used to identify predictors of condom and VCT uptakes. Of 385 participants, 98.7% were male and 1.3% female. This study revealed that the prevalence of VCT uptake and consistent condom use among BodaBoda operators in Coastal Kenya was 53.0% and 60.0% respectively. VCT uptake was found to be significantly predicted bygender (AOR=3.216, 95% CI: 1.410-9.964), visiting a VCT centre with a partner (AOR=16.39, 95%CI: 3.012-17.624), assurance of confidentially of HIV test results (AOR =4.79, 95% CI: 2.033-8.907), known VCT (AOR=0.152, 95% CI: 0.034-0.221) and fear of being seen at VCT centre (AOR=0.551, 95% CI: 0.307-0.988). Consistent condom use was significantly associated with gender (AOR=2.01, 95% CI: 1.04, 2.48), Educational status (AOR=0.80, 95% CI: 0.43, 0.85) and marital status (AOR=1.51, 95% CI: 1.07-2.15). Conclusion: The overall prevalence of VCT uptake and consistent condom use was found to be low. VCT utilization uptake among the operators was influenced by gender, assurance of confidentiality of the HIV test results, going to a VCT with a partner, fear of being seen at a VCT centre and going to a known VCT. The main predictors of consistent condom use were found to be gender, educational level and marital status. Integration of friendly VCT services would increase VCT uptake among BodaBoda operators. Support and care received after knowing the test results should be clearly communicated as it reduces stigma. Therefore, interventions targeting sex, educational status and marital status are recommended. VL - 5 IS - 3 ER -
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