214149 Underestimating HIV acquisition perceived risk in Kenya: Sexual-risk taking in urban and rural areas

Tuesday, November 9, 2010

Elijah Onsomu, MS, MPH, PhD(c), CHES , Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Crystal Piper, MPH, MHA, PhD , Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
DaKysha Moore, MS, PhD , Department of Communication Arts, Johnson C. Smith University, Charlotte, NC
Shirley Timmons, MN, PhD, RN, CNE , School of Nursing, Clemson University, Clemson, SC
Background: This study measures the association between sexual risk-taking and HIV acquisition perceived risk. Methods: Retrospective cross-sectional data, Kenya Demographic and Health Survey-2003 was used. Data were weighted for stratum and primary sampling units attaining linearized standard errors. A sample of 6,190 was retained in the design based analysis. The main outcome variable was sexual risk-taking, a dichotomous variable, while the main independent variable-HIV acquisition perceived risk-was a categorical variable. Parametric testing using Univariate and Multivariate logistic regression was performed. Stata version 10.1 was used for all analyses, p<0.05. Results: 33% and 25% of the respondents had sexual risk-taking behaviors-urban and rural areas respectively. 53% of those who perceived themselves to have small-risk of acquiring HIV had high sexual-risk taking in urban areas compared to 50% in rural areas, p<0.001. In the adjusted results, those who perceived themselves to have small risks of acquiring HIV were 1.99 times more likely to have sexual-risk taking behaviors (95% CI 1.33-2.97, p<0.001) compared to those who perceived themselves to have no-risk of acquiring HIV in urban areas. Those in rural areas were 1.47 times more likely to have sexual risk-taking behaviors (95% CI 1.11-1.94, p<0.01) compared to those who perceived themselves to have no-risk. Conclusion: Kenya's HIV/AIDS is not improving parallel to current HIV/AIDS programs and policies. On average, majority of Kenyans have almost two folds of underestimating their perceived risk of acquiring HIV in urban and rural regions. There is a need for better measurements to evaluate HIV acquisition risk among Kenyans.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health or related education

Learning Objectives:
Kenya’s HIV/AIDS pandemic may not be improving due to the possibility of underestimating one’s HIV acquisition perceived risk. By the end of the presentation, participants will identify risk-factors contributing to sexual risk-taking in Kenya’s urban and rural regions and whether Kenyan’s are underestimating their risk of acquiring HIV.

Keywords: HIV Risk Behavior, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I collaborated in the study. Furthermore, I have conducted several research studies on behavioral HIV/AIDS research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4326.0: Poster Session 4: HIV/AIDS