Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings

BACKGROUND: Urban refugee youth may live in social contexts characterized by structural drivers of HIV such as poverty and violence. Knowledge gaps remain regarding HIV testing practices among urban refugee youth, despite the increasing trend toward refugee settlement in urban contexts. This study e...

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Autores principales: Logie, Carmen H, Okumu, Moses, Berry, Isha, Loutet, Miranda, Hakiza, Robert, Kibuuka Musoke, Daniel, Mwima, Simon, Kiera, Uwase Mimy, MacNamee, Clara, Kyambadde, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958564/
https://www.ncbi.nlm.nih.gov/pubmed/35125037
http://dx.doi.org/10.1177/09564624211069236
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author Logie, Carmen H
Okumu, Moses
Berry, Isha
Loutet, Miranda
Hakiza, Robert
Kibuuka Musoke, Daniel
Mwima, Simon
Kiera, Uwase Mimy
MacNamee, Clara
Kyambadde, Peter
author_facet Logie, Carmen H
Okumu, Moses
Berry, Isha
Loutet, Miranda
Hakiza, Robert
Kibuuka Musoke, Daniel
Mwima, Simon
Kiera, Uwase Mimy
MacNamee, Clara
Kyambadde, Peter
author_sort Logie, Carmen H
collection PubMed
description BACKGROUND: Urban refugee youth may live in social contexts characterized by structural drivers of HIV such as poverty and violence. Knowledge gaps remain regarding HIV testing practices among urban refugee youth, despite the increasing trend toward refugee settlement in urban contexts. This study examined social contextual factors associated with lifetime HIV testing among urban refugee youth in Kampala, Uganda. METHODS: We conducted a community-based study with a peer-recruited cohort of urban refugee youth aged 16–24 years living in Kampala’s informal settlements, and present baseline cross-sectional findings. We conducted descriptive statistics and logistic regression to examine socio-demographic (e.g., gender and age), material (e.g., income insecurity and education), relational (e.g., social support), and symbolic contexts (e.g., HIV-related stigma and intimate partner violence (IPV]) associated with lifetime HIV testing. RESULTS: Participants (n = 450) had a mean age of 20.4 years (standard deviation: 2.4 years), most lived in Uganda for 1–5 years (53.2%), and less than half reported lifetime HIV testing (43.4%). In multivariable analyses, odds of lifetime HIV testing were higher among youth with secondary school education or higher (adjusted odds ratio (aOR]: 2.30, 95% confidence interval (CI]: 1.27–4.17), currently employed (aOR: 1.79, 95% CI: 1.03–3.10), and reporting IPV (aOR: 3.61, 95% CI: 1.43–9.10). Having children was marginally associated with HIV testing (aOR: 2.17, 95% CI: 0.98–4.81, p = 0.052). CONCLUSIONS: Findings demonstrate suboptimal HIV testing and the importance of tailored strategies to reach urban refugee youth who are unemployed and have limited formal education. There is a need to meaningfully engage urban refugee youth to create enabling environments for sexual health.
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spelling pubmed-89585642022-03-29 Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings Logie, Carmen H Okumu, Moses Berry, Isha Loutet, Miranda Hakiza, Robert Kibuuka Musoke, Daniel Mwima, Simon Kiera, Uwase Mimy MacNamee, Clara Kyambadde, Peter Int J STD AIDS Original Research Articles BACKGROUND: Urban refugee youth may live in social contexts characterized by structural drivers of HIV such as poverty and violence. Knowledge gaps remain regarding HIV testing practices among urban refugee youth, despite the increasing trend toward refugee settlement in urban contexts. This study examined social contextual factors associated with lifetime HIV testing among urban refugee youth in Kampala, Uganda. METHODS: We conducted a community-based study with a peer-recruited cohort of urban refugee youth aged 16–24 years living in Kampala’s informal settlements, and present baseline cross-sectional findings. We conducted descriptive statistics and logistic regression to examine socio-demographic (e.g., gender and age), material (e.g., income insecurity and education), relational (e.g., social support), and symbolic contexts (e.g., HIV-related stigma and intimate partner violence (IPV]) associated with lifetime HIV testing. RESULTS: Participants (n = 450) had a mean age of 20.4 years (standard deviation: 2.4 years), most lived in Uganda for 1–5 years (53.2%), and less than half reported lifetime HIV testing (43.4%). In multivariable analyses, odds of lifetime HIV testing were higher among youth with secondary school education or higher (adjusted odds ratio (aOR]: 2.30, 95% confidence interval (CI]: 1.27–4.17), currently employed (aOR: 1.79, 95% CI: 1.03–3.10), and reporting IPV (aOR: 3.61, 95% CI: 1.43–9.10). Having children was marginally associated with HIV testing (aOR: 2.17, 95% CI: 0.98–4.81, p = 0.052). CONCLUSIONS: Findings demonstrate suboptimal HIV testing and the importance of tailored strategies to reach urban refugee youth who are unemployed and have limited formal education. There is a need to meaningfully engage urban refugee youth to create enabling environments for sexual health. SAGE Publications 2022-02-05 2022-03 /pmc/articles/PMC8958564/ /pubmed/35125037 http://dx.doi.org/10.1177/09564624211069236 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Articles
Logie, Carmen H
Okumu, Moses
Berry, Isha
Loutet, Miranda
Hakiza, Robert
Kibuuka Musoke, Daniel
Mwima, Simon
Kiera, Uwase Mimy
MacNamee, Clara
Kyambadde, Peter
Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings
title Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings
title_full Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings
title_fullStr Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings
title_full_unstemmed Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings
title_short Social contextual factors associated with lifetime HIV testing among the Tushirikiane urban refugee youth cohort in Kampala, Uganda: Cross-sectional findings
title_sort social contextual factors associated with lifetime hiv testing among the tushirikiane urban refugee youth cohort in kampala, uganda: cross-sectional findings
topic Original Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958564/
https://www.ncbi.nlm.nih.gov/pubmed/35125037
http://dx.doi.org/10.1177/09564624211069236
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