Publication:

Contributing factors to continued HIV infection among adolescents and youths aged 15-24 years in Nakuru county, Kenya

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.