Factors associated with HIV testing among women during pregnancy in Kenya: evidence from the Kenya Demographic and Health Survey 2014.

This study examined the factors affecting HIV testing among women during pregnancy while on ANC visits in Kenya, using the 2014 Kenya Demographic and Health Survey data. The sample included 3,747 (weighted N = 36,626) pregnant women who gave birth in last two years. Survey-weighted bivariate and multivariable analyses were performed. More than four-fifths (83.9%) of the participants reported that they had an HIV test during ANC visits in last two years. In the adjusted model, married (Adjusted Odds Ratio [aOR]:1.48, 95% Confidence Interval [95% CI]:1.06, 2.06, p < 0.001) than not in a union, having HIV counselling (aOR:1.89, 95% CI: 1.39, 2.56, p < 0.001), higher knowledge on HIV transmission (aOR:1.19, 95% CI: 1.05, 1.34, p = 0.006), increased the likelihood of testing for HIV. While women who were ≥20 years, living in other regions except Nyanza and Nairobi than people living in Coastal region, and who had higher HIV-related stigma (OR:0.83, 95%CI:0.73, 0.94, p = 0.004) had less chance of being tested. These findings have implications on the successful utilization of ANC services in resource limited regions. Culturally appropriate health education can influence cultural norms and enhance timely access of ANC services among women during pregnancy.

Lack of knowledge about mother-to-child HIV transmission prevention in pregnant women at Tijuana General Hospital, Baja California, Mexico.

The objective of this study was to identify determinants of human immunodeficiency virus (HIV) knowledge regarding mother-to-child transmission (MTCT) among pregnant women at Tijuana General Hospital, Baja California, Mexico. Between March and November 2003, patients from the prenatal care (n = 1294) and labor and delivery (L&D) units (n = 495) participated in a cross-sectional study to measure HIV knowledge. Less than one-third (30%) knew that HIV could be transmitted to a child during delivery, and 36% knew that HIV could be transmitted by breast-feeding. Only 27% knew that an MTCT could be prevented. Prenatal patients were more likely to know that MTCT was preventable (prenatal: 31% versus L&D 25%; P = .02). Logistic regression indicated that prenatal patients (odds ratio = 1.49, confidence interval 1.07-2.07) were more likely to know that HIV could be transmitted through breast-feeding. Overall, both groups had poor knowledge regarding MTCT of HIV.

Study on the knowledge, attitude and HIV transmission behaviors among motorbike taxi drivers in Cau Giay district in 2007

Background: Cau Giay is a district within Hanoi city, where diverse people live. Motorbike Taxi Drivers (MTDs) are at high-risk of HIV infection. Objectives: To study the knowledge, attitude and HIV transmission behaviors among MTDs in Cau Giay district. Subjects and method: A cross-sectional study was carried out between March and October 2007 on 250 MTDs who worked at Cau Giay district. Results and conclusions:30.4% MTDs perceived that HIV could not be transmitted to others via sharing nail clippers or scissors with HIV infected people, 42% believed HIV can transmit via mosquito bites, 72% thought the rate of the HIV transmission from mother to child was 100%, 40% were aware that HIV could be recognized from people's appearance. Only 26.5% of the respondents were aware of the 3 main effects of condom use (including prevention from pregnancy, STls and HIV). 83.2% considered HIV/AIDS infected people as social evils such as injecting drug users, Commercial Sex Workers (CSWs). 23.2% MTDs showed are agreeable when being asked to look for CSWs by customers. 12% MTDs agreed to seek out drugs when the customers requested. The survey also reveals that there were 49.2% of MTDs having sex with CSWs within the last 6 months, of which, 58.2% did not regularly practice safe sex with CSWs. Some risk factors included low level of education, time of being MTD >3 years, low income (less than 2,000,000 VND a month), less frequent appraisal books and newspapers. MTDs that were ready to look for CSWs and drugs via customers\u2019 requests also had high risk of using drugs as well as unsafe sex.