Youth aged 15-24 years comprise 48% of new HIV infections and 15% of persons living with HIV in Kisumu County, Kenya. We assessed factors associated with HIV infection among youth participating in the Community Health Initiative (CHI) implemented in an urban informal settlement in 2018. Predictors of HIV infection were assessed by multivariable logistic regression. CHI engaged 4,441 youth through community health campaigns and home-based HIV testing. HIV prevalence was 3.5% overall and 7.1% among young women aged 20-24. There were 24 youth newly identified as HIV-positive out of 157 total HIV-positive youth. HIV-positive status was positively associated with being female (aOR = 2.46; 95% CI 1.57, 3.84) and aged 20-24 (aOR = 2.40; 95% CI 1.52, 3.79), and inversely associated with secondary school education or higher (aOR = 0.27; 95% CI 0.16, 0.44). Our findings highlight the need for HIV prevention programs specially tailored for youth to further reduce new HIV infections in this priority population.

中文翻译：

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对肯尼亚西部城市青年进行社区艾滋病毒检测。


在肯尼亚基苏木县，15-24 岁的青少年占新发艾滋病毒感染者的 48%，占艾滋病毒感染者的 15%。我们评估了参与 2018 年在城市非正规住区实施的社区健康倡议 (CHI) 的青少年中与 HIV 感染相关的因素。通过多变量逻辑回归评估了 HIV 感染的预测因素。 CHI 通过社区健康运动和家庭艾滋病毒检测吸引了 4,441 名青少年。总体艾滋病毒感染率为 3.5%，20-24 岁年轻女性的艾滋病毒感染率为 7.1%。在 157 名艾滋病毒呈阳性的青少年中，有 24 名新确定为艾滋病毒呈阳性。 HIV 阳性状况与女性 (aOR = 2.46; 95% CI 1.57, 3.84) 和 20-24 岁年龄 (aOR = 2.40; 95% CI 1.52, 3.79) 呈正相关，与中学或以上教育呈负相关 ( aOR = 0.27；95% CI 0.16，0.44）。我们的研究结果强调需要专门为青少年制定艾滋病毒预防计划，以进一步减少这一重点人群的新艾滋病毒感染率。