{"id":{"repo_id":"zambia","oai_identifier":"oai:dspace.unza.zm:123456789/9013"},"canonical_url":"https://search.dev.ndltd.org/etd/zambia/oai:dspace.unza.zm:123456789/9013","repository":{"repo_id":"zambia","name":"University of Zambia","base_url":"https://dspace.unza.zm/server/oai/request"},"display":{"title":"Factors influencing the use of HIV self-testing kits among adolescents: a case of Kalingalinga compound, Lusaka.","abstract":"In Zambia, HIV self-testing is vital for HIV prevention, but there's limited understanding of its use among adolescents. In Zambia, HIV self-testing has become integral to HIV prevention and control, yet a knowledge gap exists regarding its prevalence, utilization trends, and determinants among adolescents. This cross-sectional investigation, conducted in the Kalinglinga compound of Lusaka district, engaged 391 participants, with a robust response rate of 97.7%. Employing a pretested questionnaire, data were analyzed at univariate, bivariate, and multivariate levels. Univariate analysis revealed a 79% non-usage prevalence. Bivariate analysis showed significant associations between non-usage and marital status (χ² = 7.064, p = 0.029), monthly income (χ² = 11.058, p = 0.030), kit availability (χ² = 16.868, p = 0.000), accessibility (χ² = 12.066, p = 0.002), and cost perception (χ² = 10.016, p = 0.007). Age, gender, education, religion, having a sexual partner, unprotected sex, and drug use didn't significantly affect usage (p > 0.05). The analysis identified several key factors associated with a higher prevalence of non-usage of HIV self-test kits among the study participants. These factors included being aged 18-19 years, male gender, having primary or no formal education, being single, having a higher income, lacking a sexual partner, never engaging in unprotected sex, residing in areas with limited availability and accessibility of self-test kits, and having uncertainty about the cost of acquiring these kits. These demographic and situational characteristics collectively contributed to a greater likelihood of non usage among the surveyed individuals. Multivariate analysis found higher income as a barrier (OR = 1.473, 95% CI: 1.222 - 2.252), while being single increased non-usage odds (OR = 2.424, 95% CI: 1.432 - 4.102). Areas without kits had higher non-usage odds (OR = 1.827, 95% CI: 1.129 - 2.956). Uncertainty about kit costs led to higher non-usage odds (OR = 2.708, 95% CI: 1.230 - 5.964). These findings underscore the need for tailored interventions addressing specific demographic, socioeconomic, and predisposing factors impeding HIV self-testing. The study enriches the body of knowledge on HIV self-testing, offering insights for policy and program development to bolster public health strategies for HIV prevention and control.","abstract_html":"In Zambia, HIV self-testing is vital for HIV prevention, but there's limited understanding of its use among adolescents. In Zambia, HIV self-testing has become integral to HIV prevention and control, yet a knowledge gap exists regarding its prevalence, utilization trends, and determinants among adolescents. This cross-sectional investigation, conducted in the Kalinglinga compound of Lusaka district, engaged 391 participants, with a robust response rate of 97.7%. Employing a pretested questionnaire, data were analyzed at univariate, bivariate, and multivariate levels. Univariate analysis revealed a 79% non-usage prevalence. Bivariate analysis showed significant associations between non-usage and marital status (χ² = 7.064, p = 0.029), monthly income (χ² = 11.058, p = 0.030), kit availability (χ² = 16.868, p = 0.000), accessibility (χ² = 12.066, p = 0.002), and cost perception (χ² = 10.016, p = 0.007). Age, gender, education, religion, having a sexual partner, unprotected sex, and drug use didn't significantly affect usage (p > 0.05). The analysis identified several key factors associated with a higher prevalence of non-usage of HIV self-test kits among the study participants. These factors included being aged 18-19 years, male gender, having primary or no formal education, being single, having a higher income, lacking a sexual partner, never engaging in unprotected sex, residing in areas with limited availability and accessibility of self-test kits, and having uncertainty about the cost of acquiring these kits. These demographic and situational characteristics collectively contributed to a greater likelihood of non usage among the surveyed individuals. Multivariate analysis found higher income as a barrier (OR = 1.473, 95% CI: 1.222 - 2.252), while being single increased non-usage odds (OR = 2.424, 95% CI: 1.432 - 4.102). Areas without kits had higher non-usage odds (OR = 1.827, 95% CI: 1.129 - 2.956). Uncertainty about kit costs led to higher non-usage odds (OR = 2.708, 95% CI: 1.230 - 5.964). These findings underscore the need for tailored interventions addressing specific demographic, socioeconomic, and predisposing factors impeding HIV self-testing. The study enriches the body of knowledge on HIV self-testing, offering insights for policy and program development to bolster public health strategies for HIV prevention and control.","abstract_has_math":false,"creators":["Mwansa, Ethel"],"institution":"The University of Zambia","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024","date_published":"2024","updated_at":"2026-07-27T22:06:13Z","subjects":[],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://dspace.unza.zm/handle/123456789/9013","outbound_label":"Repository record","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Mwansa, Ethel"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2024-12-12T10:14:03Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2024-12-12T10:14:03Z"]},{"key":"dc:date.issued","label":"Date","values":["2024"]},{"key":"dc:publisher","label":"Institution","values":["The University of Zambia"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://dspace.unza.zm/handle/123456789/9013"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Thesis of Master of Science in Public Health"]},{"key":"dc:description.abstract","label":"Abstract","values":["In Zambia, HIV self-testing is vital for HIV prevention, but there's limited understanding of its use among adolescents. In Zambia, HIV self-testing has become integral to HIV prevention and control, yet a knowledge gap exists regarding its prevalence, utilization trends, and determinants among adolescents. This cross-sectional investigation, conducted in the Kalinglinga compound of Lusaka district, engaged 391 participants, with a robust response rate of 97.7%. Employing a pretested questionnaire, data were analyzed at univariate, bivariate, and multivariate levels. Univariate analysis revealed a 79% non-usage prevalence. Bivariate analysis showed significant associations between non-usage and marital status (χ² = 7.064, p = 0.029), monthly income (χ² = 11.058, p = 0.030), kit availability (χ² = 16.868, p = 0.000), accessibility (χ² = 12.066, p = 0.002), and cost perception (χ² = 10.016, p = 0.007). Age, gender, education, religion, having a sexual partner, unprotected sex, and drug use didn't significantly affect usage (p > 0.05). The analysis identified several key factors associated with a higher prevalence of non-usage of HIV self-test kits among the study participants. These factors included being aged 18-19 years, male gender, having primary or no formal education, being single, having a higher income, lacking a sexual partner, never engaging in unprotected sex, residing in areas with limited availability and accessibility of self-test kits, and having uncertainty about the cost of acquiring these kits. These demographic and situational characteristics collectively contributed to a greater likelihood of non usage among the surveyed individuals. Multivariate analysis found higher income as a barrier (OR = 1.473, 95% CI: 1.222 - 2.252), while being single increased non-usage odds (OR = 2.424, 95% CI: 1.432 - 4.102). Areas without kits had higher non-usage odds (OR = 1.827, 95% CI: 1.129 - 2.956). Uncertainty about kit costs led to higher non-usage odds (OR = 2.708, 95% CI: 1.230 - 5.964). These findings underscore the need for tailored interventions addressing specific demographic, socioeconomic, and predisposing factors impeding HIV self-testing. The study enriches the body of knowledge on HIV self-testing, offering insights for policy and program development to bolster public health strategies for HIV prevention and control."]},{"key":"dc:title","label":"Title","values":["Factors influencing the use of HIV self-testing kits among adolescents: a case of Kalingalinga compound, Lusaka."]}]}],"canonical_facts":{"dc:creator":["Mwansa, Ethel"],"dc:date.accessioned":["2024-12-12T10:14:03Z"],"dc:date.available":["2024-12-12T10:14:03Z"],"dc:date.issued":["2024"],"dc:description":["Thesis of Master of Science in Public Health"],"dc:description.abstract":["In Zambia, HIV self-testing is vital for HIV prevention, but there's limited understanding of its use among adolescents. In Zambia, HIV self-testing has become integral to HIV prevention and control, yet a knowledge gap exists regarding its prevalence, utilization trends, and determinants among adolescents. This cross-sectional investigation, conducted in the Kalinglinga compound of Lusaka district, engaged 391 participants, with a robust response rate of 97.7%. Employing a pretested questionnaire, data were analyzed at univariate, bivariate, and multivariate levels. Univariate analysis revealed a 79% non-usage prevalence. Bivariate analysis showed significant associations between non-usage and marital status (χ² = 7.064, p = 0.029), monthly income (χ² = 11.058, p = 0.030), kit availability (χ² = 16.868, p = 0.000), accessibility (χ² = 12.066, p = 0.002), and cost perception (χ² = 10.016, p = 0.007). Age, gender, education, religion, having a sexual partner, unprotected sex, and drug use didn't significantly affect usage (p > 0.05). The analysis identified several key factors associated with a higher prevalence of non-usage of HIV self-test kits among the study participants. These factors included being aged 18-19 years, male gender, having primary or no formal education, being single, having a higher income, lacking a sexual partner, never engaging in unprotected sex, residing in areas with limited availability and accessibility of self-test kits, and having uncertainty about the cost of acquiring these kits. These demographic and situational characteristics collectively contributed to a greater likelihood of non usage among the surveyed individuals. Multivariate analysis found higher income as a barrier (OR = 1.473, 95% CI: 1.222 - 2.252), while being single increased non-usage odds (OR = 2.424, 95% CI: 1.432 - 4.102). Areas without kits had higher non-usage odds (OR = 1.827, 95% CI: 1.129 - 2.956). Uncertainty about kit costs led to higher non-usage odds (OR = 2.708, 95% CI: 1.230 - 5.964). These findings underscore the need for tailored interventions addressing specific demographic, socioeconomic, and predisposing factors impeding HIV self-testing. The study enriches the body of knowledge on HIV self-testing, offering insights for policy and program development to bolster public health strategies for HIV prevention and control."],"dc:identifier.uri":["https://dspace.unza.zm/handle/123456789/9013"],"dc:language.iso":["en"],"dc:publisher":["The University of Zambia"],"dc:title":["Factors influencing the use of HIV self-testing kits among adolescents: a case of Kalingalinga compound, Lusaka."],"dc:type":["Thesis"]},"updated_at":"2026-07-27T22:06:13Z"}