alexa Knowledge of HIV Transmission and Associated Factors among HIV-Positive and HIV-Negative Patients in Rural Kenya
ISSN 2155-6113

Journal of AIDS & Clinical Research
Open Access

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Research Article

Knowledge of HIV Transmission and Associated Factors among HIV-Positive and HIV-Negative Patients in Rural Kenya

Steven Y Hong1,2*, Daria Thompson2, Christine Wanke1,2, Gloria Omosa3, Michael R Jordan1,2, Alice M Tang2, Shem Patta3, Ben Mwero3, Innocent Mjomba3 and Mkaya Mwamburi2,3

1Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, USA

2Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, USA

3Clinical Research Division, Voi Research Centre, Voi, Kenya

*Corresponding Author:
Steven Y. Hong MD, MPH
Department of Public Health and Community Medicine
Tufts University School of Medicine
150 Harrison Avenue, Jaharis 2, Boston
MA 02111, USA
Tel: 1-617-636-0827
Fax: 1-617-636-3810
E-mail: [email protected]

Received Date: July 04, 2012; Accepted Date: September 20, 2012; Published Date: September 24, 2012

Citation: Hong SY, Thompson D, Wanke C, Omosa G, Jordan MR, et al. (2012) Knowledge of HIV Transmission and Associated Factors among HIV-Positive and HIV-Negative Patients in Rural Kenya. J AIDS Clinic Res 3:170. doi:10.4172/2155-6113.1000170

Copyright: © 2012 Hong SY, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Knowledge of HIV transmission is a prerequisite to practicing safer behaviors to prevent HIV infections and may be expected to vary by region because of cultural and socioeconomic determinants. A cross-sectional study was conducted in rural Kenya using a standardized questionnaire assessing HIV transmission knowledge, sociodemographic and other characteristics. Participants were recruited from the voluntary counseling and testing clinic and the general hospital population of Moi District Hospital. “High” HIV transmission knowledge scorers (≥ 81%) (Mean score) were compared with “low” scorers (<81%). Bivariate and multivariate logistic regression analyses were performed to examine factors associated with HIV transmission knowledge. Of 214 participants, 70 (33%) were HIV-positive, 104 (49%) were HIV-negative, and 40 (19%) did not know. Factors associated with low knowledge in multivariate analyses were lower education (OR 2.36, CI 1.03-5.46), lower household money on healthcare (OR 2.03, CI 1.28-3.21), higher clinic transportation costs (OR 3.14, CI 1.20-9.82), sex without a condom (OR 2.18, CI 1.12-4.26), positive HIV status vs. negative (OR 2.50, CI 1.22-5.26) and positive HIV status vs. unknown (OR 3.57, CI 1.33-9.09). Mean HIV transmission knowledge score was relatively high; however, a large proportion of patients demonstrated low knowledge. Identifying individuals at risk for low knowledge will support targeted HIV education and prevention programs.

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