Risky sexual behaviours and utilization of HIV testing services among the adolescent girls and young women aged between 15-24 years in Kibra Sub County, Nairobi County, Kenya

Abstract

Background HIV remains a significant global health challenge, disproportionately affecting adolescent girls and young women (AGYW). HIV testing is crucial in controlling transmission and reducing its prevalence. Understanding risky sexual behaviours among AGYW is pivotal in aligning prevention interventions. Despite global prevention efforts, testing gaps persist among AGYW, linked to risky sexual behaviour (RSB). This study explores the association between these behaviours and HIV testing utilization among AGYW (aged 15–24) in Kibra Sub County, Nairobi. Methods A cross-sectional study sampled 379 AGYW from three wards in Kibra Sub County in Nairobi County. To be an eligible participant, one must have been a resident for at least one year before the time of the study and aged between 15–24 years, employing standardized structured interviewer-administered questionnaires and statistical analyses. Results were analysed using Chi-square tests and logistic regression. Data was collected between June to July 2023. Results Overall, HIV testing prevalence was 60.7% (n=230). Those aged 20–24 were 71.3% (n=164), with secondary education were 63.5% (n=146) and married 28.7% (66) were more likely to undergo testing. Participants engaging in risky behaviours such as lack of condom use (3.96 times more likely), experiencing gender-based violence (4.65 times more likely), or contracting STIs (2.85 times more likely) had higher odds of seeking HIV testing services. Conclusions This study establishes a clear link between risky sexual behaviours and HIV testing among AGYW, with a 60.7% testing prevalence; however, gaps still exist. Efforts to enhance testing rates are vital. Interventions should align with acceptable methods, focusing on this affected community to ensure effective HIV care and prevention.