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

Introduction: HIV remains a significant global health challenge,
disproportionately affecting adolescent girls and young women (AGYW). HIV
testing is crucial in controlling the infection and reducing its
prevalence. Understanding risky sexual behaviors among AGYW is pivotal in
aligning prevention interventions. Despite global prevention efforts,
testing gaps persist among AGYW, linked to risky sexual behavior (RSB).
This study explores the association between these behaviors 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 analyzed 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 behaviors 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. Conclusion: This
study establishes a clear link between risky sexual behaviors 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 high-risk group to ensure
effective HIV care and prevention.