HIV status awareness and associated factors among domestic workers in Kigali, Rwanda
Bibliographic record
Abstract
Domestic workers are at risk of sexual violence at their workplace, and recent studies have demonstrated that they have irregular working hours and limited time off, making it difficult to access health care services. Poor access to health services has been linked to poor HIV testing. In this study, we aimed to determine the proportion of domestic workers who are aware of their HIV status in Rwanda and the associated factors related to their unawareness. This cross-sectional study design involved 884 domestic workers in Kigali. We employed questions regarding awareness of HIV status adopted from previously published literature. Descriptive statistics was conducted to determine the proportion of domestic workers who are unaware of HIV status, and logistic regression was performed to identify the associated factors related to their unawareness. The mean age was 21.3 (Standard Deviation of 3.5), and the findings revealed that 29.43% of domestic workers were unaware of their HIV status. Factors associated with unawareness of HIV status were age below 18 (adjusted odds ratio [aOR] = 3.34; 95% confidence interval [CI]: 1.55–7.19, p value = 0.002), male-gender (aOR = 2.00, 95% CI: 1.40–2.86, p value ≤0.001), low level of education (aOR = 1.77, 95% CI: 1.26–2.49, p value ≤0.001), previous history of having unprotected sexual intercourse (aOR = 1.81; 95% CI: 1.19–2.73, p value = 0.005), those who had ever had sex (aOR = 0.59; 95% CI: 0.39–0.89, p value = 0.012), and drug dependence (aOR = 0.68, 95% CI: 0.48–0.96, p value = 0.032). One in three domestic workers is unaware of their HIV status, yet the majority are sexually active. To achieve the 2030 goal of eradicating HIV infection, programs should innovate ways to target this vulnerable group specifically.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".