Predictors of HIV testing among women experiencing intimate partner violence in the Central Region of Ghana

HIV testing, which is important for the control of the HIV pandemic, has been hampered by several factors including Intimate Partner Violence (IPV), resulting in low uptake. This study sought to determine the predictors of HIV testing among women experiencing IPV. Secondary analysis of data generate...

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Main Authors: Beatrice Adwoa Afari, Juliana Yartey Enos, Deda Ogum Alangea, Adolphina Addo-Lartey, Adom Manu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLOS Global Public Health
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021791/?tool=EBI
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author Beatrice Adwoa Afari
Juliana Yartey Enos
Deda Ogum Alangea
Adolphina Addo-Lartey
Adom Manu
author_facet Beatrice Adwoa Afari
Juliana Yartey Enos
Deda Ogum Alangea
Adolphina Addo-Lartey
Adom Manu
author_sort Beatrice Adwoa Afari
collection DOAJ
description HIV testing, which is important for the control of the HIV pandemic, has been hampered by several factors including Intimate Partner Violence (IPV), resulting in low uptake. This study sought to determine the predictors of HIV testing among women experiencing IPV. Secondary analysis of data generated from a cross-sectional mixed-method unmatched cluster-randomized controlled trial designed to evaluate a multi-faceted community intervention to reduce the incidence of IPV in Ghana was done (N = 2000). Logistic regressions were performed to determine the predictors of HIV testing among women experiencing IPV, using the trial baseline data. The prevalence of HIV testing among women exposed to IPV in the study setting was 42.4%. Less than a third of the respondents (30.2%) had ever used condom and 96.6% had unemployed partners. Age, educational attainment, employment, residence and condom use were found to be significant predictors of HIV testing among women experiencing IPV. Women aged 25–39 years were more than twice as likely to test for HIV (AOR:2.41; 95%CI:1.45–4.02) than those above 45 years. Women with formal education (Junior-High—AOR:2.10; 95%CI:1.42–3.12; Senior-High—AOR:3.87; 95%CI:2.07–7.26); who had ever used condom (AOR:1.42; 95%CI:1.05–1.93); those reporting life satisfaction (AOR:1.44; 95%CI:1.08–1.92); and coastal residents (AOR:1.97; 95%CI:1.45–2.67) were more likely to test for HIV than those who did not and inland residents. However, employed women (AOR:0.66; 95%CI:0.45–0.96) were less likely to test for HIV than unemployed women. Less than half of the women exposed to IPV had tested for HIV. Socioeconomic disadvantages related to age, education, employment, residence and life satisfaction predicted HIV testing among women exposed to IPV. Considering the vulnerability of women experiencing IPV to HIV infection, strategies to improve uptake of HIV testing must tackle contextual socioeconomic factors that hinder access to services.
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spelling doaj.art-5d52a4feab62476eb5fbc6e74061f6282023-09-03T10:09:36ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-0125Predictors of HIV testing among women experiencing intimate partner violence in the Central Region of GhanaBeatrice Adwoa AfariJuliana Yartey EnosDeda Ogum AlangeaAdolphina Addo-LarteyAdom ManuHIV testing, which is important for the control of the HIV pandemic, has been hampered by several factors including Intimate Partner Violence (IPV), resulting in low uptake. This study sought to determine the predictors of HIV testing among women experiencing IPV. Secondary analysis of data generated from a cross-sectional mixed-method unmatched cluster-randomized controlled trial designed to evaluate a multi-faceted community intervention to reduce the incidence of IPV in Ghana was done (N = 2000). Logistic regressions were performed to determine the predictors of HIV testing among women experiencing IPV, using the trial baseline data. The prevalence of HIV testing among women exposed to IPV in the study setting was 42.4%. Less than a third of the respondents (30.2%) had ever used condom and 96.6% had unemployed partners. Age, educational attainment, employment, residence and condom use were found to be significant predictors of HIV testing among women experiencing IPV. Women aged 25–39 years were more than twice as likely to test for HIV (AOR:2.41; 95%CI:1.45–4.02) than those above 45 years. Women with formal education (Junior-High—AOR:2.10; 95%CI:1.42–3.12; Senior-High—AOR:3.87; 95%CI:2.07–7.26); who had ever used condom (AOR:1.42; 95%CI:1.05–1.93); those reporting life satisfaction (AOR:1.44; 95%CI:1.08–1.92); and coastal residents (AOR:1.97; 95%CI:1.45–2.67) were more likely to test for HIV than those who did not and inland residents. However, employed women (AOR:0.66; 95%CI:0.45–0.96) were less likely to test for HIV than unemployed women. Less than half of the women exposed to IPV had tested for HIV. Socioeconomic disadvantages related to age, education, employment, residence and life satisfaction predicted HIV testing among women exposed to IPV. Considering the vulnerability of women experiencing IPV to HIV infection, strategies to improve uptake of HIV testing must tackle contextual socioeconomic factors that hinder access to services.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021791/?tool=EBI
spellingShingle Beatrice Adwoa Afari
Juliana Yartey Enos
Deda Ogum Alangea
Adolphina Addo-Lartey
Adom Manu
Predictors of HIV testing among women experiencing intimate partner violence in the Central Region of Ghana
PLOS Global Public Health
title Predictors of HIV testing among women experiencing intimate partner violence in the Central Region of Ghana
title_full Predictors of HIV testing among women experiencing intimate partner violence in the Central Region of Ghana
title_fullStr Predictors of HIV testing among women experiencing intimate partner violence in the Central Region of Ghana
title_full_unstemmed Predictors of HIV testing among women experiencing intimate partner violence in the Central Region of Ghana
title_short Predictors of HIV testing among women experiencing intimate partner violence in the Central Region of Ghana
title_sort predictors of hiv testing among women experiencing intimate partner violence in the central region of ghana
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021791/?tool=EBI
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