HIV testing and counselling among women in Benin: a cross-sectional analysis of prevalence and predictors from demographic and health survey data
Objective To examine the uptake of HIV testing and counselling (HTC) and its associated factors among women in Benin.Design We performed a cross-sectional analysis of data from the 2017–2018 Benin Demographic and Health Survey. A weighted sample of 5517 women was included in the study. We used perce...
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BMJ Publishing Group
2023-04-01
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Series: | BMJ Open |
Online Access: | https://bmjopen.bmj.com/content/13/4/e068805.full |
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author | Richard Gyan Aboagye Collins Adu Leticia Akua Adzigbli Abdul Cadri Paa Akonor Yeboah Aliu Mohammed |
author_facet | Richard Gyan Aboagye Collins Adu Leticia Akua Adzigbli Abdul Cadri Paa Akonor Yeboah Aliu Mohammed |
author_sort | Richard Gyan Aboagye |
collection | DOAJ |
description | Objective To examine the uptake of HIV testing and counselling (HTC) and its associated factors among women in Benin.Design We performed a cross-sectional analysis of data from the 2017–2018 Benin Demographic and Health Survey. A weighted sample of 5517 women was included in the study. We used percentages to present the results of the uptake of HTC. Multilevel binary logistic regression analysis was used to examine the predictors of HTC uptake. The results were presented using adjusted odds ratios (aORs), with 95% confidence intervals (CIs).Setting Benin.Participants Women aged 15–49.Outcome measure Uptake of HTC.Results The overall uptake of HTC among women in Benin was found to be 46.4% (44.4%–48.4%). The odds of HTC uptake was higher among women covered by health insurance (aOR 3.04, 95% CI 1.44 to 6.43) and those with comprehensive HIV knowledge (aOR 1.77, 95% CI 1.43 to 2.21). The odds of HTC uptake increased with increasing level of education, with the highest odds among those in the secondary or higher level (aOR 2.06, 95% CI 1.64 to 2.61). Also, the age of the women, mass media exposure, region of residence, high community literacy level, and high community socioeconomic status were associated with higher odds of HTC uptake. Women residing in rural areas were less likely to use HTC. Religious affiliation, number of sexual partners, and place of residence were associated with lower odds of HTC uptake.Conclusion Our study has shown that the uptake of HTC among women in Benin is relatively low. There is a need to enhance efforts to empower women, as well as reduce health inequities as they all have a substantial impact on HTC uptake among women in Benin, taking into consideration the factors identified in this study. |
first_indexed | 2024-04-09T18:10:05Z |
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issn | 2044-6055 |
language | English |
last_indexed | 2024-04-09T18:10:05Z |
publishDate | 2023-04-01 |
publisher | BMJ Publishing Group |
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series | BMJ Open |
spelling | doaj.art-6a3a6ee12a864cf2afe455b63e6155b22023-04-14T00:30:06ZengBMJ Publishing GroupBMJ Open2044-60552023-04-0113410.1136/bmjopen-2022-068805HIV testing and counselling among women in Benin: a cross-sectional analysis of prevalence and predictors from demographic and health survey dataRichard Gyan Aboagye0Collins Adu1Leticia Akua Adzigbli2Abdul Cadri3Paa Akonor Yeboah4Aliu Mohammed5Department of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Ho, GhanaCenter for Social Research in Health, University of New South Wales, Sydney, New South Wales, AustraliaDepartment of Epidemiology and Biostatistics, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, GhanaDepartment of Social and Behavioural Science, University of Ghana, Legon, GhanaFred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, GhanaDepartment of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, GhanaObjective To examine the uptake of HIV testing and counselling (HTC) and its associated factors among women in Benin.Design We performed a cross-sectional analysis of data from the 2017–2018 Benin Demographic and Health Survey. A weighted sample of 5517 women was included in the study. We used percentages to present the results of the uptake of HTC. Multilevel binary logistic regression analysis was used to examine the predictors of HTC uptake. The results were presented using adjusted odds ratios (aORs), with 95% confidence intervals (CIs).Setting Benin.Participants Women aged 15–49.Outcome measure Uptake of HTC.Results The overall uptake of HTC among women in Benin was found to be 46.4% (44.4%–48.4%). The odds of HTC uptake was higher among women covered by health insurance (aOR 3.04, 95% CI 1.44 to 6.43) and those with comprehensive HIV knowledge (aOR 1.77, 95% CI 1.43 to 2.21). The odds of HTC uptake increased with increasing level of education, with the highest odds among those in the secondary or higher level (aOR 2.06, 95% CI 1.64 to 2.61). Also, the age of the women, mass media exposure, region of residence, high community literacy level, and high community socioeconomic status were associated with higher odds of HTC uptake. Women residing in rural areas were less likely to use HTC. Religious affiliation, number of sexual partners, and place of residence were associated with lower odds of HTC uptake.Conclusion Our study has shown that the uptake of HTC among women in Benin is relatively low. There is a need to enhance efforts to empower women, as well as reduce health inequities as they all have a substantial impact on HTC uptake among women in Benin, taking into consideration the factors identified in this study.https://bmjopen.bmj.com/content/13/4/e068805.full |
spellingShingle | Richard Gyan Aboagye Collins Adu Leticia Akua Adzigbli Abdul Cadri Paa Akonor Yeboah Aliu Mohammed HIV testing and counselling among women in Benin: a cross-sectional analysis of prevalence and predictors from demographic and health survey data BMJ Open |
title | HIV testing and counselling among women in Benin: a cross-sectional analysis of prevalence and predictors from demographic and health survey data |
title_full | HIV testing and counselling among women in Benin: a cross-sectional analysis of prevalence and predictors from demographic and health survey data |
title_fullStr | HIV testing and counselling among women in Benin: a cross-sectional analysis of prevalence and predictors from demographic and health survey data |
title_full_unstemmed | HIV testing and counselling among women in Benin: a cross-sectional analysis of prevalence and predictors from demographic and health survey data |
title_short | HIV testing and counselling among women in Benin: a cross-sectional analysis of prevalence and predictors from demographic and health survey data |
title_sort | hiv testing and counselling among women in benin a cross sectional analysis of prevalence and predictors from demographic and health survey data |
url | https://bmjopen.bmj.com/content/13/4/e068805.full |
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