Prevalence and associated factors of HIV testing among young (15–24) women in eastern Africa: a multilevel analysis of demographic health survey data (2008-2018)
Abstract Background According to available evidence, only 15% of young women in sub-Saharan Africa know their Human immune deficiency virus (HIV) status. Despite a high prevalence of HIV infection among adolescents and young women, policymakers give less attention to HIV testing and counseling servi...
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13690-022-00879-2 |
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| author | Misganaw Gebrie Worku Achamyeleh Birhanu Teshale Getayeneh Antehunegn Tesema |
| author_facet | Misganaw Gebrie Worku Achamyeleh Birhanu Teshale Getayeneh Antehunegn Tesema |
| author_sort | Misganaw Gebrie Worku |
| collection | DOAJ |
| description | Abstract Background According to available evidence, only 15% of young women in sub-Saharan Africa know their Human immune deficiency virus (HIV) status. Despite a high prevalence of HIV infection among adolescents and young women, policymakers give less attention to HIV testing and counseling services. So, this study aimed to investigate the pooled prevalence and associated factors of HIV testing among young women in east Africa. Methods The most recent DHS surveys done among 11 east African countries were pooled and a weighted sample of 73,661 young women were included. At bivariable analysis variables with a p-value≤0.2 were selected for multivariable analysis and variables with a p-value of ≤0.05 in the multivariable analysis were considered as a statistically significant determinant of HIV testing. Results Pooled prevalence of HIV testing among young women was 55.3%: 95% CI (54.97%, 55.69%). In the multilevel multivariable analysis: respondent age, marital status, educational level, occupation, media exposure, having higher and comprehensive knowledge about HIV / AIDS, having some and higher risky sexual behavior, visiting health care facilities, being rural dweller, being from rich households, having multiple sexual partners, early sex initiation and community-level education were significantly associated with HIV testing. Conclusion The prevalence of HIV testing among young women was significantly affected by both individual and community-level factors. To prevent the transmission and dissemination of HIV, there should be a systematic and coordinated approach and policy for HIV testing among young people. |
| first_indexed | 2024-12-12T21:59:08Z |
| format | Article |
| id | doaj.art-cfcdadacb33e484fb59f12dd139dd580 |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-12-12T21:59:08Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-cfcdadacb33e484fb59f12dd139dd5802022-12-22T00:10:33ZengBMCArchives of Public Health2049-32582022-04-018011810.1186/s13690-022-00879-2Prevalence and associated factors of HIV testing among young (15–24) women in eastern Africa: a multilevel analysis of demographic health survey data (2008-2018)Misganaw Gebrie Worku0Achamyeleh Birhanu Teshale1Getayeneh Antehunegn Tesema2Department of Human Anatomy, University of Gondar, college of medicine and health science, School of MedicineDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Background According to available evidence, only 15% of young women in sub-Saharan Africa know their Human immune deficiency virus (HIV) status. Despite a high prevalence of HIV infection among adolescents and young women, policymakers give less attention to HIV testing and counseling services. So, this study aimed to investigate the pooled prevalence and associated factors of HIV testing among young women in east Africa. Methods The most recent DHS surveys done among 11 east African countries were pooled and a weighted sample of 73,661 young women were included. At bivariable analysis variables with a p-value≤0.2 were selected for multivariable analysis and variables with a p-value of ≤0.05 in the multivariable analysis were considered as a statistically significant determinant of HIV testing. Results Pooled prevalence of HIV testing among young women was 55.3%: 95% CI (54.97%, 55.69%). In the multilevel multivariable analysis: respondent age, marital status, educational level, occupation, media exposure, having higher and comprehensive knowledge about HIV / AIDS, having some and higher risky sexual behavior, visiting health care facilities, being rural dweller, being from rich households, having multiple sexual partners, early sex initiation and community-level education were significantly associated with HIV testing. Conclusion The prevalence of HIV testing among young women was significantly affected by both individual and community-level factors. To prevent the transmission and dissemination of HIV, there should be a systematic and coordinated approach and policy for HIV testing among young people.https://doi.org/10.1186/s13690-022-00879-2HIV/AIDSMultilevel analysisEast AfricaYoung women |
| spellingShingle | Misganaw Gebrie Worku Achamyeleh Birhanu Teshale Getayeneh Antehunegn Tesema Prevalence and associated factors of HIV testing among young (15–24) women in eastern Africa: a multilevel analysis of demographic health survey data (2008-2018) Archives of Public Health HIV/AIDS Multilevel analysis East Africa Young women |
| title | Prevalence and associated factors of HIV testing among young (15–24) women in eastern Africa: a multilevel analysis of demographic health survey data (2008-2018) |
| title_full | Prevalence and associated factors of HIV testing among young (15–24) women in eastern Africa: a multilevel analysis of demographic health survey data (2008-2018) |
| title_fullStr | Prevalence and associated factors of HIV testing among young (15–24) women in eastern Africa: a multilevel analysis of demographic health survey data (2008-2018) |
| title_full_unstemmed | Prevalence and associated factors of HIV testing among young (15–24) women in eastern Africa: a multilevel analysis of demographic health survey data (2008-2018) |
| title_short | Prevalence and associated factors of HIV testing among young (15–24) women in eastern Africa: a multilevel analysis of demographic health survey data (2008-2018) |
| title_sort | prevalence and associated factors of hiv testing among young 15 24 women in eastern africa a multilevel analysis of demographic health survey data 2008 2018 |
| topic | HIV/AIDS Multilevel analysis East Africa Young women |
| url | https://doi.org/10.1186/s13690-022-00879-2 |
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