Coverage of HIV testing among pregnant women in Catalonia, Spain: A comparison of self-reporting with medical records

Pérez, Katherine; Blanch, Carles; Casabona, Jordi; Almeda, Jesús; Coll, O.

doi:10.1093/eurpub/14.3.261

Cited by 13 publications

(7 citation statements)

References 16 publications

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“…25 Also, educated women might have higher levels of exposure to HIV/AIDSrelated information, better knowledge regarding the advantages of HIV testing, as well as ability to make good decisions to go for HIV testing. 24 Women from rural resident had less chance of HIV testing compared with those of urban residents and this is supported by a previous study in Ethiopia. 16 This might be justified as in most developing countries the health facilities were not accessible to the rural population and this decreases their chance of getting HIV counseling and testing.…”

Section: Discussionsupporting

confidence: 71%

“…It was greater than studies done in Ethiopia, 16 Nigeria, 22 and Gambia. 23 This finding was smaller than the prevalence of HIV testing reported in Spain 24 and Malawi. 2 The discrepancy might be due to the difference in the study period, the study population, and the availability and accessibility of maternal health services between countries.…”

Section: Discussionmentioning

confidence: 75%

“…2 In this study women with primary and higher education had higher odds of HIV testing compared with women without formal education, which is supported by studies conducted in Ethiopia 21,25 and Spain. 24 The reason for this is that education can improve HIV-related knowledge and improves income among women that in turn increases maternal health service use. 25 Also, educated women might have higher levels of exposure to HIV/AIDSrelated information, better knowledge regarding the advantages of HIV testing, as well as ability to make good decisions to go for HIV testing.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries

Worku¹,

Teshale²,

Tesema³

2021

HIV

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In developing countries, particularly in sub-Saharan Africa, the burden of mother to child transmission (MTCT) of HIV is higher. Although the Joint United Nations Programme on HIV/AIDS (UNAIDS) and other organizations are working to eliminate MTCT, a large number of pregnant women are not screened for HIV in most African countries. Methods: The demographic health survey (DHS) used two-stage stratified sampling technique to select the study participants and we appended the most recent DHS done in the 11 East African countries. A weighted sample of 53, 420 women were included. A multilevel logistic regression analysis was used due to the hierarchical structure of the DHS data. To determine whether or not there was a clustering, the Interclass Correlation Coefficient (ICC) and Median Odds Ratio (MOR) were determined. Model comparison was conducted using deviance (−2LL). Results: The prevalence of HIV testing among pregnant women was 77.56% [95% CI= 77.20%, 77.91%]. In the Multivariable multi-level analysis, variables such as respondent age, wealth index, marital status, educational level, HIV knowledge, HIV stigma indicator, risky sexual activity, women visiting health care facilities, multiple sexual partnership, early sexual initiation, and awareness about MTCT were the individual-level factors that were associated with HIV testing among pregnant women. While residence and community-level education were the community-level factors that were significantly associated with HIV testing. Conclusion: The prevalence of HIV testing and counseling among pregnant women was higher compared to the previous report. Respondent age, wealth index, marital status, educational level, HIV knowledge, HIV stigma indicator, risky sexual activity, women visiting health care facilities, multiple sexual partnership, early sexual initiation, residence, community-level education and awareness about MTCT were the significant determinant of HIV testing.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

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Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries

Worku¹,

Teshale²,

Tesema³

2021

HIV

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“…Education was the most common individual level factor assessed in previous studies. Multiple studies found that higher education among pregnant women was significantly associated with obtaining antenatal HIV and syphilis screenings [ 18 – 22 ]. The present study did not find a significant association between education level and screenings.…”

Section: Main Textmentioning

confidence: 99%

“…Exploring individual level characteristics associated with antenatal HIV and syphilis screenings can better describe the current situation and assist with creating more targeted interventions to increase the provision of antenatal screenings. Previous studies have reported mixed findings on the association between women obtaining antenatal HIV and syphilis screenings during pregnancy and individual level characteristics such as age, adverse pregnancy outcomes, and marital status [ 18 – 22 ]. In addition, prior research focused on individual level factors associated with antenatal HIV or syphilis screenings have reported findings on either antenatal HIV or syphilis screenings.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia

et al. 2020

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Objectives To identify characteristics associated with obtaining HIV and syphilis screenings of pregnant women attending a first antenatal visit in Lusaka, Zambia. Results Among 18,231 participants from April 2015 to January 2016, 95% obtained HIV screening, 29% obtained syphilis screening, and 4% did not obtain antenatal HIV or syphilis screenings. Divorced/separated women were associated with a moderate decrease in prevalence of obtaining HIV (adjusted prevalence ratio (aPR) 0.88, 95% confidence interval (95% CI) 0.82, 0.95) and syphilis (aPR 0.51, 95% CI 0.27, 0.96) screenings compared to married women. Women with previous pregnancies were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.97, 95% CI 0.95, 0.99) compared to women without previous pregnancy. Older women ≥ 35 years were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.96, 95% CI 0.92, 0.99) compared to younger women. The statistically significant differences were not of clinical relevance as defined by a proportional difference of 10 percent. Findings of this study show that a vast majority of pregnant women are obtaining HIV screenings but not syphilis screenings during first antenatal visit. Provision of antenatal HIV and syphilis screening at first visit is only weakly related to patient level factors.

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Correlates of Prenatal HIV Testing in Women with Undocumented Status at Delivery

Webber

Demas

Blaney

et al. 2007

Matern Child Health J

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Coverage of HIV testing among pregnant women in Catalonia, Spain: A comparison of self-reporting with medical records

Cited by 13 publications

References 16 publications

Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries

Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries

Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia

Correlates of Prenatal HIV Testing in Women with Undocumented Status at Delivery

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