HIV Testing among sexually active Ghanaians: an examination of the rural-urban correlates

Dey, Nutifafa Eugene Yaw; Ansah, Kenneth Owusu; Norman, Queen Angela; Manukure, Joseph Mfum; Brew, Abigail Boatemaa Kyei; Dey, Enam Amen; Agbadi, Pascal

doi:10.1007/s10461-022-03731-4

Cited by 2 publications

(2 citation statements)

References 65 publications

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“…While our findings contrast with global literature which conclude rural populations face greater disparities in access to HIV primary care, testing, and other health care resources [71][72][73][74][75], our findings point to the importance of the types of key populations which may reside in urban areas compared to rural areas. Labor migrants are disproportionately more likely to reside in rural areas [76] including the wives of migrants who may be affected while other key populations like PWID, MSM, and CSWs are more likely to reside in urban areas [63,77].…”

Section: Gender Variation In Hiv Early Detectioncontrasting

confidence: 99%

Regional Health Divides: Understanding Inequities in Late Diagnosis of HIV in Tajikistan

Alaei,

Kwan,

Torabzadeh

et al. 2024

Preprint

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HIV early detection (CD4 counts ≥350 cells/μL) is correlated with higher life expectancy among people living with HIV (PLHIV). Several factors including physical, cultural, structural, and financial barriers have contributed to HIV late detection. This is the first-of-its-kind study on the regional differences in early detection of HIV within Tajikistan and any country in the Central Asia region. Utilizing Tajikistan Ministry of Health's national HIV data (N=10,700) spanning 2010 to 2023, we developed median regression models with median CD4 cell count as the outcome and as predictors: time (years), region, age, gender, and area (urban/rural status). Individuals younger than 19 years old are more likely to be detected early for HIV, whereas those older than 39 years are more prone to late detection. Given their active engagement in age-related and sexual activities, those older than 39 years face a higher risk of HIV transmission to others if diagnosed late. Therefore, they require further attention and targeted interventions. Females are detected earlier compared to their male counterparts, regardless of region of residence. Rural populations are detected earlier in most years compared to their urban counterparts. The COVID-19 pandemic accelerated HIV early detection in 2021 but most regions have returned to near pre-pandemic levels of detection in 2022 and 2023. These fluctuations in early detection may signify a shift in attention and resource allocation, potentially affecting efforts to address access gaps during the initial year of the COVID-19 pandemic. There are significant health inequities among different demographic and geographic groups which warrant further attention.

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Section: Gender Variation In Hiv Early Detectioncontrasting

confidence: 99%

Regional Health Divides: Understanding Inequities in Late Diagnosis of HIV in Tajikistan

Alaei,

Kwan,

Torabzadeh

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…While our findings contrast with global literature which concludes that rural populations face greater disparities in access to HIV primary care, testing, and other health care resources [73][74][75][76][77], our findings point to the importance of the types of key populations which may reside in urban areas compared to rural areas. Labor migrants are disproportionately more likely to reside in rural areas [78], including the wives of migrants who may be affected, while other key populations like PWID, MSM, and CSWs are more likely to reside in urban areas [65,79].…”

Section: Area (Urban/rural) Disparities In Hiv Early Detectioncontrasting

confidence: 99%

Progress in Early Detection of HIV in Tajikistan

Alaei,

Kwan,

Torabzadeh

et al. 2024

Viruses

View full text Add to dashboard Cite

HIV early detection (CD4 counts ≥ 350 cells/μL) is correlated with higher life expectancy among people living with HIV (PLHIV). Several factors, including physical, cultural, structural, and financial barriers, may limit early detection of HIV. This is a first-of-its-kind study on population-level differences in early detection of HIV across time within Tajikistan and any country in the Central Asia region. Utilizing the Tajikistan Ministry of Health’s national HIV data (N = 10,700) spanning 2010 to 2023, we developed median regression models with the median CD4 cell count as the outcome and with the following predictors: time (years), region, age, gender, and area (urban/rural status). Individuals younger than 19 years old were detected early for HIV, whereas those older than 39 years were detected late. Females were detected earlier compared to their male counterparts regardless of region of residence. Rural populations were detected earlier in most years compared to their urban counterparts. The COVID-19 pandemic accelerated HIV early detection in 2021 but most regions have returned to near pre-pandemic levels of detection in 2022 and 2023. There were differences identified among different demographic and geographic groups which warrant further attention.

show abstract

HIV Testing among sexually active Ghanaians: an examination of the rural-urban correlates

Cited by 2 publications

References 65 publications

Regional Health Divides: Understanding Inequities in Late Diagnosis of HIV in Tajikistan

Regional Health Divides: Understanding Inequities in Late Diagnosis of HIV in Tajikistan

Progress in Early Detection of HIV in Tajikistan

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