Predictors of HIV testing among youth 15–24 years in urban Ethiopia, 2017–2018 Ethiopia population-based HIV impact assessment

Ajiboye, Aderonke Solape; Eshetu, Frehywot; Lulseged, Sileshi; Getaneh, Yimam; Tademe, Nadew; Kifle, Tsigereda; Bray, Rachel; Eshete, Hailegnaw; Demissie, Yohannes; Dykewicz, Clare A.; Hoos, David

doi:10.1371/journal.pone.0265710

Cited by 4 publications

(7 citation statements)

References 16 publications

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“…Conversely, lack of formal education constrains access to information and awareness about the importance of HIV testing. Additionally, it diminishes one's autonomy in making decisions to seek healthcare services and utilize healthcare facilities ( 11 , 21 , 43 , 44 ).…”

Section: Discussionmentioning

confidence: 99%

“…This finding is supported by disparities across geographical regions in awareness of HIV transmission and the importance of HIV testing in Ethiopia ( 45 ), leading to a varied distribution of being ever-tested AGYW across the country. Moreover, communities with limited knowledge about HIV may experience increased HIV-related stigma, resulting in reduced rates of HIV testing due to decreased awareness ( 11 , 21 , 46 , 47 ).…”

Section: Discussionmentioning

confidence: 99%

“…Despite this high proportion, the uptake of HIV testing among AGYW remains low, with only 21.8% reporting testing in the past year. However, people living with HIV and those receiving antiretroviral therapy tend to engage in safer sexual behaviors ( 11 ). In Sub-Saharan African countries, including Ethiopia, HIV testing uptake among AGYW is low but is showing an increasing trend ( 6 , 12 , 13 ).…”

Section: Introductionmentioning

confidence: 99%

“…A smaller proportion of AGYW (27%) tested for HIV ( 17 ). These figures also vary from region to region ( 11 , 16 – 18 ). For an AIDS-free generation and the pandemic to be under control, prevention of HIV infection in this age group is essential ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

“…However, the spatial distribution of HIV being ever-tested AGYW has not been examined in Ethiopia. Therefore, this study aimed to identify hot spots and cold spots for HIV being ever-tested in AGYW to enhance testing strategies and improve the response to HIV/AIDS ( 11 , 16 – 18 ).…”

Section: Introductionmentioning

confidence: 99%

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Spatial mapping and predictors of ever-tested for HIV in adolescent girls and young women in Ethiopia

Shimbre,

Tunja,

Bodicha

et al. 2024

Front. Public Health

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BackgroundAdolescent girls and young women (AGYW) are expected to be healthy in life. However, the unique health challenges faced by AGYW include unsafe sex practices and substance abuse. Only 46.3% of AGYW in Africa are aware of their HIV status, and difficulties are underlined in HIV testing among adolescents and young people. To demarcate the areas with low and high HIV testing, this study aimed to map predictors of ever-tested for HIV among adolescent girls and young women in Ethiopia.MethodsSecondary data analysis was conducted using the dataset from the 2016 Ethiopia Demographic and Health Survey (EHDS). We conducted spatial autocorrelation and Moran's I statistics to investigate the regional variance of HIV being ever-tested in AGYW. In addition, spatial regression analyses such as ordinary least squares (OLS) regression and geographically weighted regression (GWR) were carried out to determine the predictors of being ever-tested for HIV among AGYW.ResultsAddis Ababa, some parts of Amhara, Dire Dawa, Gambela, and Tigray were the primary regions and city administrations for being ever-tested for HIV among AGYW. A lesser proportion of AGYW being ever-tested for HIV was found in Somalia, Afar, Benshangul Gumuz, and southern nations. Spatial regression analyses identified an age range of 15–19 years, being Muslim, having no formal education, having no knowledge about HIV, and experiencing severe stigma as predictors of being ever-tested for HIV among AGYW.ConclusionThe proportion of AGYW being ever-tested for HIV was high in Addis Ababa, some parts of Amhara, Dire Dawa, Gambela, and Tigray. Spatial regression analyses identified that AGYW aged 15–19 years, having no formal education, having no knowledge about HIV, and experiencing severe community stigma as predictors negatively affecting the proportion of being ever-tested for HIV, while being Muslim was a predictor that positively affected the proportion of being ever-tested for HIV. The governments and other stakeholders should focus on increasing HIV testing among these special groups of the population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Spatial mapping and predictors of ever-tested for HIV in adolescent girls and young women in Ethiopia

Shimbre,

Tunja,

Bodicha

et al. 2024

Front. Public Health

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A community-based study of intention to use HIV self-testing among young people in urban areas of southern Ethiopia

Zeleke,

Stephens,

Gesesew

et al. 2024

Sci Rep

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In sub-Saharan Africa, young people are at high risk of HIV infection, representing nearly 4 out of 5 new infections. HIV self-testing (HIVST), a new and proactive testing scheme that involves self-collection of a specimen and interpretation of results, is deemed potentially helpful for increasing testing amongst population groups like young people who do not frequently use routine testing services. This study assessed young people’s intention to use HIVST in urban areas of southern Ethiopia drawing on the Theory of Planned Behaviour. A community-based cross-sectional study was conducted with 634 participants aged 15–24 years from six town administrations of two zones in January to February 2023. The participation rate was 634/636 yielding 99.7%. The OraQuick HIVST kit was demonstrated to young people recruited in a door-to-door survey with a face-to-face interview using an electronic questionnaire in a mobile phone-based application. Intention to use HIVST was measured from a 6-point Likert scale with scores of agreements ranging from 1 to 6. Descriptive statistics and ordinal logistic regression analysis were done using STATA version 18. Most of the participants agreed that they would use HIVST if it was available (86.3% agreeing or strongly agreeing). Interestingly, young people who perceived themselves at some to high risk were 0.51 times less likely to be in the higher order of intention to use when HIVST is available to them than those who perceived themselves at no to low risk. Intention to use HIVST increased by a factor of 1.29, 1.84 and 2.35 for every one-unit increase on the mean favourable attitude, perceived behavioural control, and acceptability scores, respectively. The majority of young people intended to use HIVST. Young people’s perceived behavioural control, and acceptability of HIVST affected their intention to use. Intention and subsequent use of HIVST can be enhanced through an understanding of the role of risk perception and positive attitude, confidence to perform and acceptance of the test. Implementation studies are required to examine the actual uptake of HIVST among young people. Supplementary Information The online version contains supplementary material available at 10.1038/s41598-024-77728-5.

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Prevalence and predictors of HIV testing among young men in Papua New Guinea: a cross-sectional analysis of a nationally representative sample

Maviso

2023

Preprint

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HIV testing is a crucial strategy for HIV prevention, treatment, care, and support. However, its uptake is suboptimal among young people, particularly in settings where the HIV burden is highest. In Papua New Guinea (PNG), HIV testing and its predictors among young men are understudied. This study aimed to assess the prevalence and predictors of not testing for HIV among young men aged 15-24 years in PNG. Data were drawn from the 2016-2018 PNG Demographic and Health Survey (DHS). A total of 1,362 young men were included in the study. Multivariable logistic regression using the complex sampling technique was used to determine predictors of not testing for HIV. Results were reported as adjusted Odds Ratios (AOR) with 95% Confidence Intervals (CI). The prevalence of not testing for HIV among young men was 82.7%. Young men who were never married (AOR 1.88; 95% CI: 1.19-2.96), did not own a mobile phone (AOR 1.79; 95% CI: 1.17-2.77), had not paid anyone for sex (AOR 2.82; 95% CI: 1.29-6.14), and had no STIs (AOR 1.97; 95% CI: 1.00-3.85) had higher odds of not testing for HIV. The odds of not testing for HIV remained lower among young men who did not always use a condom during sex (AOR 0.62; 95% CI: 0.39-0.96). HIV testing among young men in this study was much lower, suggesting an urgent need to adopt novel prevention approaches to address this shortfall. Furthermore, youth-oriented health services should be prioritized with a focus on improving HIV knowledge, risk reduction, and behaviour change among young men in this setting.

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Predictors of HIV testing among youth 15–24 years in urban Ethiopia, 2017–2018 Ethiopia population-based HIV impact assessment

Cited by 4 publications

References 16 publications

Spatial mapping and predictors of ever-tested for HIV in adolescent girls and young women in Ethiopia

Spatial mapping and predictors of ever-tested for HIV in adolescent girls and young women in Ethiopia

A community-based study of intention to use HIV self-testing among young people in urban areas of southern Ethiopia

Prevalence and predictors of HIV testing among young men in Papua New Guinea: a cross-sectional analysis of a nationally representative sample

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