Residence and young women’s comprehensive HIV knowledge in Ethiopia

Abate, Biruk Beletew; Kassie, Ayelign Mengesha; Reta, Melese Abate; Ice, Gillian H.; Haile, Zelalem T.

doi:10.1186/s12889-020-09687-1

Cited by 13 publications

(14 citation statements)

References 36 publications

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“…We found that, higher odds of comprehensive knowledge of HIV/AIDS among married women who were from rural residences as compared to married women who live in urban residences. This finding is inconsistent with prior studies in Uganda, Ghana, and Tanzania [ 81 – 84 ], and the possible reason could be due to poor access to HIV testing, poverty and lower education in rural setting. Hence, these inconsistencies need further future studies.…”

Section: Discussioncontrasting

confidence: 99%

Women’s decision-making capacity and its association with comprehensive knowledge of HIV/AIDS in 23 sub-Saharan African countries

Zegeye¹,

Anyiam

Ameyaw

et al. 2022

Arch Public Health

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Background Globally, Human Immunodeficiency Virus (HIV) that causes Acquired Immunodeficiency Syndrome (AIDS) remains a public health problem with a higher burden in sub-Saharan African countries. Though the coverage is low in sub-Saharan Africa (SSA), comprehensive knowledge about HIV is vital for preventing and controlling the transmission of the virus. Women’s decision-making power is significantly linked with the knowledge and use of healthcare services. However, there is no available evidence on women’s decision-making capacity and comprehensive knowledge of HIV. Therefore, this study investigated the association between women’s decision-making capacity within households and comprehensive knowledge of HIV/AIDS in SSA. Methods We derived data from the 2010 to 2020 Demographic and Health Surveys of 23 sub-Saharan African countries for the analysis. Using Stata version 14, both bivariate logistic regression and multivariate multilevel logistic regression analyses were used to examine the association between women’s decision-making capacity and comprehensive knowledge of HIV/AIDS at p ≤ 0.05. Results were reported using adjusted odds ratios (aOR) with their respective 95% confidence interval (CI). Results The pooled results show that comprehensive HIV/AIDS knowledge among married women in the studied countries was 35.5%, from 18.3% in Chad to 77.1% in Rwanda. Regarding sub-regional distribution, comprehensive knowledge of HIV/AIDS in Southern Africa was 73.2%, followed by East Africa (52.4%), West Africa (43.6%), and Central Africa (35.5%). The study showed higher odds of comprehensive knowledge of HIV/AIDS among married women who had decision making power (yes-aOR = 1.20, 95% CI; 1.16–1.25) compared to those who had no decision-making power. Age, women and partner’s level of education, place of residence, exposure to media, HIV testing status, community socio-economic status, parity, religion, and distance to health facilities also had significant association with comprehensive HIV/AIDS knowledge. Conclusions Comprehensive knowledge of HIV/AIDS in SSA is low but varies per country. Married women with decision-making capacity were more likely to have comprehensive knowledge of HIV compared to those with no decision-making capacity. Therefore, comprehensive knowledge of HIV/AIDS can be increased through enhancing women’s decision-making capacities, strengthening employment opportunities, socioeconomic capacities and creating awareness through media. Moreover, improving access to health care facilities working closely with religious leaders, can be considered to increase coverage of comprehensive knowledge of HIV among married women in SSA.

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Section: Discussioncontrasting

confidence: 99%

Women’s decision-making capacity and its association with comprehensive knowledge of HIV/AIDS in 23 sub-Saharan African countries

Zegeye¹,

Anyiam

Ameyaw

et al. 2022

Arch Public Health

View full text Add to dashboard Cite

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“…Furthermore, women with a positive history of STIs and living in the metropolitan areas in the Gambia were more likely to procure HIV testing than those in the rural areas. These findings are validated by previous literature [20][21][22][23]27] that reported that rural residents were less likely to have tested for HIV. Residents in rural areas have been found to be less likely to receive other types of screening such as breast and cervical cancer screening, invariably suggesting that this trend is not unique to only HIV care [43].…”

Section: Discussionsupporting

confidence: 88%

“…This additional analysis was to identify factors that inform geographically sensitive public health interventions, more so when other studies have reported variations in HIV testing across geographies [20][21][22][23]27] often resulting in area-specific barriers to HIV testing. This is relevant in the context of policy formulation as it aims to generate empirical findings that could help in the design of appropriate and context specific interventions targeted at increasing the uptake of HIV Testing in the Gambia.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the interaction between the constructs of extended Theory of Planned Behavior (TPB) [26] and findings from previous literature [4,7,9,[16][17][18][19][20][21][22][23] To avoid small cell count problems during regression, Religion was recoded into two categories (Islam, Christianity and Others), and Wealth Index into Low, Middle and High.…”

Section: Independent Variablesmentioning

confidence: 99%

“…Again, HIV Testing has been found to vary depending on whether an individual resides in an urban or rural area in other jurisdictions. Evidence from studies conducted in Ethiopia and across the United States of America [20][21][22][23] have reported that women living in rural areas have substantially lower odds of HIV Testing compared to those in urban areas. In the Gambia however, no study has been identified to have been conducted exploring the variabilities in HIV testing across one's place of residence (rural/urban).…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with HIV Testing among Reproductive Women Aged 15–49 Years in the Gambia: Analysis of the 2019–2020 Gambian Demographic and Health Survey

Deynu

Agyemang

Anokye

2022

IJERPH

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Voluntary counselling and testing for Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) has always been one of the key policy interventions in the management and control of HIV/AIDS transmission. However, the prevalence of HIV testing among reproductive women in the Gambia remains low despite near universal information about HIV and Sexually Transmitted Infections (STIs) in the Gambia. Understanding factors influencing HIV testing uptake provides empirical data for the development of targeted evidenced-based strategies aimed at enhancing HIV testing uptake. Therefore, this study examined the factors associated with HIV testing among reproductive women aged 15–49 years in the Gambia. Data on weighted sample of 11,865 women from the 2019–2020 Gambia Demographic and Health Survey were analyzed in this study. Chi square, bivariate and multivariate logistic regression models were fitted and analysis conducted through Complex Samples Analysis in Statistical Package for Social Sciences (SPSS). Level of significance was set at p < 0.05 and 95% CI. Further analysis was conducted to determine the variability in HIV testing among women stratified by rural and urban centers. Prevalence of HIV testing among reproductive women was 42.1% (95% CI = 40.1–44.2%) in the Gambia. Women aged 20–24 years and 25–29 years (aOR = 3.10, 95% CI = 2.51–3.83) and (aOR = 4.52, 95% CI = 3.61–5.54) were more likely to test for HIV than those aged 15–19 years, respectively. Married women (aOR = 5.90, 95% CI = 4.84–7.02) were more likely to test for HIV compared to those who were not in any union. Respondents with higher education in urban centers (aOR = 2.65, 95% CI = 2.08–3.86) were likely to test for HIV compared to those in rural areas. HIV testing in the Gambia among reproductive women is low. Age, marital status, wealth index, place of residence, educational level, recent sexual activity, previous history of risky sexual behaviors, and history of an STI were associated with HIV testing. Health interventions targeted at increasing HIV testing uptake should factor in these.

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Association between sexual and reproductive health education in peer group and comprehensive knowledge of HIV among adolescent girls in rural eastern Ethiopia: a community-based cross-sectional study

et al. 2022

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ObjectivesThis study examined the association between sexual and reproductive health (SRH) education in peer-group discussion and comprehensive knowledge of HIV among young adolescent girls in rural eastern Ethiopia.DesignThe study analysed data from a large quasi-experimental study involving 3290 young adolescent girls aged 13–17 years. The intervention targeted adolescent girls aged 10–14 years. Data were collected using a comprehensive HIV knowledge tool adopted from the demographic and health survey questionnaire. Multi-level mixed-effect logistic regression analysis was employed to examine associations using STATA/SE V.14 statistical software.SettingWest Hararghe, rural Ethiopia.Participants3290 adolescent girls.ResultsMagnitude of comprehensive knowledge of HIV among those who received SRH education and those who did not receive SRH education was 16.78% (95% CI 14.41% to 19.45%) and 14.01% (95% CI 12.38% to 15.81%), respectively. Overall, 14.84% (95% CI 13.4.% to 16.39%) of the adolescent girls aged 13–17 years had comprehensive knowledge of HIV. The odds of having comprehensive HIV knowledge were higher (1.36 times) among adolescent girls who received SRH education compared with those who did not receive SRH education (adjusted OR 1.36, 95% CI 1.01 to 1.84) after controlling for selected potential confounders. Odds of having comprehensive HIV knowledge were also higher (1.73 times) among older adolescent girls (adjusted OR 1.733 95% CI 1.098 to 2.735) and (3.89 times) among those who attended secondary school (adjusted OR=3.889 95% CI 1.836 to 8.235) compared with young adolescent girls and the uneducated, respectively.ConclusionsComprehensive knowledge of HIV among young adolescent girls was very low. Providing SRH education for young adolescent girls improved their comprehensive knowledge of HIV in rural eastern Ethiopia. Initiating sexual education at an early age would benefit HIV prevention efforts.

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Residence and young women’s comprehensive HIV knowledge in Ethiopia

Cited by 13 publications

References 36 publications

Women’s decision-making capacity and its association with comprehensive knowledge of HIV/AIDS in 23 sub-Saharan African countries

Women’s decision-making capacity and its association with comprehensive knowledge of HIV/AIDS in 23 sub-Saharan African countries

Factors Associated with HIV Testing among Reproductive Women Aged 15–49 Years in the Gambia: Analysis of the 2019–2020 Gambian Demographic and Health Survey

Association between sexual and reproductive health education in peer group and comprehensive knowledge of HIV among adolescent girls in rural eastern Ethiopia: a community-based cross-sectional study

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