What has comprehensive HIV/AIDS knowledge got to do with HIV testing among men in Kenya and Mozambique? Evidence from Demographic and Health Surveys

Budu, Eugene; Seidu, Abdul‐Aziz; Armah‐Ansah, Ebenezer Kwesi; Mohammed, Aliu; Adu, Collins; Ameyaw, Edward Kwabena

doi:10.1017/s0021932021000237

Cited by 4 publications

(9 citation statements)

References 50 publications

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“…Our findings are consistent with those from Ethiopia, 7 Zimbabwe, 5 Kenya and Mozambique. 9 Evidence of a positive association between comprehensive knowledge of HIV and HIV testing uptake stresses the importance of continued and effective dissemination of health messages about HIV/AIDS, HIV testing services and the benefits of getting tested.…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies have found that certain socioeconomic and demographic characteristicsage, 5,6 marital status, [6][7][8] educational levels, [6][7][8] occupation, 7 wealth [5][6][7][8] and place of residence 5,8 are significantly associated with HIV testing uptake. Moreover, research has demonstrated that comprehensive knowledge of HIV is associated with higher HIV testing uptake, 5,7,9 while stigma and discrimination of HIV are associated with lower HIV testing uptake. 5 Additionally, Thapa et al 10 found that women with positive attitudes about safer sex negotiation had higher odds of being tested for HIV.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with lifetime HIV testing among women in four Southeast Asian countries: Evidence from the demographic and health surveys

et al. 2023

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Background Southeast Asian countries have been trying to increase HIV testing coverage of women since awareness of HIV status is essential to eliminate mother-to-child transmission of HIV. This study determined factors related to lifetime HIV testing uptake among women aged 15–49 years in four Southeast Asian countries: Myanmar, Cambodia, the Philippines and Timor-Leste. Methods This study used cross-sectional data from the 2015–16 Myanmar Demographic and Health Survey (DHS), the 2014 Cambodia DHS, the 2017 Philippines National DHS and the 2016 Timor-Leste DHS. We conducted multivariable logistic regression analyses to identify factors associated with lifetime HIV testing among women aged 15–49 years who completed the surveys in each country and ran a fixed effects logistic regression model using pooled data. Results The proportions of lifetime HIV testing uptake among women aged 15–49 years were 42.1% in Cambodia, 19.5% in Myanmar, 4.6% in the Philippines, and 3.7% in Timor-Leste. Marital status, age, education, and wealth were significantly associated with lifetime HIV testing uptake among women in all four countries. Other factors (e.g., comprehensive knowledge of HIV, rural/urban residence, positive attitudes towards negotiation for safer sex) were also significant determinants of HIV testing uptake among women in some of these countries. Conclusions A multi-sectoral collaboration of related sectors and organizations is necessary to increase access to HIV testing and HIV knowledge of women to overcome the barriers to HIV testing. It is critical to make HIV testing services available and accessible to women, especially in rural areas.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors associated with lifetime HIV testing among women in four Southeast Asian countries: Evidence from the demographic and health surveys

et al. 2023

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“…In fact, the DHS is a reliable source of data, and numerous African studies have validated this survey to measure comprehensive knowledge about HIV and AIDS [8,15,16,24,27,28]. Further details on the method of data collection and the questionnaires used can be found in the DHS Angola 2015 report [29].…”

Section: Methodsmentioning

confidence: 99%

“…The concept of comprehensive knowledge of HIV and AIDS includes an understanding of the transmission of HIV and the ability to refute misconceptions about HIV and AIDS [10]. Although this concept can vary between studies and regions [10,[15][16][17], it is widely accepted that having a comprehensive knowledge of HIV can be the first step toward HIV-testing, modifying unsafe behaviors among populations at risk, and the acceptance of treatment [11].…”

Section: Introductionmentioning

confidence: 99%

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Comprehensive Knowledge of HIV and AIDS and Related Factors in Angolans Aged between 15 and 49 Years

Ramos,

Fronteira,

Martins

2023

IJERPH

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A comprehensive knowledge of HIV and AIDS among men and women in Africa is reportedly low. To the best of our knowledge, no studies using any definition of comprehensive knowledge of HIV and AIDS have been conducted in Angola. To address this gap, we aimed to describe the comprehensive knowledge held by individuals aged between 15 and 49 years regarding HIV and AIDS and some associated factors, using the most recent Angolan demographic and health survey (DHS). Using an observational, cross-sectional design, we analyzed data collected from 19,785 individuals aged between 15 and 49 years for the 2016 DHS in Angola. We conducted a logistic regression analysis of descriptive and complex samples to examine the data and to unravel possible factors associated with having a comprehensive knowledge of HIV and AIDS. Almost half of the respondents (47.7%) had a general comprehensive knowledge of HIV and AIDS. Individuals who watched television (adjusted odds ratio [aOR]: 2.40; 95% CI: 2.11, 2.72) or read newspapers and magazines (aOR: 1.99; 95% CI: 1.72, 2.30) more than once a week had higher odds of having a comprehensive knowledge of HIV and AIDS compared to those who did not. Similarly, having completed primary education and above (aOR: 1.83; 95% CI: 1.67, 2.00) or living in urban areas (aOR: 1.51; 95% CI: 1.34, 1.71) increased the likelihood of individuals having a comprehensive knowledge of HIV and AIDS compared to their counterparts. These results reflect inequalities that require further attention at either a research or a political level. Nevertheless, we consider that these results can assist decision-makers in advocating for continuous investment in HIV health literacy and in adapting global solutions to local Angolan contexts.

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Predictors of HIV testing among youth aged 15–24 years in The Gambia

et al. 2022

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Background Worldwide, an estimated 38.0 million people lived with the human immunodeficiency virus in 2019, and 3.4 million young people aged 15~24 years were living with HIV. Sub-Saharan Africa carries a significant HIV burden with West and Central Africa most affected with HIV. Among the young people living with HIV in West and Central Africa, an estimated 810,000 were aged 15~24 years. This study aimed to assess predictors that influence the uptake of HIV testing among youth aged 15~24 years in The Gambia. Methods The 2013 Gambia Demographic and Health Survey data for youth aged 15~24 years was used. The Andersen behavioral model of health service use guided this study. A cross-sectional study design was used on 6194 subjects, among which 4730 were female. The analysis employed Chi-squared tests and hierarchical logistic regression. Results Less than one-quarter of the youth 1404 (22.6%) had ever been tested for HIV. Young people aged 20~24 years (adjusted odds ratio (aOR): 1.98), who were females (aOR: 1.13), married youth (aOR: 3.89), with a primary (aOR: 1.23), secondary or higher education (aOR: 1.46), and who were from the Jola/Karoninka ethnic group (aOR: 1.81), had higher odds of having been tested for HIV. Those with adequate HIV knowledge and those who were sexually active and had aged at first sex ≥15 years (aOR: 3.99) and those <15 years (aOR: 3.96) were more likely to have been tested for HIV compared to those who never had sex. Conclusion This study underscores the low level of model testing on HIV testing among youth (15~24 years) in The Gambia. Using Anderson’s Model of Health Service Utilization, the predisposing factors (socio-demographic and HIV knowledge) and the need-for-care factors (sexual risk behaviors) predict healthcare utilization services (HIV testing) in our study; however, only socio-demographic model explained most of the variance in HIV testing. The low effect of model testing could be related to the limited number of major variables selected for HIV knowledge and sexual risk behavior models. Thus, consideration for more variables is required for future studies.

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What has comprehensive HIV/AIDS knowledge got to do with HIV testing among men in Kenya and Mozambique? Evidence from Demographic and Health Surveys

Cited by 4 publications

References 50 publications

Factors associated with lifetime HIV testing among women in four Southeast Asian countries: Evidence from the demographic and health surveys

Factors associated with lifetime HIV testing among women in four Southeast Asian countries: Evidence from the demographic and health surveys

Comprehensive Knowledge of HIV and AIDS and Related Factors in Angolans Aged between 15 and 49 Years

Predictors of HIV testing among youth aged 15–24 years in The Gambia

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