Determinants of HIV Testing Among Nigerian Couples: A Multilevel Modelling Approach

LLpine, Aurrlia; Terris-Prestholt, Fern; Vickerman, Peter

doi:10.2139/ssrn.2352866

Cited by 1 publication

(3 citation statements)

References 27 publications

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“…Previous studies have shown that being wealthier is associated with an increased likelihood of using maternal health care services (Babalola & Fatuisi 2009;Tarekegn et al, 2014). This is as expected, since women from wealthier households are more likely to be able to afford health care services and their associated costs, such as transport (Semali et al, 2014;Lepine et al, 2014;Moindi et al, 2015). Another possible explanation is that, since higher household wealth could be an indication of a higher number of educated household members, women from such households may have greater access to information and education on HIV and its implications (Chandisarewa et al, 2007;Ahmed et al, 2010).…”

Section: Discussionmentioning

confidence: 52%

“…The HIV and psychological enabling factors included HIV stigma, awareness, disclosure and confidential concern. The need factors related to the perceived and evaluated assessment of an individual's own health status, which may inform the need to seek health care (Lepine et al, 2014). In line with other studies, 'ever been tested for HIV' (a proxy for knowledge of HIV status) and 'knowing someone living with HIV' were considered as proxies for the perceived risk and need factors that may have influenced the health-seeking behaviour of the women.…”

Section: Explanatory Variablesmentioning

confidence: 92%

“…Personal perceived risk of HIV infection and the need to seek health care as a protective measure against HIV have also been found to be associated with an increased likelihood of HIV testing and use of ANC services (Lepine et al, 2014). Depending on past sexual behaviour, HIV awareness and personal acquaintance with people infected with HIV/AIDS, individuals construct their own perceived probability of being infected, affecting their health-seeking behaviour.…”

Section: Introductionmentioning

confidence: 99%

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Individual- And Community-Level Determinants of Antenatal Hiv Testing In Zimbabwe

Gazimbi

Magadi

2018

J. Biosoc. Sci.

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This study contributes to the dialogue on the prevention of mother-to-child HIV transmission (PMTCT) through the use of HIV and antenatal care (ANC) integrated services. The determinants of antenatal HIV testing in Zimbabwe were explored. Multilevel logistic regression models were applied to data for 8471 women from 406 clusters who gave birth in the 5 years preceding Zimbabwe Demographic and Health Surveys conducted in 2005/6 and 2010/11. The uptake of antenatal HIV testing was found to be determined by a wide range of individual-level factors relating to women's economic and demographic status, as well as HIV-related factors, including HIV awareness and stigma within the community. Important individual-level enabling and perceived need factors included high socioeconomic status, not having observed HIV-related stigma and knowledge of HIV status (based on a previous HIV test), such that these groups of individuals had a significantly higher likelihood of being tested for HIV during pregnancy than their counterparts of lower socioeconomic status, and who had observed HIV-related stigma or did not know their HIV status. The results further revealed that community HIV awareness is important for improving antenatal HIV testing, while stigma is associated with reduced testing uptake. Most contextual community-level factors were not found to have much effect on the uptake of antenatal HIV testing. Therefore, policies should focus on individual-level predisposing and enabling factors to improve the uptake of antenatal HIV testing in Zimbabwe.

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Section: Discussionmentioning

confidence: 52%

Section: Explanatory Variablesmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Individual- And Community-Level Determinants of Antenatal Hiv Testing In Zimbabwe

Gazimbi

Magadi

2018

J. Biosoc. Sci.

View full text Add to dashboard Cite

show abstract

Determinants of HIV Testing Among Nigerian Couples: A Multilevel Modelling Approach

Abstract: General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available:

Cited by 1 publication

References 27 publications

Individual- And Community-Level Determinants of Antenatal Hiv Testing In Zimbabwe

Individual- And Community-Level Determinants of Antenatal Hiv Testing In Zimbabwe

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