Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries

Misganaw Gebrie Worku,1 Achamyeleh Birhanu Teshale,2 Getayeneh Antehunegn Tesema2 1Department of Human Anatomy, University of Gondar, College of Medicine and Health Science, School of Medicine, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Me...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Worku MG, Teshale AB, Tesema GA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	hiv/aids east africa pregnant women multilevel analysis Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/67d5db4a8b274f908d64b8fd2957fe7b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:67d5db4a8b274f908d64b8fd2957fe7b
record_format	dspace
spelling	oai:doaj.org-article:67d5db4a8b274f908d64b8fd2957fe7b2021-12-02T14:16:31ZPrevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries1179-1373https://doaj.org/article/67d5db4a8b274f908d64b8fd2957fe7b2021-02-01T00:00:00Zhttps://www.dovepress.com/prevalence-and-associated-factors-of-hiv-testing-among-pregnant-women--peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Misganaw Gebrie Worku,1 Achamyeleh Birhanu Teshale,2 Getayeneh Antehunegn Tesema2 1Department of Human Anatomy, University of Gondar, College of Medicine and Health Science, School of Medicine, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Misganaw Gebrie WorkuDepartment of Human Anatomy, University of Gondar, College of Medicine and Health Science, School of Medicine, PO. Box: 196, Gondar, EthiopiaTel +251925987029Email misgeb2008@gmail.comAim: In developing countries, particularly in sub-Saharan Africa, the burden of mother to child transmission (MTCT) of HIV is higher. Although the Joint United Nations Programme on HIV/AIDS (UNAIDS) and other organizations are working to eliminate MTCT, a large number of pregnant women are not screened for HIV in most African countries.Methods: The demographic health survey (DHS) used two-stage stratified sampling technique to select the study participants and we appended the most recent DHS done in the 11 East African countries. A weighted sample of 53, 420 women were included. A multilevel logistic regression analysis was used due to the hierarchical structure of the DHS data. To determine whether or not there was a clustering, the Interclass Correlation Coefficient (ICC) and Median Odds Ratio (MOR) were determined. Model comparison was conducted using deviance (− 2LL).Results: The prevalence of HIV testing among pregnant women was 77.56% [95% CI= 77.20%, 77.91%]. In the Multivariable multi-level analysis, variables such as respondent age, wealth index, marital status, educational level, HIV knowledge, HIV stigma indicator, risky sexual activity, women visiting health care facilities, multiple sexual partnership, early sexual initiation, and awareness about MTCT were the individual-level factors that were associated with HIV testing among pregnant women. While residence and community-level education were the community-level factors that were significantly associated with HIV testing.Conclusion: The prevalence of HIV testing and counseling among pregnant women was higher compared to the previous report. Respondent age, wealth index, marital status, educational level, HIV knowledge, HIV stigma indicator, risky sexual activity, women visiting health care facilities, multiple sexual partnership, early sexual initiation, residence, community-level education and awareness about MTCT were the significant determinant of HIV testing.Keywords: HIV/AIDS, East Africa, pregnant women, multilevel analysisWorku MGTeshale ABTesema GADove Medical Pressarticlehiv/aidseast africapregnant womenmultilevel analysisImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 181-189 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hiv/aids east africa pregnant women multilevel analysis Immunologic diseases. Allergy RC581-607
spellingShingle	hiv/aids east africa pregnant women multilevel analysis Immunologic diseases. Allergy RC581-607 Worku MG Teshale AB Tesema GA Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries
description	Misganaw Gebrie Worku,1 Achamyeleh Birhanu Teshale,2 Getayeneh Antehunegn Tesema2 1Department of Human Anatomy, University of Gondar, College of Medicine and Health Science, School of Medicine, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Misganaw Gebrie WorkuDepartment of Human Anatomy, University of Gondar, College of Medicine and Health Science, School of Medicine, PO. Box: 196, Gondar, EthiopiaTel +251925987029Email misgeb2008@gmail.comAim: In developing countries, particularly in sub-Saharan Africa, the burden of mother to child transmission (MTCT) of HIV is higher. Although the Joint United Nations Programme on HIV/AIDS (UNAIDS) and other organizations are working to eliminate MTCT, a large number of pregnant women are not screened for HIV in most African countries.Methods: The demographic health survey (DHS) used two-stage stratified sampling technique to select the study participants and we appended the most recent DHS done in the 11 East African countries. A weighted sample of 53, 420 women were included. A multilevel logistic regression analysis was used due to the hierarchical structure of the DHS data. To determine whether or not there was a clustering, the Interclass Correlation Coefficient (ICC) and Median Odds Ratio (MOR) were determined. Model comparison was conducted using deviance (− 2LL).Results: The prevalence of HIV testing among pregnant women was 77.56% [95% CI= 77.20%, 77.91%]. In the Multivariable multi-level analysis, variables such as respondent age, wealth index, marital status, educational level, HIV knowledge, HIV stigma indicator, risky sexual activity, women visiting health care facilities, multiple sexual partnership, early sexual initiation, and awareness about MTCT were the individual-level factors that were associated with HIV testing among pregnant women. While residence and community-level education were the community-level factors that were significantly associated with HIV testing.Conclusion: The prevalence of HIV testing and counseling among pregnant women was higher compared to the previous report. Respondent age, wealth index, marital status, educational level, HIV knowledge, HIV stigma indicator, risky sexual activity, women visiting health care facilities, multiple sexual partnership, early sexual initiation, residence, community-level education and awareness about MTCT were the significant determinant of HIV testing.Keywords: HIV/AIDS, East Africa, pregnant women, multilevel analysis
format	article
author	Worku MG Teshale AB Tesema GA
author_facet	Worku MG Teshale AB Tesema GA
author_sort	Worku MG
title	Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries
title_short	Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries
title_full	Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries
title_fullStr	Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries
title_full_unstemmed	Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries
title_sort	prevalence and associated factors of hiv testing among pregnant women: a multilevel analysis using the recent demographic and health survey data from 11 east african countries
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/67d5db4a8b274f908d64b8fd2957fe7b
work_keys_str_mv	AT workumg prevalenceandassociatedfactorsofhivtestingamongpregnantwomenamultilevelanalysisusingtherecentdemographicandhealthsurveydatafrom11eastafricancountries AT teshaleab prevalenceandassociatedfactorsofhivtestingamongpregnantwomenamultilevelanalysisusingtherecentdemographicandhealthsurveydatafrom11eastafricancountries AT tesemaga prevalenceandassociatedfactorsofhivtestingamongpregnantwomenamultilevelanalysisusingtherecentdemographicandhealthsurveydatafrom11eastafricancountries
_version_	1718391670266920960

Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries

Ejemplares similares