Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar 2:10:913040.
doi: 10.3389/fmed.2023.913040. eCollection 2023.

Married women pre-marital HIV testing status in Ethiopia: Individual and community level factor analysis

Molla Yigzaw Birhanu  1 , Daniel Bekele Ketema  1 , Melaku Desta  2 , Samuel Derbie Habtegiorgis  1 , Belayneh Mengist  1 , Alehegn Aderaw Alamneh  2 , Ayenew Negesse Abeje  2 , Eniyew Tegegne  3 , Aytenew Geremew Mengist  4 , Migbar Dessalegn  5 , Getamesay Molla Bekele  6 , Selamawit Shita Jemberie  2
Affiliations

Married women pre-marital HIV testing status in Ethiopia: Individual and community level factor analysis

Molla Yigzaw Birhanu et al. Front Med (Lausanne). .

Abstract

Introduction: Marriage between serodiscordant individuals accounts for 65-85% of new infections. Pre-marital Human Immune Virus (HIV) testing opens the door for HIV infection prevention and control. There are no studies that have evaluated the coverage and factors influencing pre-marital HIV testing at the community level in Ethiopia.

Methods: This study was conducted using 10,008 samples of data extracted from Ethiopian demographic and health surveys (EDHS), 2016. To identify individual and community level factors a multi-level binary logistic regression model was used. Among fitted models, "full" model was taken as the best model. To declare the presence or absence of significant association with pre-marital HIV testing, a p-value < 0.05 with confidence interval (CI) was used.

Results: In Ethiopia, 21.4% (95% CI: 20.6, 22.2%) of study participants had pre-marital HIV testing. Age 35-49 years (AOR = 0.25; 95% CI: 0.09, 0.66), educated (AOR = 1.76; 95% CI: 1.17, 2.79), rich (AOR = 1.95; 95% CI: 1.13, 3.55), having media exposure (AOR = 1.54; 95% CI: 1.30, 4.71), and high community level literacy (AOR = 0.38; 95% CI: 0.22, 0.66) were factors significantly associated with pre-marital HIV testing.

Conclusion: The low coverage of pre-marital HIV testing in Ethiopia is insufficient to have a significant influence on the HIV/Acquired Immune Deficiency Syndrome (AIDS) epidemic. Information dissemination to create awareness about human rights and public health implications of pre-marital HIV testing áre necessary while it is made mandatory.

Keywords: Ethiopia; HIV testing; married women; multi-level; pre-marital.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Pre-martial HIV testing over the educational status of married reproductive aged women in Ethiopia.
See this image and copyright information in PMC

References

    1. PEPFAR. Ethiopia country/regional operational plan (COP/ROP), strategic direction summary. Geneva: UNAIDS; (2021).
    1. Michelo C. Trends and determinants of HIV prevalence in Zambia: evidence from surveys in selected communities. Ph.D. thesis. Bergen: University of Bergen; (2007).
    1. Joint United Nations Programme on Hiv and Aids [UNAIDS]. Global HIV & AIDS statistics–Fact sheet. (2020). Available online at: https://www.unaids.org/en/resources/fact-sheet (accessed March 20, 2022).
    1. PEPFAR, Global AIDS. Global HIV/AIDS overview. HIV.gov. (2020).
    1. Salima N, Leah E, Stephen L. HIV testing among women of reproductive age exposed to intimate partner violence in Uganda. Open Public Health J. (2018) 11:275–87. 10.2174/1874944501811010275 - DOI

LinkOut - more resources