Uptake of HIV testing among women of reproductive age in Tajikistan: An assessment of individual determinants
Main Article Content
Abstract
Introduction: Over the past decade, the incidence of human immunodeficiency virus (HIV) infections in Tajikistan increased significantly, with women particularly vulnerable to acquiring HIV. This research assessed individual determinants associated with HIV testing among women of reproductive age.
Methods: Secondary data analysis was done using data from 5,867 females aged 15–49 years. Chi-square test, t-test, and multivariate analysis were applied to find associations between women's socio-demographic characteristics, reproductive health variables, and HIV testing uptake.
Results: Overall, only 26% (1,501) of women in the present research reported HIV testing in the past. Multiple regression indicated that HIV testing was significantly associated with participants' age (25–34 age group: OR 0.7, p ? 0.001; 35–49 age group: OR 0.2, p ? 0.001), education (OR 2.2, p ? 0.001), area of residence (OR 0.6, p ? 0.001), marital status (OR 2.4, p ? 0.001), HIV knowledge (OR 1.1, p ? 0.001), and pregnancy history (OR 6.7, p ? 0.001).
Conclusion: Results of this research suggest that there is a need for culturally acceptable interventions, including outreach to increase the overall HIV testing rate among women in Tajikistan.
Article Details
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.
References
European Centre for Disease Prevention and Control, World Health Organization Regional Office for Europe. HIV/AIDS surveillance in Europe 2018 – 2017 data. Copenhagen, Denmark: WHO Regional Office for Europe; 2018.
Ancker S, Rechel B. Policy responses to HIV/AIDS in Central Asia. Glob Public Health. 2015;10(7):817-33. doi: 10.1080/17441692.2015.1043313.
WHO Regional Office for Europe. HIV/AIDS in Tajikistan. Mid-term review of the National AIDS Programme 2011-15 (October 2013). WHO Regional Office for Europe. http://www.euro.who.int/__data/assets/pdf_file/0010/257275/HIVAIDS-in-Tajikistan.pdf?ua=1. Published 2014. Accessed November 22, 2018.
WHO Regional Office for Europe, Centre for Health and Infectious Disease Research, WHO Collaborating Centre on HIV and Viral Hepatitis. HIV programme review in Tajikistan. Evaluation report (September 2014). WHO Regional Office for Europe. http://www.euro.who.int/__data/assets/pdf_file/0008/270539/HIV-Programme-Review-in-Tajikistan.pdf?ua=1. Published 2015. Accessed November 27, 2018.
Cremin I, Nyamukapa C, Sherr L, et al. Patterns of self-reported behaviour change associated with receiving voluntary counselling and testing in a longitudinal study from Manicaland, Zimbabwe. AIDS Behav. 2010;14(3):708-15. doi: 10.1007/s10461-009-9592-4.
Saadat VM. HIV Risks, Testing, and Treatment in the Former Soviet Union: Challenges and Future Directions in Research and Methodology. Cent Asian J Glob Health. 2015;4(2):225. doi: 10.5195/cajgh.2015.225.
Smolak A, El-Bassel N. Multilevel stigma as a barrier to HIV testing in Central Asia: a context quantified. AIDS Behav. 2013;17(8):2742-55. doi: 10.1007/s10461-013-0571-4.
Statistical Agency under the President of the Republic of Tajikistan (SA), Ministry of Health of Tajikistan (MOH), ICF International. Tajikistan Demographic and Health Survey 2012. TJIR61FL.DTA [database online]. Rockville, Maryland: SA, MOH, ICF International [Producers]. ICF International [Distributor]; 2013. Accessed November 1, 2018.
Statistical Agency under the President of the Republic of Tajikistan (SA), Ministry of Health of Tajikistan (MOH), ICF International. Tajikistan Demographic and Health Survey 2012. Dushanbe, Tajikistan & Calverton, Maryland, USA: SA, MOH, and ICF International; 2013.
Cherutich P, Kaiser R, Galbraith J, et al. Lack of knowledge of HIV status a major barrier to HIV prevention, care and treatment efforts in Kenya: results from a nationally representative study. PLoS One. 2012;7(5):e36797. doi: 10.1371/journal.pone.0036797.
Jean K, Anglaret X, Moh R, Lert F, Dray-Spira R. Barriers to HIV testing in Cote d'Ivoire: the role of individual characteristics and testing modalities. PLoS One. 2012;7(7):e41353. doi: 10.1371/journal.pone.0041353.
Kuehne A, Koschollek C, Santos-Hovener C, et al. Impact of HIV knowledge and stigma on the uptake of HIV testing - Results from a community-based participatory research survey among migrants from sub-Saharan Africa in Germany. PLoS One. 2018;13(4):e0194244. doi: 10.1371/journal.pone.0194244.
Ziraba AK, Madise NJ, Kimani JK, et al. Determinants for HIV testing and counselling in Nairobi urban informal settlements. BMC Public Health. 2011;11:663. doi: 10.1186/1471-2458-11-663.
Kirakoya-Samadoulougou F, Jean K, Maheu-Giroux M. Uptake of HIV testing in Burkina Faso: an assessment of individual and community-level determinants. BMC Public Health. 2017;17(1):486. doi: 10.1186/s12889-017-4417-2.
Takarinda KC, Madyira LK, Mhangara M, et al. Factors Associated with Ever Being HIV-Tested in Zimbabwe: An Extended Analysis of the Zimbabwe Demographic and Health Survey (2010-2011). PLoS One. 2016;11(1):e0147828. doi: 10.1371/journal.pone.0147828.
Labhardt ND, Motlomelo M, Cerutti B, et al. Home-based versus mobile clinic HIV testing and counseling in rural Lesotho: a cluster-randomized trial. PLoS Med. 2014;11(12):e1001768. doi: 10.1371/journal.pmed.1001768.
Sharma M, Ying R, Tarr G, Barnabas R. Systematic review and meta-analysis of community and facility-based HIV testing to address linkage to care gaps in sub-Saharan Africa. Nature. 2015;528(7580):S77-85. doi: 10.1038/nature16044.
King EJ, Maksymenko KM, Almodovar-Diaz Y, Johnson S. 'If she is a good woman ...' and 'to be a real man ...': gender, risk and access to HIV services among key populations in Tajikistan. Cult Health Sex. 2016;18(4):422-34. doi: 10.1080/13691058.2015.1089603.