Uptake of HIV testing among women of reproductive age in Tajikistan: An assessment of individual determinants

##plugins.themes.bootstrap3.article.main##

Salima Kasymova

Аннотация

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.

##plugins.themes.bootstrap3.article.details##

Как цитировать
Kasymova, S. (2020). Uptake of HIV testing among women of reproductive age in Tajikistan: An assessment of individual determinants. Central Asian Journal of Global Health, 9(1). https://doi.org/10.5195/cajgh.2020.370
Раздел
Research
Биография автора

Salima Kasymova, Independent Researcher and Consultant

Public health researcher

Библиографические ссылки

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.