ArticlePloS one2015
Factors Associated with HIV Prevalence and HIV Testing in Sierra Leone: Findings from the 2008 Demographic Health Survey.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 34 citations in OpenAlex.
- Factors Influencing Human Immunodeficiency Virus Testing Results in Mozambique: A Multivariate Approach to Socioeconomic, Demographic, and Cultural Influences.Health science reports · 2026Article
- Trends and spatial patterns of human immunodeficiency virus prevalence among men and women aged 15-49 in Sierra Leone: evidence from the 2008, 2013 and 2019 Demographic and Health Surveys.BMJ global health · 2025Article
- Association of self-reported HIV infection with oral pre-exposure prophylaxis use among women of reproductive age in Lesotho: evidence from mixed-effects estimates of nationally representative data.Sexually transmitted infections · 2025Article
- Geographic variations and determinants of ever-tested for HIV among women aged 15-49 in Sierra Leone: a spatial and multi-level analysis.BMC public health · 2025Article
- Provincial distribution and factors associated with self-reported sexually transmitted infections and their symptoms among women in Sierra Leone.BMC infectious diseases · 2024Article
- Spatial distribution and factors associated with HIV testing among adolescent girls and young women in Sierra Leone.BMC infectious diseases · 2024Article
- Article
- An application of social marketing for promoting HIV testing in Iran.BMC public health · 2023Article
- Epidemiological and viral characteristics of undiagnosed HIV infections in Botswana.BMC infectious diseases · 2022Article
- Prevalence of risk factors for human immunodeficiency virus among women of reproductive age in Sierra Leone: a 2019 nationwide survey.BMC infectious diseases · 2022Article
- Article
- Article
- Barriers and Facilitators for HIV Testing Practice Among Ethiopian Women Aged 15-24 years: Analysis of the 2016 Ethiopian Demographic and Health Survey.HIV/AIDS (Auckland, N.Z.) · 2020Article
- Using Anderson's Model of Health Service Utilization to Assess the Use of HIV Testing Services by Sexually Active Men in Ghana.Frontiers in public health · 2020Article
- Uptake and correlates of HIV testing among men in Malawi: evidence from a national population-based household survey.BMC health services research · 2019Article
- HIV prevalence in suspected Ebola cases during the 2014-2016 Ebola epidemic in Sierra Leone.Infectious diseases of poverty · 2019Article
- "He Told Me to Check My Health": A Qualitative Exploration of Social Network Influence on Men's HIV Testing Behavior and HIV Self-Testing Willingness in Tanzania.American journal of men's health · 2018Article
- High Prevalence of Late-Stage Disease in Newly Diagnosed Human Immunodeficiency Virus Patients in Sierra Leone.Open forum infectious diseases · 2018Article
- Prevalence and correlates of HIV testing among adolescents 10-19 years in a post-conflict pastoralist community of Karamoja region, Uganda.BMC public health · 2018Article
- Uptake of HIV testing in Burkina Faso: an assessment of individual and community-level determinants.BMC public health · 2017Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Sierra Leone Demographic Health Survey 2008 found an HIV prevalence of 1.5%. This study investigates associations with HIV infection and HIV testing.
methodsHouseholds were selected using stratified multi-stage sampling. In all selected households women aged 15-49 were eligible. In every second household men aged 15-59 were also eligible. Participants were asked to consent for anonymous HIV testing. All participants interviewed and tested were analysed. Multiple logistic regression identified associations with HIV infection, undiagnosed infection and with ever having a voluntary HIV test among sexually active participants.
resultsOf 7495 invited 86% (6,475) agreed to an interview and HIV test. Among 96 HIV positive participants, 78% had never taken a voluntary HIV test so were unaware of their serostatus, and 86% were sexually active in the last 12 months among whom 96% did not use a condom at last intercourse. 11% of all participants had previously voluntarily tested. Among women who had tested, 60% did so in antenatal care. We found that those living in an urban area, and those previously married, were more likely to be HIV infected. Voluntary HIV testing was more common in those aged 25-44, living in an urban area, females, having secondary or higher education, having first sexual intercourse at age 17 years or older, and using condoms at last sex. Although 82% of men and 69% of women had heard of HIV, only 35% and 29% respectively had heard of antiretroviral therapy.
conclusionsThe HIV prevalence in Sierra Leone has been stable. HIV testing, however, is uncommon and most infected individuals are unaware of their serostatus. This could allow the epidemic to escalate as individuals with undiagnosed infection are unlikely to change their behaviour or access treatment. Improving knowledge and increasing testing need to remain central to HIV prevention interventions in Sierra Leone.
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