ArticleGlobal health action
Socio-economic inequity in HIV testing in Malawi.
Article in Global health action. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Explaining inequity in knowledge, attitude, and services related to HIV/AIDS: a systematic review.BMC public health · 2024Pooled it
- Factors influencing HIV testing among women in Mozambique: insights from the 2022/23 demographic and health survey.BMC public health · 2026Article
- Geospatial and multilevel analysis of lifetime HIV testing uptake among high-risk adults in Mozambique: evidence from the 2022-2023 DHS.International journal of health geographics · 2026Article
- Equity in HIV/AIDS services requires optimization of mainstreaming sectors in Ethiopia.BMC public health · 2024Article
- Measuring Socioeconomic Inequalities in HIV Testing During Antenatal Care: A Peruvian National Survey.Journal of community health · 2024Article
- Trends and factors associated with recent HIV testing among women in Haiti: a cross-sectional study using data from nationally representative surveys.BMC infectious diseases · 2024Article
- Socioeconomic inequality in adults undertaking HIV testing over time in Ethiopia based on data from demographic and health surveys.PloS one · 2024Article
- Article
- Socioeconomic inequalities in the HIV testing during antenatal care: evidence from Indian demographic health survey, 2015-16.BMC public health · 2022Article
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- Predictors of wealth index in Malawi - Analysis of Malawi demographic Health Survey 2004-2015/16.Public health in practice (Oxford, England) · 2021Article
- Article
- The relationships between cognitive function, literacy and HIV status knowledge among older adults in rural South Africa.Journal of the International AIDS Society · 2020Article
- A method for measuring spatial effects on socioeconomic inequalities using the concentration index.International journal for equity in health · 2020Article
- The Association of Material Hardship with Medication Adherence and Perceived Stress Among People Living with HIV in Rural Zambia.Global social welfare : research, policy & practice · 2019Article
- Computational Prediction of Subjective Human Immunodeficiency Virus Status in Malawi Using a Random Forest Approach.AIDS research and treatment · 2019Article
- Article
- Measurement and decomposition of socioeconomic inequality in single and multimorbidity in older adults in China and Ghana: results from the WHO study on global AGEing and adult health (SAGE).International journal for equity in health · 2017Article
- Health behavior and social crisis in the era of COVID-19 in Malawi: A decolonizing approach to a qualitative study.Nursing outlookArticle
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundHuman immunodeficiency virus (HIV) is a significant contributor to Malawi's burden of disease. Despite a number of studies describing socio-economic differences in HIV prevalence, there is a paucity of evidence on socio-economic inequity in HIV testing in Malawi.
objectiveTo assess horizontal inequity (HI) in HIV testing in Malawi.
designData from the Demographic and Health Surveys (DHSs) 2004 and 2010 in Malawi are used for the analysis. The sample size for DHS 2004 was 14,571 (women =11,362 and men=3,209), and for DHS 2010 it was 29,830 (women=22,716 and men=7,114). The concentration index is used to quantify the amount of socio-economic-related inequality in HIV testing. The inequality is a primary method in this study. Corrected need, a further adjustment of the standard decomposition index, was calculated. Standard HI was compared with corrected need-adjusted inequity. Variables used to measure health need include symptoms of sexually transmitted infections. Non-need variables include wealth, education, literacy and marital status.
resultsBetween 2004 and 2010, the proportion of the population ever tested for HIV increased from 15 to 75% among women and from 16 to 54% among men. The need for HIV testing among men was concentrated among the relatively wealthy in 2004, but the need was more equitably distributed in 2010. Standard HI was 0.152 in 2004 and 0.008 in 2010 among women, and 0.186 in 2004 and 0.04 in 2010 among men. Rural-urban inequity also fell in this period, but HIV testing remained pro-rich among rural men (HI 0.041). The main social contributors to inequity in HIV testing were wealth in 2004 and education in 2010.
conclusionsInequity in HIV testing in Malawi decreased between 2004 and 2010. This may be due to the increased support to HIV testing by global donors over this period.
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