ArticleBMC infectious diseases2024
Factors influencing HIV testing uptake in Sub-Saharan Africa: a comprehensive multi-level analysis using demographic and health survey data (2015-2022).
Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation determinants of rapid diagnostic tests for fever management in sub-Saharan Africa: a mixed-studies systematic review.Nature communications · 2026Pooled it
- Acceptance of HIV Index Case Testing and Associated Factors Among People Living with HIV and on Anti-Retroviral Therapy in Ethiopia: Meta-Analysis and Systematic Review.Journal of the International Association of Providers of AIDS CarePooled it
- The Prevalence and Factors Associated With HIV Testing among Adolescent Girls and Young Women in the Gambia-Evidence From the 2019/2020 Demographic and Health Survey.Health science reports · 2026Article
- Prevalence and Factors Associated with Lifetime HIV Testing Among Thai General Population Adults: Finding from the 6th Thai National Health Examination Survey.Healthcare (Basel, Switzerland) · 2026Article
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- Factors Influencing Human Immunodeficiency Virus Testing Results in Mozambique: A Multivariate Approach to Socioeconomic, Demographic, and Cultural Influences.Health science reports · 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
- HIV testing and prevalence in fishing communities in rural Uganda: a cross-sectional study of 3197 individuals within SchistoTrack.BMJ open · 2026Article
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- Article
- Determinants of HIV testing intentions among heterosexual men in the Bolgatanga Municipality of Ghana: Evidence from the theory of planned behaviour.PLOS global public health · 2026Article
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- Knowledge, attitudes, stigma perceptions, and practices towards HIV testing among youths aged 18-35 years in Kumba, Cameroon: a community-based cross-sectional study.BMC public health · 2025Article
- Unlocking self-testing: predictors of HIV self-testing kit use among reproductive-aged women in tanzania; a multilevel analysis of the 2022 demographic and health survey.AIDS research and therapy · 2025Article
- HIV testing acceptance and its associated factors among key and priority populations in Harar town, Harari region, Eastern Ethiopia.BMC infectious diseases · 2025Article
- Prevalence and determinants of HIV testing-seeking behaviors among women of reproductive age in Tanzania: analysis of the 2022 Demographic and health survey.AIDS research and therapy · 2025Article
- Urban-Rural Disparities in Pediatric HIV Testing Uptake in Ethiopia: A Cross-Sectional Analysis of the 2016 Ethiopian Demographic and Health Survey.Journal of the International Association of Providers of AIDS CareArticle
- Uptake of HIV Testing and Associated Factors Among Individuals Aged 15-49 Years in Malawi: Multilevel Analysis of the 2024 Malawi Demographic and Health Survey.Journal of the International Association of Providers of AIDS CareArticle
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11 authors.
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Abstract
backgroundHuman Immunodeficiency Virus (HIV) is a global health concern, causing over 35 million deaths, with 97% occurring in developing nations, particularly impacting Sub-Saharan Africa. While HIV testing is crucial for early treatment and prevention, existing research often focuses on specific groups, neglecting general adult testing rates. This study aims to identify predictors of HIV testing uptake among adults in Sub-Saharan Africa.
methodData were obtained from the official Demographic and Health Survey program database, which used a multistage cluster sampling technique to collect the survey data. In this study, a weighted sample of 283,936 adults was included from thirteen Sub-Saharan African countries. Multilevel multivariable logistic regression analysis was employed to identify predictors of HIV testing uptake. Akaike's information criteria guided model selection. Adjusted odds ratios and corresponding 95% confidence intervals determined significant predictor variables.
resultAmong adults in Sub-Saharan African countries, the prevalence of HIV testing uptake was 65.01% [95% CI (64.84%, 65.17%)]. Influential factors included male sex [AOR: 0.51, 95% CI (0.49,0.53)], varying odds ratios across age groups (20-24 [AOR: 3.3, 95% CI (3.21, 3.46) ], 25-29 [AOR: 4.4, 95% CI (4.23, 4.65)], 30-34 [AOR: 4.6, 95%CI (4.40, 4.87)], 35-39 [AOR: 4.0, 95%CI (3.82, 4.24)], 40-44 [AOR: 3.7, 95%CI (3.50, 3.91)], 45-49 [AOR: 2.7, 95%CI (2.55, 2.87)], 50+ [AOR: 2.7, 95%CI (2.50, 2.92)]), marital status (married [AOR: 3.3, 95%CI (3.16, 3.46)], cohabiting [AOR: 3.1, 95% CI (2.91, 3.28)], widowed/separated/divorced [AOR: 3.4, 95%CI (3.22, 3.63)]), female household headship (AOR: 1.28, 95%CI (1.24, 1.33)), education levels (primary [AOR: 3.9, 95%CI (3.72, 4.07)], secondary [AOR: 5.4, 95%CI (5.16, 5.74)], higher [AOR: 8.0, 95%CI (7.27, 8.71)]), media exposure (AOR: 1.4, 95%CI (1.32, 1.43)), wealth index (middle [AOR: 1.20, 95%CI (1.17, 1.27)], richer [AOR: 1.50, 95%CI (1.45, 1.62)]), Having discriminatory attitudes towards PLWHIV [AOR: 0.4; 95% CI (0.33, 0.37)], had multiple sexual partners [AOR: 1.2; 95% CI (1.11, 1.28)], had comprehensive knowledge about HIV [AOR: 1.6; 95% CI (1.55, 1.67)], rural residence (AOR: 1.4, 95%CI (1.28, 1.45)), and lower community illiteracy (AOR: 1.4, 95%CI (1.31, 1.50)) significantly influenced HIV testing uptake in the region.
conclusionThis study highlights the need for tailored interventions to address disparities in HIV testing uptake among adults in Sub-Saharan Africa and progress towards the achievement of 95-95-95 targets by 2030. Thus, tailored interventions addressing key factors are crucial for enhancing testing accessibility and emphasizing awareness campaigns, easy service access, and targeted education efforts to improve early diagnosis, treatment, and HIV prevention in the region.
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