Determinants of HIV Testing and Receipt of Test Results among Adolescent Girls in Nigeria: The Role of Assets and Decision-Making

Download as .RIS

Citation

Iwelunmor, Juliet; Blackstone, Sarah; Jennings Mayo-Wilson, Larissa; Converse, Donaldson; Ehiri, John; & Curley, Jami (2018). Determinants of HIV Testing and Receipt of Test Results among Adolescent Girls in Nigeria: The Role of Assets and Decision-Making. International Journal of Adolescent Medical and Health, 32, 3.

Abstract

Purpose: Many adolescent girls in Nigeria do not test for HIV despite being at high risk. While the influence of psychosocial factors on HIV testing has been examined, there is less evidence regarding the impact of assets and control of assets on HIV testing. This study investigated the protective effects of specific adolescent girls' assets on decision-making regarding HIV testing.
Methods: Cross-sectional data from the 2013 Nigeria Demographic and Health Survey was analyzed. The main outcome variables were self-reports of having been tested for HIV and knowledge of a place that offers HIV testing. Binary logistic regression was used with employment, education, wealth index, home ownership, land ownership and decision making as potential predictors. Demographic characteristics were controlled in the analysis.
Results: Age [odds ratio (OR = 1.49)], employment (OR = 3.38), education (OR = 3.16), wealth index (OR = 1.33) and decision making (OR = 3.16) were positively associated with HIV testing. Age (OR = 1.20), employment (OR = 1.33), education (OR = 1.38), wealth (OR = 1.64), land ownership (OR = 1.42), and decision making (OR = 1.26) were positively associated with knowledge of an HIV testing location. Conclusion: Our findings suggest that assets play an important role with HIV testing decisions for adolescent girls. Further research to elucidate the specific asset-based needs of adolescent girls will be needed to enhance decisions surrounding uptake of HIV testing and receipt of test results in Nigeria.

URL

http://dx.doi.org/10.1515/ijamh-2017-0152

Reference Type

Journal Article

Year Published

2018

Journal Title

International Journal of Adolescent Medical and Health

Author(s)

Iwelunmor, Juliet
Blackstone, Sarah
Jennings Mayo-Wilson, Larissa
Converse, Donaldson
Ehiri, John
Curley, Jami

Article Type

Regular

Data Set/Study

Demographic and Health Surveys (DHS)

Continent/Country

Nigeria

Sex/Gender

Women

ORCiD

Mayo-Wilson - 0000-0001-9349-2283