Determinants of HIV testing and receipt of test results among adolescent girls in Nigeria: the role of assets and decision-making.
Determinants of HIV testing and receipt of test results among adolescent girls in Nigeria: the role of assets and decision-making.
复制标题
DOI：
10.1515/ijamh-2017-0152
复制
发表时间：
2018-04-09
影响因子：
--
通讯作者：
Curley, Jami
中科院分区：
文献类型：
--
作者：
Iwelunmor, Juliet;Blackstone, Sarah;Curley, Jami
目的尼日利亚的许多青春期女孩尽管处于高风险状态，却没有进行艾滋病毒检测。虽然已经研究了心理社会因素对艾滋病毒检测的影响，但关于资产和资产控制对艾滋病毒检测的影响的证据较少。这项研究调查了特定的青春期女孩的资产对艾滋病毒检测决策的保护作用。方法对2013年尼日利亚人口与健康调查的横断面数据进行分析。主要的结果变量是自我报告已经进行了艾滋病毒检测和知识的地方，提供艾滋病毒检测。二元逻辑回归与就业，教育，财富指数，房屋所有权，土地所有权和决策作为潜在的预测。在分析中控制人口统计学特征。结果年龄（OR = 1.49）、职业（OR = 3.38）、文化程度（OR = 3.16）、财富指数（OR = 1.33）和决策能力（OR = 3.16）与HIV检测呈正相关。年龄（OR = 1.20），就业（OR = 1.33），教育（OR = 1.38），财富（OR = 1.64），土地所有权（OR = 1.42）和决策（OR = 1.26）与艾滋病毒检测地点的知识呈正相关。结论我们的研究结果表明，资产发挥了重要作用，艾滋病毒检测的决定，青春期女孩。在尼日利亚，将需要进一步研究，阐明少女基于资产的具体需求，以加强有关接受艾滋病毒检测和收到检测结果的决定。
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.