Determinants of HIV testing and receipt of test results among adolescent girls in Nigeria: The role of assets and decision-making

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

Research output: Contribution to journalArticle

Abstract

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. 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. 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. 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.

Original languageEnglish (US)
Article number20170152
JournalUnknown Journal
DOIs
StateAccepted/In press - Apr 9 2018

Keywords

  • adolescents
  • assets
  • HIV-testing
  • Nigeria

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health

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    Iwelunmor, J., Blackstone, S., Mayo-Wilson, L. J., Converse, D., Ehiri, J., & Curley, J. (Accepted/In press). Determinants of HIV testing and receipt of test results among adolescent girls in Nigeria: The role of assets and decision-making. Unknown Journal, [20170152]. https://doi.org/10.1515/ijamh-2017-0152