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HIV testing and ethnicity among adolescent girls and young women aged 15–24 years in Ghana: what really matters?

Published online by Cambridge University Press:  13 September 2021

Ucheoma Nwaozuru Open the ORCID record for Ucheoma Nwaozuru [Opens in a new window] ,
Thembekile Shato ,
Chisom Obiezu-Umeh ,
Florida Uzoaru ,
Stacey Mason ,
Joyce Gyamfi  and
Juliet Iwelunmor
Ucheoma Nwaozuru*
Affiliation:
College for Public Health and Social Justice, Saint Louis University, Saint Louis, USA
Thembekile Shato
Affiliation:
College for Public Health and Social Justice, Saint Louis University, Saint Louis, USA
Chisom Obiezu-Umeh
Affiliation:
College for Public Health and Social Justice, Saint Louis University, Saint Louis, USA
Florida Uzoaru
Affiliation:
College for Public Health and Social Justice, Saint Louis University, Saint Louis, USA
Stacey Mason
Affiliation:
College for Public Health and Social Justice, Saint Louis University, Saint Louis, USA
Joyce Gyamfi
Affiliation:
Section for Global Health, Department of Population Health, NYU School of Medicine, New York, USA
Juliet Iwelunmor
Affiliation:
College for Public Health and Social Justice, Saint Louis University, Saint Louis, USA
*
*Corresponding author. Email: [email protected]
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Abstract

Despite the high prevalence of HIV among adolescent girls and young women (AGYW) aged 15–24 years in Ghana, HIV testing remains low among this population. The objective of this study was to examine the relationship between ethnicity and HIV testing among AGYW in Ghana. The 2014 Ghana Demographic and Health Survey data were used and analyses were restricted to 3325 female participants aged 15–24 years. Chi-squared tests and a logistic regression model were used to assess the association between ethnicity and HIV testing. Furthermore, the PEN-3 cultural model informed the conceptual framework that explained the relationship between ethnicity and HIV testing behaviour. Results from the bivariate analysis showed an association between ethnicity and HIV testing among AGYW (p<0.05). However, when controlling for other behavioural and socioeconomic determinants of HIV testing in the logistic regression, there was no association between ethnicity and HIV testing. The significant predictors of HIV testing were marital status, having multiple sexual partners, and condom use. The AGYW who were married (adjusted odds ratio [aOR] = 4.56, CI: 3.46–6.08) or previously married (aOR = 4.30, CI: 2.00–9.23) were more likely to test for HIV compared with those who were never married. Having multiple sexual partners (aOR = 0.41, CI: 0.20–0.85) and condom use (aOR = 0.56, CI: 0.38–0.84) were associated with lower odds of HIV testing. The results provide evidence that ethnicity is not associated with HIV testing among AGYW in Ghana, as the bivariate association was attenuated when other behavioural and socioeconomic determinants of HIV testing were accounted for. These findings highlight the importance of considering individual-level factors, community-level factors, and other socio-cultural factors as they really matter in the development of HIV prevention programmes for adolescent girls and young women in Ghana.

Keywords

HIV testingEthnicityAdolescent girls and young women
Type
Research Article
Information
Journal of Biosocial Science , Volume 54 , Issue 5 , September 2022 , pp. 812 - 828
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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