Prevalence and factors associated with HIV testing among women of reproductive age in Liberia : a cross-sectional study from the 2019/20 Demographic and Health Survey

dc.contributor.authorKolane, Mapei Mary Anna
dc.contributor.authorTshotetsi, Lumbani
dc.contributor.emaillumbani.tshotetsi@up.ac.za
dc.date.accessioned2025-10-08T12:35:02Z
dc.date.available2025-10-08T12:35:02Z
dc.date.issued2025-08
dc.descriptionDATA AVAILABILITY STATEMENT : The DHS data is publicly available at www.dhsprogram.com, accessed 20 April 2023.
dc.description.abstractOBJECTIVE : This study explored HIV testing prevalence and its associated factors among reproductive-aged women in Liberia. STUDY DESIGN : A secondary and descriptive cross-sectional study was performed among Liberian women aged 15–49 years using the 2019 Liberia Demographic and Health Survey (LDHS) data set. METHODS : Descriptive statistics were used to describe the characteristics of these women. Bivariate and multivariable logistic regression models were applied to determine factors associated with HIV testing. All analyses were adjusted for unequal probabilities of selection and non-response by use of survey weights. RESULTS : Among the 8065 participants in this survey, 490 women had never had sex and were excluded, leading to the final sample size being 7575 women. The prevalence of HIV testing among Liberian women aged 15 to 49 years in 2020 was 57.17% (95% CI: 56.2 to 60.4). HIV testing among these women is associated with pregnancy history (aOR 6.40, 95% CI:4.99 to 8.22, p < 0.001), STI history (aOR 1.21, 95% CI:1.02 to 3.19, p < 0.001), knowledge of vertical transmission (aOR 1.65, 95% CI:1.23 to 2.21, p = 0.001), and highest educational level (primary (aOR 1.39, 95% CI:1.16 to 1.68, p < 0.001), secondary (aOR 2.10, 95% CI:1.73 to 2.53, p < 0.001), and higher education (aOR 6.80, 95% CI:3.75 to 12.32, p < 0.001)). CONCLUSIONS AND CONTRIBUTION : HIV testing prevalence of 57.17% demonstrates an unmet need for HIV testing among Liberian women aged 15 to 49 years and, thus, it is recommended that HIV testing and counseling services should mostly target these women in rural areas, with limited health services and less educated women.
dc.description.departmentSchool of Health Systems and Public Health (SHSPH)
dc.description.departmentFamily Medicine
dc.description.librarianhj2025
dc.description.sdgSDG-03: Good health and well-being
dc.description.urihttps://www.mdpi.com/journal/ijerph
dc.identifier.citationKolane, M.M.A.; Tshotetsi, L. Prevalence and Factors Associated with HIV Testing Among Women of Reproductive Age in Liberia: A Cross-Sectional Study from the 2019/20 Demographic and Health Survey. International Journal of Environmental Research and Public Health 2025, 22, 1234. https:// doi.org/10.3390/ijerph22081234.
dc.identifier.issn1661-7827 (print)
dc.identifier.issn1660-4601 (online)
dc.identifier.other10.3390/ijerph22081234
dc.identifier.urihttp://hdl.handle.net/2263/104658
dc.language.isoen
dc.publisherMDPI
dc.rights© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
dc.subjectHuman immunodeficiency virus (HIV)
dc.subjectHIV testing
dc.subjectFactors
dc.subjectReproductive age
dc.subjectWomen
dc.subjectLiberia
dc.subjectPrevalence
dc.titlePrevalence and factors associated with HIV testing among women of reproductive age in Liberia : a cross-sectional study from the 2019/20 Demographic and Health Survey
dc.typeArticle

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