Journal article Open Access

Uptake of premarital HIV testing and associated factors among women who had autonomous versus non autonomous marriage in Ethiopia: A nationwide study

Mohammed AhmedID1*, Seada Seid1, Ali Yimer1, Abdu Seid2, Ousman Ahmed3


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  <dc:creator>Mohammed AhmedID1*, Seada Seid1, Ali Yimer1, Abdu Seid2, Ousman Ahmed3</dc:creator>
  <dc:date>2022-08-05</dc:date>
  <dc:description>Abstract
Background
Premarital HIV testing offers an opportunity where prospective couples can know their HIV
status before marriage to prevent both heterosexual and vertical transmission of HIV. Therefore, this study aimed to determine whether there is any significant difference in the prevalence of premarital HIV testing among women who had autonomous versus nonautonomous marriage, and to investigate the factors associated with premarital HIV testing
among women who had autonomous versus non-autonomous marriage in Ethiopia.
Methods
Data were extracted from 2016 Ethiopia Demographic and Health Survey dataset and analyzed by using SPSS version 20. Frequencies and weighted percentage of the variables,
and second-order Rao-Scott statistic were computed. Multivariable logistic regression analysis was used to identify factors between the two groups. An adjusted odds ratio with 95%
confidence interval was considered to state statistically significant associations.
Result
From 9602 included sample, 4,043 (42.1%) of the women had autonomous marriage, and
5,559(57.9%) of the women had non-autonomous marriage. The prevalence of premarital
HIV testing in Ethiopia among women who had autonomous marriage was 30.5% (95% CI:
27.7–33.4%) compared to 20.6% (95% CI: 18.5–22.8) among women who had a non-autonomous marriage. No differences in associated factors were found between women who had
autonomous versus non autonomous marriage to uptake HIV testing. In both groups, residence in rural area, education attainment (primary, secondary, higher), media access, being
rich and richest, knowing the places for HIV testing, chewing chat, and drinking alcohol were
significantly predicts premarital HIV testing.
Conclusion
The study indicated that 10% more women in autonomous marriage tested for HIV relative to
non-autonomous women whilst being an urban resident, educated, having access to media,
household wealth and knowledge of testing facilities significantly predict HIV testing among
women in Ethiopia. The paper recommends the Ethiopian government shall expand access
to education among women while improving their access to media to enhance their socioeconomic wellbeing and health. Furthermore, it is better to inspire women to undergo autonomous marriage by fostering education in the community to enhance premarital HIV testing.
 </dc:description>
  <dc:identifier>https://zenodo.org/record/17292</dc:identifier>
  <dc:identifier>10.20372/nadre:17292</dc:identifier>
  <dc:identifier>oai:zenodo.org:17292</dc:identifier>
  <dc:relation>doi:10.20372/nadre:17291</dc:relation>
  <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
  <dc:rights>http://www.opendefinition.org/licenses/cc-by</dc:rights>
  <dc:title>Uptake of premarital HIV testing and associated factors among women who had autonomous versus non autonomous marriage in Ethiopia: A nationwide study</dc:title>
  <dc:type>info:eu-repo/semantics/article</dc:type>
  <dc:type>publication-article</dc:type>
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