scholarly journals Measurement Invariance and Criterion Validity of Comprehensive Knowledge about HIV/AIDS Prevention Scale in the Uganda Demographic and Health Survey Tool

Author(s):  
Martin Ariapa

Background: Limited information exists on the functioning of comprehensive knowledge about HIV/AIDS prevention scale in the Uganda Demographic and Health Surveys. Objectives: This paper aimed to: (i) examine measurement invariance of comprehensive knowledge about HIV/AIDS prevention scale across men and women groups in Uganda; and (ii) evaluate the criterion related validity of the scale using HIV testing as an outcome variable. Methods: The study was based on cross-sectional Uganda Demographic and Health Survey data of 2016. Measurement invariance was investigated using confirmatory factor analysis in the framework of structural equation modelling while criterion-related validity was investigated by fitting a binary logistic regression model that explained the relationship between HIV testing and comprehensive knowledge about HIV/AIDS prevention. Results: The results show that, the construct is invariant across men and women groups at the dimensional, metric and scalar levels, however, all models presented poor fit. Furthermore, criterion-related validity of comprehensive knowledge about HIV/AIDS prevention with HIV testing, was confirmed. Conclusions: The findings of this study underscore the need to revise items included in the comprehensive knowledge about HIV/AIDS prevention scale in order to improve its performance.

2019 ◽  
Author(s):  
Gedefaw Diress ◽  
Mohammed Ahmed ◽  
Seteamlak Adane ◽  
Melese Linger ◽  
Birhan Aleminew

Abstract Background HIV testing is the critical first step in identifying and linking HIV infected people to the treatment cascade and it also provides an important opportunity to reinforce HIV prevention among the negatives. The aim of this study was examine factors associated with HIV testing among youth women. Methods A community-based cross-sectional study design was used and a nationally representative secondary data analysis was done on the 2016 Ethiopian Demographic and Health Survey(EDHS). A total of 6401 youth women were eligible in the study. The data were analyzed by SPSS version 20. Frequencies and weighted percentage of the variables were calculated. Chi-square tests and logistic regression models were used to assess predictors of HIV testing. Multivariate logistic regression analysis was conducted to control confounders and to identify the independent contribution of each variable to the outcome variable. Result A total of 6401 youth women aged 15 to 24 years of age were included. Only 37.7% (95% CI:(33.6-39.1%)) of participants were ever tested for HIV in their life. In the final multivariable model age, marital status, level of educational, media access, number of sexual partner, STIs in Past 12 months and comprehensive knowledge to HIV, were significantly associated with ever been tested for HIV. Youth women who were in the age group between 20 to 24 (AOR=2.18; 95CI:(1.800-2.652), who were married (AOR=4.70; 95% CI:(3.674-6.008)), were divorced (AOR=6.16; 95% CI (3.976-9.541)), who had no access to media (AOR = 0.69; 95 CI %: (0.540-0.870)), who had no comprehensive HIV knowledge (AOR = 0.68; 65% CI: (0.530-0.861)) and having one or more sexual partners (AOR=2.48; 95% CI:(1.350-4.551)) were significantly associated with ever been tested for HIV.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Chilot Desta Agegnehu ◽  
Bisrat Misganaw Geremew ◽  
Malede Mequanent Sisay ◽  
Kindie Fentahun Muchie ◽  
Zinash Teferu Engida ◽  
...  

2020 ◽  
Author(s):  
Abiyu Assefa ◽  
Kaleab Tesfaye Tegegne ◽  
Mekibib Kassa Tessema ◽  
Eleni Tesfaye Tegegne ◽  
Aselefech Mekuria Denbo

Abstract Background: Khat chewing has been practiced from ancient by people in the Eastern part of Africa, the Arabian, Peninsula and other parts of the world. In Ethiopia, khat chewing is becoming habitual and the proportion of people chewing khat has significantly risen over the years and chewers’ population in Ethiopia is now 16% from the country’s populationThe main aim of this study was to provide national data on life time prevalence of khat chewing and associated factors that will serve as evidence for policy and planning and as baseline data for further studies.Methods: The data for this study was extracted from the 2016 EDHS. The 2016 EDHS is the fourth and most recent in the Demographic and Health Survey series in Ethiopia. Socio demographic variables were selected based on their availability in the dataset Our analysis included all men and women age 15-49 years which resulted in a total weighted sample of 27,289 Descriptive statistics were employed to show the distribution of socio-demographic characteristics Logistic regression model was used to determine the true association between chat chewing and basic socio-demographic factors Results: Of the total sample of 27289 of men and women age 15-49 years at the time of survey, 18.3% (n = 5006) have life time khat chewing in Ethiopia, About 71.7% of the variation in the outcome variable (khat chewing) is explained by the independent variables included in model Men and women in the 15-19 age group 9.952 (AOR9.952 95% CI 6.156- 16.091) and Men and women age 15-49 years in urban areas 34.040 (AOR 34.040; 95% CI: 21.028--55.105) were found to be major contributing factors to the khat chewing Conclusions Younger age and urban residence had a statistically significant association with khat chewing. Therefore, to effectively control khat chewing in Ethiopia, Creating awareness and increasing knowledge on the harmful effects of khat chewing are recommended. A particular attention should be given to young adolescent and urban areas


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252281
Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Ebenezer Agbaglo ◽  
Collins Adu ◽  
...  

Introduction Niger is the country with the highest total fertility rate in the world. In the present study, we investigated factors associated with the desire for more children among married men and women in Niger. Materials and methods We utilised data from the 2012 Niger Demographic and Health Survey. The outcome variable for the study was fertility intentions. The data were analysed with Stata version 14.0. Both descriptive (frequencies and percentages) and inferential (binary logistic regression) analyses were carried out. Results Desire for more children was 97.2% and 87.2% among men and women respectively. Women aged 45–49 were less likely to desire more children, compared to those aged 25–39 [aOR = 0.13, CI = 0.11–0.16]. The odds of desire for more children were high in rural areas, compared to urban areas [aOR = 1.61, CI = 1.20–2.17]. Childbearing women with seven or more births were less likely to desire more children, compared to those with 1–3 births [aOR = 0.09, CI = 0.06–0.14]. Men aged 50–59 were less likely to desire more children, compared to those aged 25–39 [aOR = 0.13, CI = 0.05–0.35]. Men with secondary/higher level of education were less likely to desire more children, compared to those with no formal education [aOR = 0.24, CI = 0.11–0.52]. Childbearing men with seven or more births were less likely to desire more children, compared to those with 1–3 births [aOR = 0.06, CI = 0.01–0.30]. Conclusion This study shows high fertility desire among men and women in Niger. However, the prevalence of fertility desire among men is higher than that of women. A number of socio-economic and demographic factors were found to be associated with desire for more children among men and women in Niger. This calls for a collective effort to educate women and men in Niger on the negative consequences of rapid population growth and large family sizes.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdul-Aziz Seidu

Abstract Background Safe disposal of children’s faeces has always been one of the main challenges to good hygiene in Ghana. Although it has been proven that children’s faeces are more likely to spread diseases than adults’ faeces, people usually mistake them for harmlessness. This study, therefore, sought to determine the prevalence and factors associated with safe disposal of children’s faeces in Ghana. Methods Data from the 2014 Ghana Demographic and Health Survey was used for the analysis. A sample size of 2228 mother-child pairs were used for the study. The outcome variable was disposal of children stools. Both bivariate and multivariable logistic regression analyses were performed to identify the factors with safe child stool disposal. Results The prevalence of safe child stool disposal in Ghana was 24.5%. Women in the middle [Adjusted odds ratio (AOR) = 4.62; Confidence Interval (CI) = 3.00–7.10], Coastal Zone [AOR = 4.52; CI = 2.82–7.22], mothers whose children were aged 12–17 [AOR = 1.56; CI = 1.15–2.13] and 18–23 months [AOR = 1.75; CI = 1.29–2.39], and mothers whose household had improved type of toilet facility [AOR = 2.04; CI = 1.53–2.73] had higher odds of practicing safe children’s faeces disposal. However, women from households with access to improved source of drinking water [AOR = 0.62; CI = 0.45–2.7] had lower odds of practicing safe children’s faeces disposal. Conclusion Approximately only about 25 out of 100 women practice safe disposal of their children’s faeces in Ghana. The age of the child, ecological zone, the type of toilet facilities, and the type of drinking water source are associated with the disposal of child faeces. These findings have proven that only improved sanitation (i.e. drinking water and toilet facilities) are not enough for women to safely dispose of their children’s faeces. Therefore, in addition to provision of toilet facilities especially in the northern zone of Ghana, there is also the need to motivate and educate mothers on safe disposal of children’s stools especially those with children below 12 months. More so, mothers without access to improved toilet facility should also be educated on the appropriate ways to bury their children’s stools safely.


Author(s):  
Abdul-Aziz Seidu ◽  
Ebenezer Agbaglo ◽  
Louis Kobina Dadzie ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
...  

Abstract Background This study sought to assess the individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea. Methods The study was conducted among 14 653 women aged 15–49 y using data from the 2016–2018 Papua New Guinea Demographic and Health Survey. The outcome variable was barriers to accessing healthcare. Descriptive and multilevel logistic regression analyses were conducted. Statistical significance was declared at P < 0.05. Results Women aged 15–19 y were more likely to experience at least one barrier compared with those aged 40–49 y (adjusted OR [AOR]=1.48; 95% CI 1.18 to 1.86). Women with secondary/higher education (AOR=0.68; 95% CI 0.57 to 0.81), women in the richest wealth quintile (AOR=0.36; 95% CI 0.28 to 0.46) and those in the least disadvantaged socioeconomic status (AOR=0.46; 95% CI 0.33 to 0.64) had lower odds of having challenges with at least one barrier to healthcare. However, living in rural areas increased the odds of facing at least one barrier to healthcare (AOR=1.87; 95% CI 1.27 to 2.77). Conclusions This study has demonstrated that both individual and contextual factors are associated with barriers to healthcare accessibility among women in Papua New Guinea. To enhance the achievement of the Sustainable Development Goals 3.1, 3.7 and 3.8, it is critical to deem these factors necessary and reinforce prevailing policies to tackle barriers to accessing healthcare among women in Papua New Guinea.


2020 ◽  
pp. 088626052098040
Author(s):  
Mohammad Fazel Akbary ◽  
Tolulope Ariyo ◽  
Quanbao Jiang

Domestic violence (DV), also commonly referred to as intimate partner violence or spousal abuse, is a global public health issue that affects the physical, psychological, sexual, and reproductive health of women. We examined the sociocultural factors associated with the attitude toward DV perpetrated against women in Afghanistan. We used data from the 2015 Afghanistan Demographic and Health Survey, consisting of an ever-married sample of 29,461 women and 10,760 men aged 15 to 49 years. Our dependent variable, attitude toward DV, was determined from responses on acceptance of wife-beating in five scenarios, and the group of socio cultural factors was selected based on evidence from previous studies. Our main analytical method was logistic regression, using the survey design. Our findings indicated that factors such as an increase in years of education and living in a wealthier household reduce the likelihood of acceptance of DV among men and women. Ethnicity was also associated with the attitude toward DV, but the magnitude varied across ethnic groups and gender. Furthermore, an increase in age and living in the urban area were associated with nonjustification of DV among women, but not among men. On the other hand, frequent exposure to the media increases the likelihood of acceptance of DV among men, but not for women. The result of the present study suggests that there are economic, social, and cultural aspects to the attitude toward DV among men and women in Afghanistan. Therefore, policies designed at changing the socio cultural perception of the people are of importance in other to bring about a change in attitude, and even combat the prevalence of DV.


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