Department of Epidemiology, UCLA School of Public Health, Los Angeles, CA, USA.
Maternal and Reproductive Health Division, Department of Public Health, Ministry of Health, Nay Pyi Taw, Myanmar.
Int J STD AIDS. 2023 Jun;34(7):439-447. doi: 10.1177/09564624231162417. Epub 2023 Mar 15.
Southeast Asian countries have been trying to increase HIV testing coverage of women since awareness of HIV status is essential to eliminate mother-to-child transmission of HIV. This study determined factors related to lifetime HIV testing uptake among women aged 15-49 years in four Southeast Asian countries: Myanmar, Cambodia, the Philippines and Timor-Leste.
This study used cross-sectional data from the 2015-16 Myanmar Demographic and Health Survey (DHS), the 2014 Cambodia DHS, the 2017 Philippines National DHS and the 2016 Timor-Leste DHS. We conducted multivariable logistic regression analyses to identify factors associated with lifetime HIV testing among women aged 15-49 years who completed the surveys in each country and ran a fixed effects logistic regression model using pooled data.
The proportions of lifetime HIV testing uptake among women aged 15-49 years were 42.1% in Cambodia, 19.5% in Myanmar, 4.6% in the Philippines, and 3.7% in Timor-Leste. Marital status, age, education, and wealth were significantly associated with lifetime HIV testing uptake among women in all four countries. Other factors (e.g., comprehensive knowledge of HIV, rural/urban residence, positive attitudes towards negotiation for safer sex) were also significant determinants of HIV testing uptake among women in some of these countries.
A multi-sectoral collaboration of related sectors and organizations is necessary to increase access to HIV testing and HIV knowledge of women to overcome the barriers to HIV testing. It is critical to make HIV testing services available and accessible to women, especially in rural areas.
自意识到 HIV 状况对于消除母婴传播 HIV 至关重要以来，东南亚国家一直在努力提高女性的 HIV 检测覆盖率。本研究旨在确定与四个东南亚国家（缅甸、柬埔寨、菲律宾和东帝汶）15-49 岁女性一生中 HIV 检测率相关的因素。
本研究使用了 2015-16 年缅甸人口与健康调查（DHS）、2014 年柬埔寨 DHS、2017 年菲律宾全国 DHS 和 2016 年东帝汶 DHS 的横断面数据。我们对完成了每个国家调查的 15-49 岁女性进行了多变量逻辑回归分析，以确定与一生中 HIV 检测相关的因素，并使用汇总数据进行了固定效应逻辑回归模型分析。
柬埔寨、缅甸、菲律宾和东帝汶 15-49 岁女性一生中 HIV 检测率分别为 42.1%、19.5%、4.6%和 3.7%。在所有四个国家中，婚姻状况、年龄、教育和财富均与女性一生中 HIV 检测率显著相关。其他因素（如对 HIV 的全面了解、城乡居住、对安全性行为协商的积极态度）也是这些国家中一些女性进行 HIV 检测的重要决定因素。
需要相关部门和组织的多部门合作，增加女性获得 HIV 检测和 HIV 知识的机会，以克服 HIV 检测的障碍。向女性，特别是农村地区的女性提供和普及 HIV 检测服务至关重要。
