HIV Testing, Household and Reproductive Health Decision-Making: The Role of Women Autonomy in a Nationally Representative Study in Cambodia
DOI:
https://doi.org/10.25259/IJMA_36_2024Keywords:
- Cambodia,
- Decision-Making,
- HIV Testing,
- Personal Autonomy,
- Women’s Health
Abstract
Women’s autonomy plays a critical role in decision-making of health service use. This study aims to evaluate the relationship between Human Immunodeficiency Virus (HIV) testing and decision-making autonomy among Cambodian women aged 15–49.
MethodsWe used data from the 2021–2022 Cambodia Demographic and Health Survey (DHS) and our sample consisted of currently married/cohabiting women aged 15–49 (N = 13,755). The outcome variable was “ever been tested for HIV.” Covariates were household decision-making and reproductive health decision-making scores, socio-demographic characteristics (age, place of residency, education, wealth quintiles, and employment status), and HIV knowledge (HIV self-test kits, drugs to prevent HIV in babies during pregnancy, antiretroviral [ARV] drugs, and pre-exposure prophylaxis).
ResultsSixty-one percent of studied women reported ever being tested for HIV. The logistic regression results revealed that women with a higher household decision-making score (aOR = 2.09, p < 0.001), reproductive health decision-making score (aOR = 1.72, p < 0.001), from 25 to 29 age groups (aOR = 2.21, p < 0.001), with a higher education (aOR = 1.96, p = 0.001), from the richest groups (aOR = 1.73, p < 0.001), had knowledge of HIV test kits but never get tested (aOR = 1.38, p = 0.035), heard of drugs to avoid HIV transmission to babies during pregnancy (aOR = 1.21, p < 0.001), and heard of ARV drugs (aOR = 1.28, p < 0.001) were more likely to get tested for HIV than their counterparts. Women living in rural areas (aOR = 0.56, p < 0.001) and those who had discriminatory attitudes (aOR = 0.76, p = < 0.001) were less likely to get HIV tests than those in urban areas and those without discrimination.
Conclusion and Global Health ImplicationsFindings revealed that greater autonomy is important for health care use, particularly HIV testing for women in Cambodia.
Downloads
Similar Articles
- Joseph F. Nkfusai, Simon M. Manga, Kathleen Nulah, Calvin Ngalla, Florence Manjuh, Claude Ngwayu Nkfusai, Tendongfor Nicholas, Halle Ekane Edie Gregory, Cervical Precancer Treatment Outcomes in Cameroon , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Gerald J. Makuka, Moses M. Sango, Ayubu E. Mashambo, Abednego E. Mashambo, Sia E. Msuya, Sabina P. Mtweve, Clients’ Perspectives on Quality of Delivery Services in a Rural Setting in Tanzania: Findings from a Qualitative Action-Oriented Research , Vol. 6 No. 1 (2017): International Journal of Maternal and Child Health and AIDS
- Onana Akoa Francois Anicet, Charles Kouanfack, Ulrich Dama, Claude Ngwayu Nkfusai, Jean Ndibi Abanda, Désiré Tchoffo, Pearl Nsom Mbu, Pierre Yassa Yoniene, Prevalence, Epidemiological, and Clinical Profile of Patients Coinfected with Human Immunodeficiency Virus and Tuberculosis in the Coronavirus Disease 2019 Context in Health Facilities in the East Region, Cameroon , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Anastasia Y. Bongajum, Pascal Foumane, Charlotte O. Moussi, Noel Vogue, Hycinth S. Banseka, Jujlius M. Nwobegahay, Martina L. Baye, Strengthening Maternal Death Surveillance Systems for Evidence-Based Decision Making in Sub-Saharan Africa: The Case of the Center Region in Cameroon , Vol. 10 No. 2 (2021): International Journal of Maternal and Child Health and AIDS
- Akinyi E. Imbo, Elizabeth K. Mbuthia, Douglas N. Ngotho, Determinants of Neonatal Mortality in Kenya: Evidence from the Kenya Demographic and Health Survey 2014 , Vol. 10 No. 2 (2021): International Journal of Maternal and Child Health and AIDS
- Ashu Michael Agbor, Karpal Singh Sohal, Nguitewou Loith Nguimfack, Elvis Tarkang, Enow O’rock George, Sudeshni Naidoo, Oral Manifestations of HIV Infection and Dental Health Needs of Children with HIV Attending HIV Treatment Clinics in Western Cameroon , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Abubakar Sadiq Umar, Samuel Bitrus Bawa, Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers , Vol. 4 No. 1 (2015): International Journal of Maternal and Child Health and AIDS
- Ebelechuku F. Ugochukwu, Chinyere U. Onubogu, Emeka S. Edokwe, Uchenna Ekwochi, Kenneth N. Okeke, Esther N. Umeadi, Stanley K. Onah, A Review and Analysis of Outcomes from Prevention of Mother-toChild Transmission of HIV Infant Follow-up Services at a Pediatric Infectious Diseases Unit of a Major Tertiary Hospital in Nigeria: 2007-2020 , Vol. 10 No. 2 (2021): International Journal of Maternal and Child Health and AIDS
- Mehrete Girmay, Digital Health Divide: Opportunities for Reducing Health Disparities and Promoting Equitable Care for Maternal and Child Health Populations , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Roger J. Chin, Domrongphol Sangmanee, Lisa Piergallini, PEPFAR Funding and Reduction in HIV Infection Rates in 12 Focus Sub-Saharan African Countries: A Quantitative Analysis , Vol. 3 No. 2 (2015): International Journal of Maternal and Child Health and AIDS
<< < 6 7 8 9 10 11 12 13 14 15 > >>
You may also start an advanced similarity search for this article.
Published
How to Cite
Issue
Section
License
Copyright © 2025 Wah Myint, Aishatu Yusuf, Angela Nguyen, Elfreda Samman. Published by Global Health and Education Projects, Inc., USA.
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , which permits others to remix, transform, and build upon the work non-commercially, provided the original author is credited and the new creations are licensed under the same terms.