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
- Gopal K. Singh, Trends and Social Inequalities in Maternal Mortality in the United States, 1969-2018 , Vol. 10 No. 1 (2021): International Journal of Maternal and Child Health and AIDS
- Cabiria M. Barbosu, Lisette Alcántara, Saloni Sharma, Jahron Marriott, Oksana Babiy, Rebecca Deamer, Marcia Kindlon, Timothy Dye, The Implementation of a State-wide Rapid Initiation of Antiretroviral Therapy as a Best Practice in Primary Care Practices Using an Academic Detailing Approach: Lessons Learned from NewYork State, United States , Vol. 11 No. 1 (2022): International Journal of Maternal and Child Health and AIDS
- Isaac Oludare Oluwayemi, Simeon Oladele Olatunya, Ezra Olatunde Ogundare, PCR Results and PMTCT Treatment Outcomes among HIV-Exposed Infants in a Tertiary Hospital in Nigeria, 2010-2014 , Vol. 3 No. 2 (2015): International Journal of Maternal and Child Health and AIDS
- Srijana Pandey, Supendra Karki, Socio-economic and Demographic Determinants of Antenatal Care Services Utilization in Central Nepal , Vol. 2 No. 2 (2014): International Journal of Maternal and Child Health and AIDS
- Ranjan Kumar Prusty, Sayeed Unisa, Reproductive Tract Infections and Treatment Seeking Behavior among Married Adolescent Women 15-19 Years in India , Vol. 2 No. 1 (2013): International Journal of Maternal and Child Health and AIDS
- Janice Katherine Kopinak, Mental Health in Developing Countries: Challenges and Opportunities in Introducing Western Mental Health System in Uganda , Vol. 3 No. 1 (2015): International Journal of Maternal and Child Health and AIDS
- Hasiya Tijjani Ismail, Taiwo G Amole, Fatima I Tsiga-Ahmed, Rabiu I Jalo, Aishatu L Adamu, Mahmoud U Sani, Hamisu M Salihu, William Wester, Muktar H Aliyu, Factors Associated with Utilization of Sexual and Reproductive Health Services among Married Adolescent Girls in Kano, Northern Nigeria , Vol. 13 No. Continuous (2024): International Journal of Maternal and Child Health and AIDS
- Ornella Sybile D. Kouanfack, Charles Kouanfack, Serges Clotaire Billong, Samuel N. Cumber, Claude N. Nkfusai, Fala Bede, Emerson Wepngong, Chombong Hubert, Georges Nguefack-Tsague, Madeleine N. Singwe, Epidemiology of Opportunistic Infections in HIV Infected Patients on Treatment in Accredited HIV Treatment Centers in Cameroon , Vol. 8 No. 2 (2019): International Journal of Maternal and Child Health and AIDS
- Charles Kouanfack, Hermine Meli, Samuel N. Cumber, Fala Bede, Claude N. Nkfusai, Patience Y. Ijang, Emerson Wepngong, Olga Yvonne M. Bassong, Benjamin-Alexandre Nkoum, Non-Occupational HIV Post-exposure Prophylaxis: A 10-Year Retrospective Review of Data Following Sexual Exposure From Yaounde Central Hospital, Cameroon , Vol. 8 No. 2 (2019): International Journal of Maternal and Child Health and AIDS
- Deepa Dongarwar, Hamisu M. Salihu, Place of Residence and Inequities in Adverse Pregnancy and Birth Outcomes in India , Vol. 9 No. 1 (2020): International Journal of Maternal and Child Health and AIDS
<< < 7 8 9 10 11 12 13 14 15 16 > >>
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.