A Multilevel Analysis of the Determinants and Cross-national Variations of HIV Seropositivity in Sub-Saharan Africa: Evidence from the DHS

Overview

Journal Health Place

Publisher Elsevier

Specialty Public Health

Date 2011 Jul 12

PMID 21741295

Citations 38

Authors

Monica Magadi

Muluye Desta

Affiliations

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Abstract

This paper applies multilevel logistic regression models to Demographic and Health Survey data collected during 2003-2008 from 20 countries of sub-Saharan Africa to examine the determinants and cross-national variations in the risk of HIV seropositivity in the region. The models include individual-level and contextual region/country-level risk factors. Simultaneous confidence intervals of country-level residuals are used to compare the risk of being HIV seropositive across countries. The study reveals interesting general patterns in the risk of HIV seropositivity in sub-Saharan Africa. In particular, the findings highlight the gender disparity in socio-economic risk factors, partly explained by sexual behaviour factors.

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