Understanding the uptake of HIV testing among women in Liberia

The role of female genital mutilation/cutting

Dados Bibliográficos

ID15456920
AutoresDaniel Amoak (0000-0002-3879-7233, Western University), Nancy Osei-Kye (Western University), Florence Wullo Anfaara (0000-0001-7256-8613, Western University), Y Sano (0000-0002-9707-0448, Nipissing University), R Antabe (0000-0003-0312-3201, University of Toronto, autor correspondente), Isaac Luginaah (0000-0001-7858-3048, Western University)
Ano2023
Volume22
Fascículo3
Páginas226-236
Data de publicação2023-07-03
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAfrican Journal of AIDS Research (JOURNAL)
Identificadores do periódicoISSN: 1608-5906 • E-ISSN: 1727-9445
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.2989/16085906.2023.2275695
PMID38015895
OpenAlexW4389103100
IdiomaEN
Citações recebidas2
Referências citadas53

Past studies show that the processes of female genital mutilation/cutting (FGM/C) on women can increase their susceptibility to HIV infection. This is because genital tears or ruptures, scars and wounds from FGM/C may expose survivors to heightened risks of contracting sexually transmitted infections, including HIV, if they engage in unsafe sexual practices. Hence, there is the need to promote HIV screening and testing among this population. Yet, in Liberia, there is a dearth of studies exploring the uptake of HIV testing among women who have experienced FGM/C. To understand this relationship, we used the 2019-2020 Liberia Demographic and Health Survey (LDHS) and employed logistic regression analysis to answer the following questions: (1) Are FGM/C survivors less likely to have been tested for HIV compared to non-FGM/C women; and (2) How does this disparity in the uptake of HIV testing differ by women's marital status? We found that survivors of FGM/C were less likely to have been tested for HIV than non-FGM/C women, even after accounting for theoretically relevant variables (OR = 0.83, p p < 0.01). These findings highlight the importance of trauma-informed HIV prevention strategies in Liberia, and the need for policymakers to take a holistic approach to addressing the challenges that FGM/C survivors, especially formerly married women, may face in accessing HIV prevention and testing services, and to work towards creating a more inclusive and supportive environment for all at-risk groups

Biology · Environmental health · Female circumcision · Gynecology · Human immunodeficiency virus (HIV · Logistic regression · Marital status · Population · Sex organ · Demography · Female Genital Mutilation/Cutting Issues · Genital Health and Disease · Medicine · Sexual Assault and Victimization Studies · Gerontology · Immunology · Internal Medicine