Understanding the pathways leading to socioeconomic inequalities in HIV testing uptake in 18 sub-Saharan African countries

Ante-Testard, Pearl Anne
Hamidouche, Mohamed
Apouey, Bénédicte
Baggaley, Rachel
Larmarange, Joseph
Benmarhnia, Tarik
Temime, Laura
Jean, Kévin

Open link

Publication date

October 2022

DOI

10.1097/QAD.0000000000003316

Publisher

Wolters Kluwer

Abstract

International audienceObjective: To better understand the different pathways linking socioeconomic position and HIV testing uptake in 18 sub-Saharan African countries.Design: We used cross-sectional population-based surveys between 2010 and 2018.Methods: Using a potential outcomes framework and the product method, we decomposed the total effect linking wealth and recent (<12 months) HIV testing into direct effects, and indirect effects, via internal (related to individual's ability to perceive need for and to seek care) or external (ability to reach, pay for and engage in healthcare) mediators to calculate the proportion mediated (PM) by each mediator.Results: High levels of inequalities were observed in nine and 15 countries among women an...