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A multilevel analysis of the determinants and cross-national variations of HIV seropositivity in sub-Saharan Africa: evidence from the DHS

Magadi, Monica; Desta, Muluye

Authors

Muluye Desta



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. © 2011 Elsevier Ltd.

Journal Article Type Article
Publication Date 2011-09
Journal HEALTH & PLACE
Print ISSN 1353-8292
Electronic ISSN 1873-2054
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 17
Issue 5
Pages 1067-1083
APA6 Citation Magadi, M., & Desta, M. (2011). A multilevel analysis of the determinants and cross-national variations of HIV seropositivity in sub-Saharan Africa: evidence from the DHS. Health and Place, 17(5), 1067-1083. https://doi.org/10.1016/j.healthplace.2011.06.004
DOI https://doi.org/10.1016/j.healthplace.2011.06.004
Keywords Cross-national variations; Demographic and health surveys; Determinants of HIV seropositivity; Multilevel logistic models; Simultaneous confidence intervals; Sub-Saharan Africa

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