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

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.

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

• Journal Article Type: Article
• Acceptance Date: Jun 6, 2011
• Online Publication Date: Jun 22, 2011
• Publication Date: 2011-09
• Journal: HEALTH & PLACE
• Print ISSN: 1353-8292
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 17
• Issue: 5
• Pages: 1067-1083
• 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
• Public URL: https://hull-repository.worktribe.com/output/417693