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

Health Place. 2011 Sep;17(5):1067-83. doi: 10.1016/j.healthplace.2011.06.004. Epub 2011 Jun 22.

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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Africa South of the Sahara / epidemiology
  • Female
  • HIV Seropositivity / epidemiology*
  • Health Status Disparities*
  • Health Surveys
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Risk Factors
  • Sex Factors
  • Sexual Behavior
  • Social Class
  • Young Adult