HIV Testing among sexually active Ghanaians: an examination of the rural-urban correlates

Nutifafa Eugene Yaw DEY*, Kenneth OWUSU ANSAH, Queen Angela NORMAN, Joseph Mfum MANUKURE, Abigail Boatemaa Kyei BREW, Enam Amen DEY, Pascal AGBADI

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review


HIV testing is critical in reducing the risk of HIV transmission. We investigated the rural-urban correlates of HIV testing amongst sexually active Ghanaians using data from the 2017/2018 Ghana Multiple Indicator Cluster Survey Six (GMICS 6). Robust Poisson models (reporting Adjusted Prevalence Ratios (APR) and 95% Confidence Intervals (CIs)) were used to achieve this aim. About 46% of the participants had ever tested for HIV. According to the results, approximately 52% and 39% of urban and rural dwellers, respectively, have undergone HIV testing. HIV knowledge, HIV stigma, gender, age, education, marital status, childbirth history, sexual history, health insurance coverage, media exposure, household wealth, and region of residence were significantly related to HIV testing with observed variations across rural-urban areas. The findings call for the expansion of advocacy efforts towards encouraging HIV testing, targeting sexually active Ghanaians particularly in rural areas.
Original languageEnglish
Pages (from-to)4063-4081
Number of pages19
JournalAIDS and Behavior
Issue number12
Early online date15 Jun 2022
Publication statusPublished - Dec 2022

Bibliographical note

Funding Information:
We are grateful to UNICEF for granting free access to the dataset. Thanks also to Research Empowerment Network (REN) for the free training in data management and manuscript writing.

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.


  • HIV knowledge
  • HIV Stigma
  • HIV testing
  • Rural-urban variations
  • Sexually active Ghanaians


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