Sociodemographic Predictors of HIV Infection among Pregnant Women in Botswana: Cross-Sectional Study at 7 Health Facilities

Shimeles Genna Hamda; Jose Gaby Tshikuka; Dipesalema Joel; Gotsileene Monamodi; Tiny Masupe; Vincent Setlhare

doi:10.1177/2325958220925659

Sociodemographic Predictors of HIV Infection among Pregnant Women in Botswana: Cross-Sectional Study at 7 Health Facilities

J Int Assoc Provid AIDS Care. 2020 Jan-Dec:19:2325958220925659. doi: 10.1177/2325958220925659.

Authors

Shimeles Genna Hamda¹, Jose Gaby Tshikuka^{1

2}, Dipesalema Joel³, Gotsileene Monamodi¹, Tiny Masupe¹, Vincent Setlhare¹

Affiliations

¹ Faculty of Medicine, Department of Family Medicine and Public Health, University of Botswana, Gaborone.
² Faculty of Health Sciences, National Pedagogic University, Kinshasa 1 D.R.C, Gaborone, Botswana.
³ Faculty of Medicine, Department of Paediatrics, University of Botswana, Botswana, Gaborone.

Abstract

Objectives: To determine the prevalence and sociodemographic predictors of HIV among pregnant women in Botswana.

Methods: This was a cross-sectional study of randomly enrolled women aged 18 to 49 years, attending 7 health facilities in Botswana. Data were gathered from November 2017 to March 2018 and analyzed using SPSS version 24.

Result: Of the 429 women enrolled, 407 (96.4%) were included in the analysis. The HIV prevalence was 17%; 69 of 407 (95% CI: 13.4- 21.0). Women aged 35 to 49 years had higher HIV prevalence than those 18 to 24 years (adjusted odds ratio [AOR] = 6.2; 95% CI: 2.7-14.4). Illiterate and elementary school educated women had higher HIV prevalence than those with a tertiary education (AOR = 8.5; 95% CI: 1.8-39.1). Those with a history of alcohol intake had a higher HIV prevalence than those without (AOR = 2.6; 95% CI: 1.3-5.3).

Conclusion: HIV prevalence was lower than it was in 2011. Age, level of education, and history of alcohol intake were strong predictors for HIV infection calling for targeted behavioral change interventions.

Keywords: HIV in pregnancy; HIV prevalence; alcohol-related HIV risk; behavioral change strategies; sociodemographic predictors of HIV.

Publication types

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

MeSH terms

Adolescent
Adult
Age Factors*
Alcohol Drinking / epidemiology*
Botswana / epidemiology
Cross-Sectional Studies
Educational Status*
Female
HIV Infections / epidemiology*
HIV Infections / etiology
Health Facilities
Humans
Middle Aged
Odds Ratio
Pregnancy
Pregnancy Complications, Infectious / epidemiology*
Pregnancy Complications, Infectious / virology
Pregnant Women
Prenatal Care
Prevalence
Risk Factors
Young Adult