Health system strategies to increase HIV screening among pregnant women in Mesoamerica

El Bcheraoui, Charbel; Zúñiga-Brenes, Paola; Ríos-Zertuche, Diego; Palmisano, Erin B.; McNellan, Claire R.; Desai, Sima S.; Gagnier, Marielle C.; Haakenstad, Annie; Johanns, Casey; Schaefer, Alexandra; Hernandez, Bernardo; Iriarte, Emma; Mokdad, Ali H.

doi:10.1186/s12963-018-0162-8

Population Health Metrics

Table 4 HIV screening through antenatal care, last pregnancy, Mesoamerican women, 15–49 years old

From: Health system strategies to increase HIV screening among pregnant women in Mesoamerica

		HIV test performed during antenatal care visit
Factor	Categories	N (weighted %); SE	AOR	95% CI
Age group (years)	15–19	677 (42.44); 2.59	REF
	20–29	3012 (41.41); 2.01	1.00	0.80–1.25
	30–39	1788 (41.04); 1.94	1.22	0.95–1.57
	40–49	374 (31.94); 2.57	1.06	0.74–1.52
Educational level	No education	432 (22.48); 2.03	REF
	Primary school or literacy course	1979 (32.91); 1.94	1.51	1.16–1.95
	Secondary school	1553 (51.30); 2.57	2.68	2.01–3.56
	High school	564 (49.22); 2.68	4.07	2.82–5.86
	Technical school or university	311 (68.40); 3.82	2.83	1.95–4.10
Marital status	Never married	881 (67.62); 2.22	REF
	Currently married or in a relationship	4536 (37.30); 1.78	0.65	0.49–0.87
	Separated, divorced, or widowed	398 (41.54); 3.08	0.66	0.44–0.99
Household economic level	Lowest monthly expenditure tertile	1291 (30.54); 2.27	REF
	Middle monthly expenditure tertile	2971 (42.15); 1.94	1.37	1.14–1.63
	Highest monthly expenditure tertile	1664 (56.97); 2.07	1.89	1.43–2.49
Has medical insurance	No	4843 (57.37); 1.65	REF
Has medical insurance	Yes	858 (18.95); 1.52	1.29	0.92–1.82
No. of antenatal care visits	1–3	500 (26.55); 2.06	REF
No. of antenatal care visits	4+	5252 (43.49); 1.91	2.10	1.70–2.61
Attendant of antenatal care visit	Other	1205 (20.85); 1.74	REF
Attendant of antenatal care visit	Physician or nurse	4712 (47.15); 1.90	2.02	1.57–2.59
Type of health care settings where antenatal care visits were received	Public hospital	779 (52.78); 3.04	REF
	Public health unit	2121 (58.55); 2.53	0.77	0.59–0.99
	Other public health care setting	1310 (29.95); 2.12	0.73	0.57–0.93
	Private hospital	119 (55.04); 6.14	0.89	0.47–1.70
	Other private health care setting	393 (63.12); 3.11	1.45	0.99–2.14
Country	Guatemala	263 (9.00); 1.00	REF
	Honduras	1248 (59.79); 2.07	2.77	1.65–4.66
	Mexico	688 (16.59); 1.47	0.86	0.56–1.31
	Nicaragua	1309 (74.89); 2.11	14.20	10.27–19.63
	Panama	424 (43.12); 6.66	2.35	1.44–3.83
	El Salvador	1994 (82.41); 1.16	21.10	14.71–30.13

AOR Adjusted Odds Ratio, 95% CI 95% Confidence Interval, REF Reference group, SE Standard Error

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