Background: HIV is a chronic infection that weakens the immune system. In sub-Saharan Africa, and more specifically in Guinea, access to HIV testing remains a significant issue in certain areas, with geographic disparities. This study aimed to analyze spatial variations and factors influencing access to HIV testing among men and women aged 15 to 49 years in Guinea in 2018. Methods: This was a secondary analysis of existing data. This study utilized data from the 2018 Demographic and Health Survey (DHS) in Guinea. It was an ecological, cross-sectional study where the statistical unit was the health area. Spatial analysis was conducted through Moran's I coefficient, local autocorrelation, hot and cold spot analysis, and ordinal logistic regression. Results: Data from a total of 14,451 individuals distributed across 340 health areas and 38 health districts were analyzed. Most individuals had at least partial access to testing across all health areas. The percentages of moderate and optimal access decreased progressively among those with partial access. A significant global spatial autocorrelation was observed (I = 0.170; p < 0.001) for moderate access percentages and optimal access percentages (I = 0.232; p < 0.001). Age (OR = 1.005; 95% CI: 1.001-1.009; p = 0.009), gender (OR = 0.517; 95% CI: 0.481-0.555; p < 0.001), socioeconomic status (OR = 1.119; 95% CI: 1.031-1.215; p < 0.001), and residential setting (OR = 1.384; 95% CI: 1.239-1.491; p < 0.001) were significantly associated with testing access. Conclusion: This study reveals substantial geographic disparities in HIV testing access in Guinea, influenced by age, gender, socioeconomic status, and residence. Despite widespread awareness, moderate and optimal access remains limited, especially in rural areas. Targeted public health strategies such as community-based interventions, service decentralization, and integration into primary care are essential to improving coverage and ensuring equitable HIV service access nationwide.
| Published in | Science Journal of Public Health (Volume 13, Issue 4) |
| DOI | 10.11648/j.sjph.20251304.16 |
| Page(s) | 212-226 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
HIV, Testing, Spatial Variations, Guinea
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APA Style
Leno, N. N., Adjakou, K. F., Kaba, C., Lehot, L. (2025). Spatial Variations and Factors Influencing HIV Testing Access in Guinea: A Secondary Analysis of the 2018 Demographic and Health Survey Data. Science Journal of Public Health, 13(4), 212-226. https://doi.org/10.11648/j.sjph.20251304.16
ACS Style
Leno, N. N.; Adjakou, K. F.; Kaba, C.; Lehot, L. Spatial Variations and Factors Influencing HIV Testing Access in Guinea: A Secondary Analysis of the 2018 Demographic and Health Survey Data. Sci. J. Public Health 2025, 13(4), 212-226. doi: 10.11648/j.sjph.20251304.16
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Download@article{10.11648/j.sjph.20251304.16,
author = {Niouma Nestor Leno and Kayossi Florent Adjakou and Condé Kaba and Laurent Lehot},
title = {Spatial Variations and Factors Influencing HIV Testing Access in Guinea: A Secondary Analysis of the 2018 Demographic and Health Survey Data
},
journal = {Science Journal of Public Health},
volume = {13},
number = {4},
pages = {212-226},
doi = {10.11648/j.sjph.20251304.16},
url = {https://doi.org/10.11648/j.sjph.20251304.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20251304.16},
abstract = {Background: HIV is a chronic infection that weakens the immune system. In sub-Saharan Africa, and more specifically in Guinea, access to HIV testing remains a significant issue in certain areas, with geographic disparities. This study aimed to analyze spatial variations and factors influencing access to HIV testing among men and women aged 15 to 49 years in Guinea in 2018. Methods: This was a secondary analysis of existing data. This study utilized data from the 2018 Demographic and Health Survey (DHS) in Guinea. It was an ecological, cross-sectional study where the statistical unit was the health area. Spatial analysis was conducted through Moran's I coefficient, local autocorrelation, hot and cold spot analysis, and ordinal logistic regression. Results: Data from a total of 14,451 individuals distributed across 340 health areas and 38 health districts were analyzed. Most individuals had at least partial access to testing across all health areas. The percentages of moderate and optimal access decreased progressively among those with partial access. A significant global spatial autocorrelation was observed (I = 0.170; p Conclusion: This study reveals substantial geographic disparities in HIV testing access in Guinea, influenced by age, gender, socioeconomic status, and residence. Despite widespread awareness, moderate and optimal access remains limited, especially in rural areas. Targeted public health strategies such as community-based interventions, service decentralization, and integration into primary care are essential to improving coverage and ensuring equitable HIV service access nationwide.},
year = {2025}
}
TY - JOUR T1 - Spatial Variations and Factors Influencing HIV Testing Access in Guinea: A Secondary Analysis of the 2018 Demographic and Health Survey Data AU - Niouma Nestor Leno AU - Kayossi Florent Adjakou AU - Condé Kaba AU - Laurent Lehot Y1 - 2025/08/11 PY - 2025 N1 - https://doi.org/10.11648/j.sjph.20251304.16 DO - 10.11648/j.sjph.20251304.16 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 212 EP - 226 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20251304.16 AB - Background: HIV is a chronic infection that weakens the immune system. In sub-Saharan Africa, and more specifically in Guinea, access to HIV testing remains a significant issue in certain areas, with geographic disparities. This study aimed to analyze spatial variations and factors influencing access to HIV testing among men and women aged 15 to 49 years in Guinea in 2018. Methods: This was a secondary analysis of existing data. This study utilized data from the 2018 Demographic and Health Survey (DHS) in Guinea. It was an ecological, cross-sectional study where the statistical unit was the health area. Spatial analysis was conducted through Moran's I coefficient, local autocorrelation, hot and cold spot analysis, and ordinal logistic regression. Results: Data from a total of 14,451 individuals distributed across 340 health areas and 38 health districts were analyzed. Most individuals had at least partial access to testing across all health areas. The percentages of moderate and optimal access decreased progressively among those with partial access. A significant global spatial autocorrelation was observed (I = 0.170; p Conclusion: This study reveals substantial geographic disparities in HIV testing access in Guinea, influenced by age, gender, socioeconomic status, and residence. Despite widespread awareness, moderate and optimal access remains limited, especially in rural areas. Targeted public health strategies such as community-based interventions, service decentralization, and integration into primary care are essential to improving coverage and ensuring equitable HIV service access nationwide. VL - 13 IS - 4 ER -
Department of Public Health of Faculty of Science and Health Technologies, Gamal Abdel Nasser University of Conakry, Conakry, Guinea. African Center of Excellence for Disease Prevention and Control, Gamal Abdel Nasser University of Conakry, Conakry, Guinea. Expanded Program on Immunization (EPI), Ministry of Health and Public Hygiene, Conakry, Guinea
Expanded Program on Immunization (EPI), Ministry of Health and Public Hygiene, Conakry, Guinea
Rheumatology Service, Ignace Deen National Hospital, Conakry, Guinea
Department of Health Economics and Social Sciences & Medical Information Processing (SESSTIM), Aix-Marseille University, Marseille, France
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