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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Determinants of HIV testing and receipt of test results among adolescent girls in Nigeria: the role of assets and decision-making

Juliet Iwelunmor / Sarah Blackstone
  • Corresponding author
  • Department of Health Sciences, James Madison University, 235 Martin Luther King Way MSC 4301, Harrisonburg, VA, USA
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/ Larissa Jennings / Donaldson Converse / John Ehiri / Jami Curley
Published Online: 2018-04-09 | DOI: https://doi.org/10.1515/ijamh-2017-0152



Many adolescent girls in Nigeria do not test for HIV despite being at high risk. While the influence of psychosocial factors on HIV testing has been examined, there is less evidence regarding the impact of assets and control of assets on HIV testing. This study investigated the protective effects of specific adolescent girls’ assets on decision-making regarding HIV testing.


Cross-sectional data from the 2013 Nigeria Demographic and Health Survey was analyzed. The main outcome variables were self-reports of having been tested for HIV and knowledge of a place that offers HIV testing. Binary logistic regression was used with employment, education, wealth index, home ownership, land ownership and decision making as potential predictors. Demographic characteristics were controlled in the analysis.


Age [odds ratio (OR = 1.49)], employment (OR = 3.38), education (OR = 3.16), wealth index (OR = 1.33) and decision making (OR = 3.16) were positively associated with HIV testing. Age (OR = 1.20), employment (OR = 1.33), education (OR = 1.38), wealth (OR = 1.64), land ownership (OR = 1.42), and decision making (OR = 1.26) were positively associated with knowledge of an HIV testing location.


Our findings suggest that assets play an important role with HIV testing decisions for adolescent girls. Further research to elucidate the specific asset-based needs of adolescent girls will be needed to enhance decisions surrounding uptake of HIV testing and receipt of test results in Nigeria.

Keywords: adolescents; assets; HIV-testing; Nigeria


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About the article

Received: 2017-09-04

Accepted: 2017-12-20

Published Online: 2018-04-09

Citation Information: International Journal of Adolescent Medicine and Health, 20170152, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0152.

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