AIDS and Behavior

, Volume 11, Issue 5, pp 736–742 | Cite as

Educational Attainment and HIV Status among Ethiopian Voluntary Counseling and Testing Clients

  • Heather Bradley
  • Amare Bedada
  • Heena Brahmbhatt
  • Aklilu Kidanu
  • Duff Gillespie
  • Amy Tsui
Original Paper

Abstract

We examined the association between HIV infection and educational attainment level among a population of 34,512 voluntary counseling and testing (VCT) clients in Ethiopia, using client data from the Family Guidance Association of Ethiopia (FGAE). Overall, more than 50 percent of the VCT clients report at least secondary level educational attainment, and HIV prevalence is 8.5 percent for men and 14.3 percent for women. HIV prevalence decreases significantly with each increase in education level for both men and women, and this association persists at secondary and higher education levels in the multivariate model. Male and female VCT clients with more than secondary level education are 58 percent and 66 percent (respectively) less likely to be HIV-positive than those with no education. HIV prevention and treatment interventions in Ethiopia should target less educated segments of the population including women, who have higher HIV prevalence and lower educational attainment than men.

Keywords

HIV Educational attainment VCT Ethiopia 

References

  1. Abebe, Y., Schaap, A., Mamo, G., Negussie, A., Darimo, B., Wolday, D., & Sanders, E. J. (2003). HIV prevalence in 72,000 urban and rural male army recruits, Ethiopia. AIDS, 17, 1835–1840.PubMedCrossRefGoogle Scholar
  2. Auvert, B., Buve, A., Ferry, B., Carael, M., Morison, L., Lagarde, E., Robinson, N. J., Kahindo, M., Chege, J., Rutenberg, N., Musonda, R., Laourou, M., & Akam, E. (2001). Study Group on the Heterogeneity of HIV Epidemics in African Cities. Ecological and individual level analysis of risk factors for HIV infection in four urban populations in sub-Saharan Africa with different levels of HIV infection. AIDS, 15, S15–S30.PubMedCrossRefGoogle Scholar
  3. Central Statistical Authority (Ethiopia) & ORC Macro. Ethiopia Demographic and Health Survey 2000 (2001). Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Authority & ORC Macro.Google Scholar
  4. de Walque, D., Nakiyingi-Miiro, J. S., Busingye, J., & Whitworth, J. A. (2005). Changing association between schooling levels and HIV-1 infection over 11 years in a rural population cohort in south-west Uganda. Tropical Medicine & International Health, 10, 993–1001.CrossRefGoogle Scholar
  5. Federal Ministry of Health, Ethiopia (2004). AIDS in Ethiopia (5th ed.), Addis Ababa: Disease Prevention and Control Department, Ministry of Health.Google Scholar
  6. Fontanet, A. L., Woldemichael, T., Sahlu, T., van Dam, G. J., Messele, T., Rinke, d. W., Masho, W., Yeneneh, H., Coutinho, R. A., & van Lieshout, L. (2000). Epidemiology of HIV and Schistosoma mansoni infections among sugar-estate residents in Ethiopia. Annals of Tropical Medicine and Parasitology, 94, 145–155.PubMedCrossRefGoogle Scholar
  7. Fylkesnes, K., Musonda, R. M., Sichone, M., Ndhlovu, Z., Tembo, F., & Monze, M. (2001). Declining HIV prevalence and risk behaviours in Zambia: evidence from surveillance and population-based surveys. AIDS, 15, 907–916.PubMedCrossRefGoogle Scholar
  8. Glynn, J. R., Carael, M., Buve, A., Anagonou, S., Zekeng, L., Kahindo, M., & Musonda, R. (2004). Does increased general schooling protect against HIV infection? A study in four African cities. Tropical Medicine & International Health, 9, 4–14.CrossRefGoogle Scholar
  9. Grosskurth, H., Mosha, F., Todd, J., Senkoro, K., Newell, J., Klokke, A., Changalucha, J., West, B., Mayaud. P., & Gavyole, A. (1995). A community trial of the impact of improved sexually transmitted disease treatment on the HIV epidemic in rural Tanzania: 2. Baseline survey results. AIDS, 9, 927–934.PubMedCrossRefGoogle Scholar
  10. Hargreaves, J. R., & Glynn, J. R. (2002). Educational attainment and HIV-1 infection in developing countries: a systematic review. Tropical Medicine & International Health, 7, 489–498.CrossRefGoogle Scholar
  11. Kilian, A. H., Gregson, S., Ndyanabangi, B., Walusaga, K., Kipp, W., Sahlmuller, G., Garnett, G. P., Asiimwe-Okiror, G., Kabagambe, G., Weis, P., & von Sonnenburg, F. (1999). Reductions in risk behaviour provide the most consistent explanation for declining HIV-1 prevalence in Uganda. AIDS, 13, 391–398.PubMedCrossRefGoogle Scholar
  12. Lagarde, E., Carael, M., Glynn, J. R., Kanhonou, L., Abega, S. C., Kahindo, M., Musonda, R.,Auvert, B., Buve, A., & Study Group on the Heterogeneity of HIV Epidemics in African Cities. (2001). Educational level is associated with condom use within non-spousal partnerships in four cities of sub-Saharan Africa. AIDS, 15, 1399–1408.Google Scholar
  13. Over, M., & Piot, P. (1993). HIV infection and sexually transmitted diseases. In D. T. Jamison, W. H. Mosley, A. R. Mensham, J. L. Bobadilla (Eds.), Disease Control Priorities in Developing Countries. Oxford: Oxford University Press.Google Scholar
  14. Quigley, M., Munguti, K., Grosskurth, H., Todd, J., Mosha, F., Senkoro, K., Newell, J., Mayaud, P., ka-Gina, G., Klokke, A., Mabey, D., Gavyole, A., & Hayes, R. (1997). Sexual behaviour patterns and other risk factors for HIV infection in rural Tanzania: a case-control study. AIDS, 11, 237–248.PubMedCrossRefGoogle Scholar
  15. Senkoro, K. P., Boerma, J. T., Klokke, A. H., Ng’weshemi, J. Z., Muro, A. S., Gabone, R., & Borgdorff, M. W. (2000). HIV incidence and HIV-associated mortality in a cohort of factory workers and their spouses in Tanzania, 1991 through 1996. Journal of Acquired Immune Deficiency Syndromes, 23, 194–202.PubMedGoogle Scholar
  16. Smith, J., Nalagoda, F., Wawer, M. J., Serwadda, D., Sewankambo, N., Konde-Lule, J., Lutalo, T., Li, C., & Gray, R. H. (1999). Education attainment as a predictor of HIV risk in rural Uganda: results from a population-based study. International Journal of STD & AIDS, 10, 452–459.CrossRefGoogle Scholar
  17. Taha, T. E., Dallabetta, G. A., Hoover, D. R., Chiphangwi, J. D., Mtimavalye, L. A., Liomba, G. N.,Kumwenda, N. I., & Miotti, P. G. (1998). Trends of HIV-1 and sexually transmitted diseases among pregnant and postpartum women in urban Malawi. AIDS, 12, 197–203.PubMedCrossRefGoogle Scholar
  18. Joint United Nations Programme on HIV/AIDS (UNAIDS) (2004). Report on the Global AIDS Epidemic. Joint United Nations Programme on HIV/AIDS (UNAIDS) 2004.Google Scholar
  19. Joint United Nations Programme on HIV/AIDS (UNAIDS) & the World Health Organization (WHO) (2005). AIDS epidemic update: December 2005: Special section on HIV prevention.Google Scholar
  20. United Nations Population Fund (UNFPA) (2005). State of World Population 2005. The Promise of Equality: Gender Equity, Reproductive Health and the Millennium Development Goals. (UNFPA).Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Heather Bradley
    • 1
  • Amare Bedada
    • 2
  • Heena Brahmbhatt
    • 1
  • Aklilu Kidanu
    • 3
  • Duff Gillespie
    • 1
  • Amy Tsui
    • 1
  1. 1.Department of Population and Family Health SciencesJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Family Guidance Association of EthiopiaAddis AbabaEthiopia
  3. 3.Miz-Hasab Research CenterAddis AbabaEthiopia

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