Despite the high prevalence of HIV among adolescent girls and young women (AGYW) aged 15–24 years in Ghana, HIV testing remains low among this population. The objective of this study was to examine the relationship between ethnicity and HIV testing among AGYW in Ghana. The 2014 Ghana Demographic and Health Survey data were used and analyses were restricted to 3325 female participants aged 15–24 years. Chi-squared tests and a logistic regression model were used to assess the association between ethnicity and HIV testing. Furthermore, the PEN-3 cultural model informed the conceptual framework that explained the relationship between ethnicity and HIV testing behaviour. Results from the bivariate analysis showed an association between ethnicity and HIV testing among AGYW (p<0.05). However, when controlling for other behavioural and socioeconomic determinants of HIV testing in the logistic regression, there was no association between ethnicity and HIV testing. The significant predictors of HIV testing were marital status, having multiple sexual partners, and condom use. The AGYW who were married (adjusted odds ratio [aOR] = 4.56, CI: 3.46–6.08) or previously married (aOR = 4.30, CI: 2.00–9.23) were more likely to test for HIV compared with those who were never married. Having multiple sexual partners (aOR = 0.41, CI: 0.20–0.85) and condom use (aOR = 0.56, CI: 0.38–0.84) were associated with lower odds of HIV testing. The results provide evidence that ethnicity is not associated with HIV testing among AGYW in Ghana, as the bivariate association was attenuated when other behavioural and socioeconomic determinants of HIV testing were accounted for. These findings highlight the importance of considering individual-level factors, community-level factors, and other socio-cultural factors as they really matter in the development of HIV prevention programmes for adolescent girls and young women in Ghana.

尽管加纳 15-24 岁的少女和年轻女性 (AGYW) 的艾滋病毒感染率很高，但该人群的艾滋病毒检测率仍然很低。本研究的目的是检查加纳 AGYW 的种族与 HIV 检测之间的关系。使用了 2014 年加纳人口和健康调查数据，分析仅限于 3325 名 15-24 岁的女性参与者。卡方检验和逻辑回归模型用于评估种族与 HIV 检测之间的关联。此外，PEN-3 文化模型为解释种族与 HIV 检测行为之间关系的概念框架提供了依据。双变量分析结果显示 AGYW 中的种族与 HIV 检测之间存在关联（p<0.05)。然而，当在逻辑回归中控制 HIV 检测的其他行为和社会经济决定因素时，种族与 HIV 检测之间没有关联。艾滋病毒检测的重要预测因素是婚姻状况、拥有多个性伴侣和使用安全套。与从未结婚的人相比，已婚（调整优势比 [aOR] = 4.56，CI：3.46-6.08）或已婚（aOR = 4.30，CI：2.00-9.23）的 AGYW 更有可能检测 HIV。拥有多个性伴侣（aOR = 0.41，CI：0.20-0.85）和使用安全套（aOR = 0.56，CI：0.38-0.84）与较低的 HIV 检测几率相关。结果提供证据表明种族与加纳 AGYW 中的 HIV 检测无关，因为当考虑到 HIV 检测的其他行为和社会经济决定因素时，双变量关联会减弱。这些发现强调了考虑个人层面因素、社区层面因素和其他社会文化因素的重要性，因为它们在为加纳少女和年轻女性制定艾滋病毒预防计划中确实很重要。