Determinants of non-disclosure to sexual partner among human immune virus infected adults on anti-retroviral therapy follow-up care at North Shewa zone public hospitals in Oromia Region, Ethiopia

Alemineh, Tiliksew Liknaw; Alem, Dejene Tsegaye; Minwuyelet, Fentahun; Birhanie, Setarg Ayenew; Amlak, Baye Tsegaye; Shifraew, Mengistu Benayew; Andualem, Atsedemariam; Ayenew, Temesgen

doi:10.1016/j.ijans.2022.100484

Cited by 1 publication

(2 citation statements)

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“…A study conducted in the Northern Shewa Zone and South Africa also found similar results in their studies. 19 , 20 This implies that women are more likely to not disclose their HIV-positive status than men. This could be due to a variety of factors, such as fear of stigma, lack of access to healthcare, or lack of knowledge about HIV.…”

Section: Discussionmentioning

confidence: 99%

“…This conclusion is consistent with findings from a study conducted in Ethiopia's North Shewa Zone and another at Mekele Hospital. 13,19 This case-control study underlines the necessity of long-term engagement and focused interventions to increase ART adherence and reduce the risk of HIV transmission. Individuals with shorter follow-up times may not have received appropriate assistance or counseling to help them appreciate the need of ART follow-up and the hazards associated with not revealing their HIV-positive status, according to the research.…”

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confidence: 89%

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Non-Disclosure of HIV-Positive Serostatus: Unmatched Case–Control Study in People Living with HIV in Public Health Facilities of Gedeo Zone, Southern Ethiopia

Tessema¹,

Bune²,

Mamo³

2023

HIV

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Background Non-disclosure of HIV-positive status (NDHPSS) is the individual’s experience of hiding their HIV status from other people or groups. People who fail to reveal their HIV-positive serostatus risk contracting the virus again, not receiving the best possible care, and even dying. Purpose To assess predictors of NDHPSS in people living with HIV in public health facilities in Gedeo-Zone, Southern-Ethiopia. Methods In Gedeo-Zone, Southern Ethiopia, a facility-based, unmatched, case–control study was carried out from the first of February to March 30, 2022GC. With a case-to-control ratio of 1:1, a total of 360 respondents (89 cases and 271 controls) were involved. The respondents were chosen using a sequential sampling technique. EpiData-V-3.1 was used to enter the data, and SPSS-V-25 was used to analyse it. To determine the factors that were connected to the result, a binary logistic regression analysis was performed. AOR at the 95% confidence interval and p-values under 0.05 were utilised to explain their statistical significance. Results The study had 360 participants in total—271 controls and 89 cases—resulting in a response rate of 97.6%. The average age of the participants was 35.6 years (SD: 8.3). After adjusting the possible confounders, sex (AOR = 2.8, 95% CI: 1.04–7.56), residence (AORs = 3.52, 95% CI: 2.83–9.39), WHO clinical stage I (AORs = 4.68, 95% CI: 1.9–22.1), short duration of ART follow-up care (AOR = 4.21, 95% CI: 1.65–10.73), and number of lifetime sexual partners (AOR = 6.9, 95% CI: 1.86–26.3) were significantly associated factors with the outcome. Conclusion According to this study, living in a rural area and being in WHO clinical stage one, in addition to being a woman and having multiple sexual partners during one’s lifetime, were predictors of non-disclosure of an HIV-positive serostatus. As a result, encouraging people with HIV in WHO stage I and those who have had more than one sexual partner in their lifetime to disclose their status and expanding counselling services for rural residents and women have a substantial impact on reducing the HIV load.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 89%