Perceived behavioural predictors of late initiation to HIV/AIDS care in Gurage zone public health facilities: a cohort study using health belief model

Abstract

ObjectiveThe study was aimed to measure incidence density rate and identify perceived behavioural believes of late initiation to HIV/AIDS care in Gurage zone public health facilities from September 2015 to November 2016.ResultsThe incidence density rates of late initiation to HIV/AIDS care were 2.21 per 100 person-months of observation. HIV positive individuals who did not perceived susceptibility were 8.46 times more likely delay to start HIV/AIDS care than their counter parts [OR = 8.46 (95% CI 3.92, 18.26)]. HIV infected individuals who did not perceived severity of delayed ART initiation were 6.13 time more likely to delay than HIV infected individuals who perceived its severity [OR = 6.13 (95% CI 2.95, 12.73)]. HIV positive individuals who didn’t have self-efficacy were 2.35 times more likely delay to start HIV/AIDS care than HIV positive individuals who have self-efficacy [OR = 2.35 (95% CI 1.09, 5.05)].ConclusionsThe study revealed that high incidence density rates of delayed initiation for HIV care and variations were explained by poor wealth, and perceived threat and benefit. Therefore, interventions should be designed to initiate care at their diagnosis time.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3408-4) contains supplementary material, which is available to authorized users.

Late presentation of HIV positive adults and its predictors to HIV/AIDS care in Ethiopia: a systematic review and meta-analysis

“…A total of eight studies [12–19] with 7568 participants were included in this study. Out of these studies, four [12, 15, 16, 19] were conducted through the case-control study design and the other four [13, 14, 17, 18] were retrospective cohort. Regarding study areas, three studies [15, 17, 18] were conducted in Oromia, two [13, 14] in Southern Nations, Nationalities, and Peoples’ Region (SNNPR), one [16] in Amhara, one [12] in Tigray, and one [19] in Harari.…”

“…Regarding study areas, three studies [15, 17, 18] were conducted in Oromia, two [13, 14] in Southern Nations, Nationalities, and Peoples’ Region (SNNPR), one [16] in Amhara, one [12] in Tigray, and one [19] in Harari. Detailed characteristics of included studies were described in Table 1.…”

“…Out of 8 studies, four [13, 14, 17, 18] were assessed using the JBI checklist for cohort studies and four [12, 15, 16, 19] were assessed using the JBI checklist for case-control studies. None of the studies were excluded after quality assessment.…”

“…The prevalence of late presentation to HIV/AIDS care ranged from 34.4% in SNNPR [14] to 67.7% in Oromia [17]. To estimate the pooled prevalence, four studies [13, 14, 17, 18] were used. Consequently, the pooled prevalence of late presentation to HIV/AIDS care in Ethiopia was 52.89% (95% CI: 35.37, 70.40; I 2 = 99%; P -value < 0.001) (Fig.…”

ART initiation and predictive factors among men who have sex with men living with HIV after the implementation of new ART strategy in China: an observational cohort study

“…Perceptions related to ART were associated with behavioral intention to initiate ART among HIVpositive MSM in China. Behavioral change theories are useful in guiding the development of interventions for a particular health behavior [24]. The Health Belief Model (HBM) was one of the most commonly used behavioral theories to explain/predict health-related behaviors.…”