Disclosure of HIV seropositive status to sexual partners and its associated factors among patients attending antiretroviral treatment clinic follow up at Mekelle Hospital, Ethiopia: a cross sectional study

BMC Research Notes

Teklemariam Gultie¹  Girum Sebsibie²  Minichil Genet³ 

[1] College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia;College of Medicine and Health Science, Addis Ababa Science and Technology University, Addis Ababa, Ethiopia;Debre Tabor Health Science College, Debre Tabor, Amhara Regional State, Ethiopia

关键词: Antiretroviral treatment;    Mekelle;    Sexual partner;    Disclosure;    HIV status;   

Others  :  1145788
DOI  :  10.1186/s13104-015-1056-5

 received in 2014-07-08, accepted in 2015-03-12,  发布年份 2015

【 摘 要 】

Background

Disclosure of human immune deficiency virus (HIV) positive status has a key role in the prevention and control of HIV/AIDS. The failure of people infected with HIV to disclose their positive status can expose their sexual partners to the virus. Identifying the factors associated with status disclosure is a priority issue as high proportion of people living with HIV do not discloses their status and to design appropriate strategy to deal with the issues this involves. The aim of this study was to assess the disclosure and its associated factors of HIV positive status to sexual partners among patients attending antiretroviral therapy (ART) clinic follow up at Mekelle Hospital, Tigray, Ethiopia.

Methods

An institution based cross sectional study was conducted at Mekelle hospital. Samples of 324 individuals were selected by using systematic random sampling techniques from July 1st until the 30th July 2012. The data was collected by trained data collectors through pretested semi structured questionnaire. The collected data was cleaned, coded, entered and then analysed using SPSS version 16.0 windows program. Descriptive statistics, binary and multivariable regression analysis with 95% confidence interval was carried out and p value less than 0.05 used to determine the significant association.

Results

A total of 324 people on ART care follow up were interviewed with 100% response rate. The overall HIV status disclosure to sexual partner was 57.4%. Among those who disclosed their HIV status 58.0% of them told their partner after one month of initial diagnosis. The study showed that there is significant association between knowing HIV status of sexual partner [AOR = 16.69, 95% CI (5.4, 51.65)], duration of HIV related care follow up [AOR = 5.48, 95% CI (2.17, 13.80)] and discussion before HIV testing [AOR = 4.33, 95% CI (1.43, 13.08)] with HIV positive status disclosure to sexual partner.

Conclusions

A HIV positive status disclosure to a sexual partner in this study was lower than what was reported in other studies in Ethiopia. The duration of HIV related care follow up, knowing partners HIV status and prior discussion were the main factors which affect the practice of HIV positive status disclosure to their sexual partners.

【 授权许可】

   
2015 Genet et al.; licensee BioMed Central.

【 参考文献 】

• [1]WHO/UNAIDS/ UNICEF: Global HIV/AIDS response epidemic update and health sector progress towards universal access progress report. UNICEF, Switzerland; 2011.
• [2]UNAIDS: World AIDS day report. UNAIDS, Geneva; 2011.
• [3]UNAIDS: Global AIDS epidemic report. UNAIDS, Geneva; 2010.
• [4]FMOH/HAPCO: Single point HIV prevalence estimate. HAPCO, Addis Ababa; 2010.
• [5]Tigray Health Bureau: Profile report of Tigray regional health bureau. Tigray health bureau, Mekelle; 2007.
• [6]CSA Ethiopia: Ethiopian Demographic and health survey. CSA Ethiopia, Addis Ababa; 2011.
• [7]Stirratt MJ, Remien RH, Smith A, Stirratt MJ, Remien RH, Smith A, et al.: The role of HIV serostatus disclosure in antiretroviral medication adherence. AIDS Behav 2006, 10(5):483-93.
• [8]Larkins S, Reback CJ, Shoptaw S, Veniegas R: Methamphetamine-dependent gay men’s disclosure of their HIV status to sexual partners. AIDS Care 2005, 17:521-32. [PubMed]
• [9]Kadowa I, Nuwaha F: Factors influencing disclosure of HIV positive status in Mityana district of Uganda. Afr Health Sci 2009, 9(1):26-33.
• [10]Yonah G, Fredrick F, Leyna G: HIV sero-status disclosure among people living with HIV/AIDS in Mwanza, Tanzania. AIDS Res Ther 2014, 11:5. BioMed Central Full Text
• [11]Negesse D, Addis K, Awoke A, Birhanu Z, Muluye D, Yifru S, Megabiaw B: HIV positive status disclosure and associated factors among children in North Gondar, Northwest Ethiopia. International scholarly research network AIDS 2012, 2012:1-7.
• [12]Deribe K, Wassie K, Linger H, Yismaw D: Determinants and outcomes of disclosing HIV-sero positive status to sexual partners among women in Mettu and Gore towns, Illubabor Zone southwest Ethiopia. EthiopJHealthDev 2005, 19(2):126-31.
• [13]Kebede D, Kifle W, Mekitie W, Amaha H, Alemayehu A: Disclosure experience and associated factors among HIV positive men and women clinical service users in southwest Ethiopia. BMC Public Health 2008, 8:81. BioMed Central Full Text
• [14]Taye G, Dereje H, Endrias M: HIV positive status disclosure to sexual partner among women attending ART clinic at Awassa University Referral Hospital, Ethiopia. Ethiop J Health Dev 2010, 24(1):9-14.
• [15]Mohammed S, Belaynew W, Mengesha A: Disclosure of HIV Positive Result to a Sexual Partner among Adult Clinical Service Users in Kemissie District, Northeast Ethiopia. Afr J Reprod Health 2012, 16(1):97-104.
• [16]King R, Katuntu D, Lifshay J, Packel L, Batamwita R, Nakayiwa S: Processes and outcomes of HIV serostatus disclosure to sexual partners among people living with HIV in Uganda. AIDS Behav 2008, 12(2):232-43.
• [17]Elford J, Ibrahim F, Bukutu C, Anderson J: The role of ethnicity among people living with HIV in London. J Acquir Immune DeficSyndr 2008, 47:514-21.
• [18]Skunodom N, Linkins W, Culnane E, Prymanee J: Factors associated with nondisclosureof HIV infection status of new mothers in Bangkok. Southeast Asian J Trop Med Public Health 2006, 37:690-703.
• [19]Isaac K, Fred N: Factors influencing disclosure of HIV positive status in Mityana district of Uganda. Afr Health Sci 2009, 9:1.
• [20]Simbayi L, Kalichman S, Strebel A: Disclosure of HIV status to sex partners and sexual risk behaviours among HIV-positive men and women. Sex Transm Infect 2007, 83:29-34.
• [21]Pearson C, Micek A, Gloyd S: One Year after ART Initiation: Psychosocial Factors Associated with Stigma among HIV-Positive Mozambicans. AIDS Behav 2009, 13(6):1189-96.
• [22]Maria R, Alison W, Joanna B: A qualitative study on the impact of antiretroviral provision on the normalization of HIV in rural Tanzania and its implications for prevention. BMC International Health and Human Rights 2009, 9:22. BioMed Central Full Text
• [23]WHO: Gender dimensions of HIV status discourse to sexual partners. Rates, barriers & outcomes, Geneva, Switzerland; 2004.
• [24]Keogh P, Allen S, Almedal C, Temahagili B: The social impact of HIV infection on women in Kigali, Rwanda: a prospective study. Soc Sci Med 1994, 38:1047-53.