Patterns of condom use and associated factors among adult HIV positive clients in North Western Ethiopia: a comparative cross sectional study

BMC Public Health

Research Article

Solomon Meseret¹  Desalegn T Zegeye¹  Estifanos Yalew² 

[1] Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Public Health, Faculty of Medical and Health Sciences, Wollega University, Nekemte, Ethiopia;

关键词: Sexual Risk Behavior;    Sexually Transmit Infection;    Risky Sexual Behavior;    Inconsistent Condom;    Stepwise Multiple Logistic Regression Analysis;   

DOI  :  10.1186/1471-2458-12-308

 received in 2011-08-31, accepted in 2012-04-11,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe introduction of antiretroviral therapy (ART) has sharply decreased morbidity and mortality rates among HIV infected patients. Due to this, more and more people with HIV live longer and healthier lives. Yet if they practice sex without condom, those with high viral load have the potential to infect their sero-negative sexual partner or at risk of acquiring drug resistant viral strains from their sexual partner who are already infected. Hence, we aimed to assess practice of condom use and associated factors among HIV positive clients at Felege Hiwot Referral Hospital in North Western Ethiopia.MethodsHospital based comparative cross sectional study was conducted at Felege Hiwot Referral Hospital in northwest Ethiopia. Systematic random sampling technique was used to select 466 study participants from the ART and pre ART clinic of the Hospital. A structured interview administered questionnaire first prepared in English then translated into Amharic was used to collect data. Nurses who were working in the hospital but not in the HIV clinic were recruited and trained as data collectors.ResultsA total of 454 (224 respondents from ART naive and 230 ART experienced groups) were included in the study. Females constitute 151 (67.4%) and 133 (57.8%) of pre ART and ART group respectively. The ages of the participants ranged from 18 to 72 years. The average age was 31.7 years for women and 36.6 years for the men. About half of the participants (47.4% of ART group and 50.4% of the pre ART group) were sexually active. Inconsistent condom use was reported by 61(56%) ART and 50 (44.2%) of the pre ART sexually active study participants.ConclusionsThe study found that those who are on ART were at lower risk of using condom inconsistently as compared to the ART naïve patients living with HIV. Therefore, these results are of high importance in order to design tailored interventions.

【 授权许可】

CC BY   
© Yalew et al.; licensee BioMed Central Ltd. 2012