Risky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study

Getu Mosisa,1 Kifle Woldemichael,2 Fantahun Ayalew,3,† 1Department of Nursing and Midwifery, College of Health Sciences, Wollega University, Nekemte, Ethiopia; 2Department of Epidemiology, College of Health Sciences, Jimma University, Jimma, Ethiopia; 3Department of Nursing and Midwifery,...

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Autores principales: Mosisa G, Woldemichael K, Ayalew F
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Lenguaje:EN
Publicado: Dove Medical Press 2018
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HIV
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spelling oai:doaj.org-article:0a026e1f7c754cacae3cbfe28bba3dae2021-12-02T03:51:23ZRisky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study1179-1373https://doaj.org/article/0a026e1f7c754cacae3cbfe28bba3dae2018-07-01T00:00:00Zhttps://www.dovepress.com/risky-sexual-behavior-and-associated-factors-among-antiretroviral-ther-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Getu Mosisa,1 Kifle Woldemichael,2 Fantahun Ayalew,3,† 1Department of Nursing and Midwifery, College of Health Sciences, Wollega University, Nekemte, Ethiopia; 2Department of Epidemiology, College of Health Sciences, Jimma University, Jimma, Ethiopia; 3Department of Nursing and Midwifery, College of Health Sciences, Jimma University, Jimma, Ethiopia †Fantahun Ayalew passed away on August 31, 2017 Background: HIV/AIDS remains a major public health problem. Practice of risky sexual behaviors is the major effective driver of the HIV epidemic among HIV-positive individuals. This behavior exposes their partners to HIV, and for those that are already positive it exposes them to a risk of suprainfection by other strains. Objective: The aim of this study was to assess the prevalence of risky sexual behavior and associated factors among people living with HIV attending antiretroviral therapy (ART) clinic at Nekemte Referral Hospital. Methods: An institution-based based cross-sectional study was conducted at the ART clinic of Nekemte Referral Hospital from March to April 2016. A total of 337 people living with HIV on ART for at least 3 months were selected by consecutive sampling technique. Data were collected through face-to-face interview. Data were entered into Epi-data Version 3.1 and analyzed using SPSS version 20. Variables significant on bivariate logistic regression analysis at p<0.25 were considered as candidates for the multivariable logistic regression analysis, and statistical significance was set at p<0.05. Results: Approximately one third (32.9%) of the study participants were engaged in risky sexual behavior in the past 3 months prior to the study. Having multiple sexual partners (adjusted odds ratio [AOR] =6.38, 95% CI: 1.65, 24.74), being with a positive sero-status partner (AOR =2.68, 95% CI: 1.31, 5.5), not disclosing sero-status (AOR =5.99, 95% CI: 1.36, 26.35), having a desire for a child (AOR =2.6, 95% CI: 1.5, 4.51), having experience of perceived stigma (AOR =2.63, 95% CI: 1.5, 4.62), and lack of education on importance of protecting self from strain (AOR =5.64, 95% CI: 3.19, 9.96) were significantly associated with risky sexual behavior. Conclusion and recommendation: The prevalence of risky sexual behavior was high, and approximately one third of study participants were engaged in risky sexual behavior. Efforts to increase awareness through health education and counseling are highly recommended. Keywords: HIV, risky sexual behavior, Nekemte Referral Hospital, EthiopiaMosisa GWoldemichael KAyalew FDove Medical PressarticleHIVRisky sexual behaviorNekemte Referral HospitalEthiopia.Immunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 10, Pp 125-131 (2018)
institution DOAJ
collection DOAJ
language EN
topic HIV
Risky sexual behavior
Nekemte Referral Hospital
Ethiopia.
Immunologic diseases. Allergy
RC581-607
spellingShingle HIV
Risky sexual behavior
Nekemte Referral Hospital
Ethiopia.
Immunologic diseases. Allergy
RC581-607
Mosisa G
Woldemichael K
Ayalew F
Risky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study
description Getu Mosisa,1 Kifle Woldemichael,2 Fantahun Ayalew,3,† 1Department of Nursing and Midwifery, College of Health Sciences, Wollega University, Nekemte, Ethiopia; 2Department of Epidemiology, College of Health Sciences, Jimma University, Jimma, Ethiopia; 3Department of Nursing and Midwifery, College of Health Sciences, Jimma University, Jimma, Ethiopia †Fantahun Ayalew passed away on August 31, 2017 Background: HIV/AIDS remains a major public health problem. Practice of risky sexual behaviors is the major effective driver of the HIV epidemic among HIV-positive individuals. This behavior exposes their partners to HIV, and for those that are already positive it exposes them to a risk of suprainfection by other strains. Objective: The aim of this study was to assess the prevalence of risky sexual behavior and associated factors among people living with HIV attending antiretroviral therapy (ART) clinic at Nekemte Referral Hospital. Methods: An institution-based based cross-sectional study was conducted at the ART clinic of Nekemte Referral Hospital from March to April 2016. A total of 337 people living with HIV on ART for at least 3 months were selected by consecutive sampling technique. Data were collected through face-to-face interview. Data were entered into Epi-data Version 3.1 and analyzed using SPSS version 20. Variables significant on bivariate logistic regression analysis at p<0.25 were considered as candidates for the multivariable logistic regression analysis, and statistical significance was set at p<0.05. Results: Approximately one third (32.9%) of the study participants were engaged in risky sexual behavior in the past 3 months prior to the study. Having multiple sexual partners (adjusted odds ratio [AOR] =6.38, 95% CI: 1.65, 24.74), being with a positive sero-status partner (AOR =2.68, 95% CI: 1.31, 5.5), not disclosing sero-status (AOR =5.99, 95% CI: 1.36, 26.35), having a desire for a child (AOR =2.6, 95% CI: 1.5, 4.51), having experience of perceived stigma (AOR =2.63, 95% CI: 1.5, 4.62), and lack of education on importance of protecting self from strain (AOR =5.64, 95% CI: 3.19, 9.96) were significantly associated with risky sexual behavior. Conclusion and recommendation: The prevalence of risky sexual behavior was high, and approximately one third of study participants were engaged in risky sexual behavior. Efforts to increase awareness through health education and counseling are highly recommended. Keywords: HIV, risky sexual behavior, Nekemte Referral Hospital, Ethiopia
format article
author Mosisa G
Woldemichael K
Ayalew F
author_facet Mosisa G
Woldemichael K
Ayalew F
author_sort Mosisa G
title Risky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study
title_short Risky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study
title_full Risky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study
title_fullStr Risky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study
title_full_unstemmed Risky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study
title_sort risky sexual behavior and associated factors among antiretroviral therapy attendees in nekemte referral hospital, western ethiopia: a cross-sectional study
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/0a026e1f7c754cacae3cbfe28bba3dae
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AT woldemichaelk riskysexualbehaviorandassociatedfactorsamongantiretroviraltherapyattendeesinnekemtereferralhospitalwesternethiopiaacrosssectionalstudy
AT ayalewf riskysexualbehaviorandassociatedfactorsamongantiretroviraltherapyattendeesinnekemtereferralhospitalwesternethiopiaacrosssectionalstudy
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