Predictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case–Control Study

Predictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case–Control Study

Sisay Degno, 1 Daniel Atlaw, 2 Ashenafi Mekonnen, 3 Bikila Lencha, 1 Kebede Kumsa, 1 Yohannes Tekalegn, 1 Gashaw Walle, 2 Ashebir Niggussie, 4 Rameto Aman 1 1Department of Public Health, Madda Walabu University, Shashemene, Oromia, Ethiopia; 2Department of Human Anatomy, Madda Walabu University, G...

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Autores principales: Degno S, Atlaw D, Mekonnen A, Lencha B, Kumsa K, Tekalegn Y, Walle G, Niggussie A, Aman R
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
late presentation
hiv aids care
west arsi zone
Immunologic diseases. Allergy
RC581-607
Acceso en línea:https://doaj.org/article/3d415b43b37b46f9907a3414a7f836fc
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spelling oai:doaj.org-article:3d415b43b37b46f9907a3414a7f836fc2021-12-02T18:31:27ZPredictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case–Control Study1179-1373https://doaj.org/article/3d415b43b37b46f9907a3414a7f836fc2021-07-01T00:00:00Zhttps://www.dovepress.com/predictors-of-late-presentation-for-hivaids-in-west-arsi-zone-public-h-peer-reviewed-fulltext-article-HIVhttps://doaj.org/toc/1179-1373Sisay Degno, 1 Daniel Atlaw, 2 Ashenafi Mekonnen, 3 Bikila Lencha, 1 Kebede Kumsa, 1 Yohannes Tekalegn, 1 Gashaw Walle, 2 Ashebir Niggussie, 4 Rameto Aman 1 1Department of Public Health, Madda Walabu University, Shashemene, Oromia, Ethiopia; 2Department of Human Anatomy, Madda Walabu University, Goba, Oromia, Ethiopia; 3Department of Midwifery, Madda Walabu University, Shashemene, Oromia, Ethiopia; 4Department of Anesthesia, Negelle Arsi General Hospital Medical College, Nagelle, Oromia, EthiopiaCorrespondence: Daniel Atlaw Email Danielatmwu@Gmail.ComBackground: Late presentation for HIV/AIDS care is defined as individuals newly presenting for HIV/AIDS care with a CD4 count below 350 cells/μl or presenting for care with WHO clinical staging of stage III or IV. Globally, around 21.7 million people living with HIV/AIDS were receiving ART in 2017, with an increase of 2.3 million since 2016. Despite this progress, most people start ART late in their disease progression.Objective: This study aims to identify predictors of late presentation for HIV/AIDS among people living with HIV and attending ART clinics in West Arsi Zone public health institutions, South Ethiopia, 2019.Methodology: A facility-based unmatched case–control study was conducted among people living with HIV attending ART clinics in West Arsi Zone public health institutions, with a total sample size of 500 (167 cases and 333 controls). The sample size was calculated using Epi info version 7 and participants were selected using the case-based control selection sampling technique. Descriptive statistics were carried out to summarize the data. Bi-variate binary logistic regression analysis was carried for selecting candidate variables for multivariate binary logistic regression. A p-value of < 0.05 was taken to declare the presence of a statistical association between outcomes and explanatory variables.Results: Rural residence (AOR=7.74 95% CI (3.4– 17.6)), being single (AOR=0.18 95% CI (0.06– 0.49)) symptom(s) at first HIV diagnosis (AOR=7.69 95% CI (4.09– 14.4)), no private house (AOR=5.09 95% CI (2.47– 10.45)), fear of losing job (AOR=4.12 95% CI (2.04– 8.31)), alcohol consumption (AOR=4.35 95% CI (2.18– 8.69), and having chronic medical illness (AOR=5.04 95% CI (2.48– 10.24)) were identified as having significant associations with late presentation of HIV/AIDS care.Conclusion: Rural residence, fear of losing a job, and chronic medical illness were potential risk factors for late presentation of HIV/AIDS care. Being single is the only protective factor for the late presentation of HIV/AIDS care.Keywords: late presentation, HIV/AIDS care, West Arsi ZoneDegno SAtlaw DMekonnen ALencha BKumsa KTekalegn YWalle GNiggussie AAman RDove Medical Pressarticlelate presentationhiv aids carewest arsi zoneImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 759-766 (2021)
institution DOAJ
collection DOAJ
language EN
topic late presentation
hiv aids care
west arsi zone
Immunologic diseases. Allergy
RC581-607
spellingShingle late presentation
hiv aids care
west arsi zone
Immunologic diseases. Allergy
RC581-607
Degno S
Atlaw D
Mekonnen A
Lencha B
Kumsa K
Tekalegn Y
Walle G
Niggussie A
Aman R
Predictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case–Control Study
description Sisay Degno, 1 Daniel Atlaw, 2 Ashenafi Mekonnen, 3 Bikila Lencha, 1 Kebede Kumsa, 1 Yohannes Tekalegn, 1 Gashaw Walle, 2 Ashebir Niggussie, 4 Rameto Aman 1 1Department of Public Health, Madda Walabu University, Shashemene, Oromia, Ethiopia; 2Department of Human Anatomy, Madda Walabu University, Goba, Oromia, Ethiopia; 3Department of Midwifery, Madda Walabu University, Shashemene, Oromia, Ethiopia; 4Department of Anesthesia, Negelle Arsi General Hospital Medical College, Nagelle, Oromia, EthiopiaCorrespondence: Daniel Atlaw Email Danielatmwu@Gmail.ComBackground: Late presentation for HIV/AIDS care is defined as individuals newly presenting for HIV/AIDS care with a CD4 count below 350 cells/μl or presenting for care with WHO clinical staging of stage III or IV. Globally, around 21.7 million people living with HIV/AIDS were receiving ART in 2017, with an increase of 2.3 million since 2016. Despite this progress, most people start ART late in their disease progression.Objective: This study aims to identify predictors of late presentation for HIV/AIDS among people living with HIV and attending ART clinics in West Arsi Zone public health institutions, South Ethiopia, 2019.Methodology: A facility-based unmatched case–control study was conducted among people living with HIV attending ART clinics in West Arsi Zone public health institutions, with a total sample size of 500 (167 cases and 333 controls). The sample size was calculated using Epi info version 7 and participants were selected using the case-based control selection sampling technique. Descriptive statistics were carried out to summarize the data. Bi-variate binary logistic regression analysis was carried for selecting candidate variables for multivariate binary logistic regression. A p-value of < 0.05 was taken to declare the presence of a statistical association between outcomes and explanatory variables.Results: Rural residence (AOR=7.74 95% CI (3.4– 17.6)), being single (AOR=0.18 95% CI (0.06– 0.49)) symptom(s) at first HIV diagnosis (AOR=7.69 95% CI (4.09– 14.4)), no private house (AOR=5.09 95% CI (2.47– 10.45)), fear of losing job (AOR=4.12 95% CI (2.04– 8.31)), alcohol consumption (AOR=4.35 95% CI (2.18– 8.69), and having chronic medical illness (AOR=5.04 95% CI (2.48– 10.24)) were identified as having significant associations with late presentation of HIV/AIDS care.Conclusion: Rural residence, fear of losing a job, and chronic medical illness were potential risk factors for late presentation of HIV/AIDS care. Being single is the only protective factor for the late presentation of HIV/AIDS care.Keywords: late presentation, HIV/AIDS care, West Arsi Zone
format article
author Degno S
Atlaw D
Mekonnen A
Lencha B
Kumsa K
Tekalegn Y
Walle G
Niggussie A
Aman R
author_facet Degno S
Atlaw D
Mekonnen A
Lencha B
Kumsa K
Tekalegn Y
Walle G
Niggussie A
Aman R
author_sort Degno S
title Predictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case–Control Study
title_short Predictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case–Control Study
title_full Predictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case–Control Study
title_fullStr Predictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case–Control Study
title_full_unstemmed Predictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case–Control Study
title_sort predictors of late presentation for hiv/aids in west arsi zone public health institutions, south ethiopia: unmatched case–control study
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/3d415b43b37b46f9907a3414a7f836fc
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