Disclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review

Introduction: In Ethiopia, the burden of HIV/AIDS is a public health issue that requires significant control of transmission. Once an infection has been established, determinants influence people living with HIV to disclose or not their HIV-positive status to sexual partners. This study assessed the...

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Autores principales:	Aklilu Endalamaw, Yibeltal Assefa, Demeke Geremew, Habte Belete, Berihun Assefa Dachew, Amare Belachew, Worku Animaw, Tesfa Dejenie Habtewold, Rhonda Wilson
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/63a97677c1024fd1987377e9d7364e42
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spelling	oai:doaj.org-article:63a97677c1024fd1987377e9d7364e422021-12-01T23:06:55ZDisclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review1745-506510.1177/17455065211063021https://doaj.org/article/63a97677c1024fd1987377e9d7364e422021-11-01T00:00:00Zhttps://doi.org/10.1177/17455065211063021https://doaj.org/toc/1745-5065Introduction: In Ethiopia, the burden of HIV/AIDS is a public health issue that requires significant control of transmission. Once an infection has been established, determinants influence people living with HIV to disclose or not their HIV-positive status to sexual partners. This study assessed the proportion and associated factors of people living with HIV’s disclosure status to sexual partners. Methods: CRD42020149092 is the protocol’s registration number in the PROSPERO database. We searched PubMed, Scopus, African Journals Online, and Google Scholar databases. For the subjective and objective assessment of publication bias, we used a funnel plot and Egger’s regression test, respectively. The I 2 statistic was used to assess variation across studies. Meta-analysis of weighted inverse variance random-effects model was used to estimate the pooled proportion. We conducted subgroup and sensitivity analyses to investigate the cause of heterogeneity and the impact of outliers on the overall estimation, respectively. A trend analysis was also performed to show the presence of time variation. Results: The percentage of people living with HIV who disclosed their HIV-positive status to sexual partners was 76.03% (95% confidence interval: 68.78, 83.27). Being on antiretroviral therapy (adjusted odds ratio = 6.19; 95% confidence interval: 2.92, 9.49), cohabiting with partner (adjusted odds ratio = 4.48; 95% confidence interval: 1.24, 7.72), receiving HIV counseling (adjusted odds ratio = 3.94; 95% confidence interval: 2.08, 5.80), having discussion prior to HIV testing (adjusted odds ratio = 4.40; 95% confidence interval: 2.11, 6.69), being aware of partner’s HIV status (adjusted odds ratio = 6.08; 95% confidence interval: 3.05, 9.10), positive relationship with partner (adjusted odds ratio = 4.44; 95% confidence interval:1.28, 7.61), and being member of HIV association (adjusted odds ratio = 3.70; 95% confidence interval: 2.20, 5.20) had positive association with HIV status disclosure. Conclusion: In Ethiopia, more than one-fourth of adults living with HIV did not disclose their HIV-positive status to sexual partners. HIV-positive status disclosure was influenced by psychosocial factors. A multidimensional approach is required to increase seropositive disclosure in Ethiopia.Aklilu EndalamawYibeltal AssefaDemeke GeremewHabte BeleteBerihun Assefa DachewAmare BelachewWorku AnimawTesfa Dejenie HabtewoldRhonda WilsonSAGE PublishingarticleMedicineRENWomen's Health, Vol 17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Aklilu Endalamaw Yibeltal Assefa Demeke Geremew Habte Belete Berihun Assefa Dachew Amare Belachew Worku Animaw Tesfa Dejenie Habtewold Rhonda Wilson Disclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review
description	Introduction: In Ethiopia, the burden of HIV/AIDS is a public health issue that requires significant control of transmission. Once an infection has been established, determinants influence people living with HIV to disclose or not their HIV-positive status to sexual partners. This study assessed the proportion and associated factors of people living with HIV’s disclosure status to sexual partners. Methods: CRD42020149092 is the protocol’s registration number in the PROSPERO database. We searched PubMed, Scopus, African Journals Online, and Google Scholar databases. For the subjective and objective assessment of publication bias, we used a funnel plot and Egger’s regression test, respectively. The I 2 statistic was used to assess variation across studies. Meta-analysis of weighted inverse variance random-effects model was used to estimate the pooled proportion. We conducted subgroup and sensitivity analyses to investigate the cause of heterogeneity and the impact of outliers on the overall estimation, respectively. A trend analysis was also performed to show the presence of time variation. Results: The percentage of people living with HIV who disclosed their HIV-positive status to sexual partners was 76.03% (95% confidence interval: 68.78, 83.27). Being on antiretroviral therapy (adjusted odds ratio = 6.19; 95% confidence interval: 2.92, 9.49), cohabiting with partner (adjusted odds ratio = 4.48; 95% confidence interval: 1.24, 7.72), receiving HIV counseling (adjusted odds ratio = 3.94; 95% confidence interval: 2.08, 5.80), having discussion prior to HIV testing (adjusted odds ratio = 4.40; 95% confidence interval: 2.11, 6.69), being aware of partner’s HIV status (adjusted odds ratio = 6.08; 95% confidence interval: 3.05, 9.10), positive relationship with partner (adjusted odds ratio = 4.44; 95% confidence interval:1.28, 7.61), and being member of HIV association (adjusted odds ratio = 3.70; 95% confidence interval: 2.20, 5.20) had positive association with HIV status disclosure. Conclusion: In Ethiopia, more than one-fourth of adults living with HIV did not disclose their HIV-positive status to sexual partners. HIV-positive status disclosure was influenced by psychosocial factors. A multidimensional approach is required to increase seropositive disclosure in Ethiopia.
format	article
author	Aklilu Endalamaw Yibeltal Assefa Demeke Geremew Habte Belete Berihun Assefa Dachew Amare Belachew Worku Animaw Tesfa Dejenie Habtewold Rhonda Wilson
author_facet	Aklilu Endalamaw Yibeltal Assefa Demeke Geremew Habte Belete Berihun Assefa Dachew Amare Belachew Worku Animaw Tesfa Dejenie Habtewold Rhonda Wilson
author_sort	Aklilu Endalamaw
title	Disclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review
title_short	Disclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review
title_full	Disclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review
title_fullStr	Disclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review
title_full_unstemmed	Disclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review
title_sort	disclosure of hiv seropositivity to sexual partner in ethiopia: a systematic review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/63a97677c1024fd1987377e9d7364e42
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Disclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review

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