Risky Sexual Practice, Sexually Transmitted Infection and Associated Factors Among Newly Diagnosed HIV-positive People in Northwest Ethiopia

Nurilign Abebe Moges,1,2 Olubukola Adeponle Adesina,3,4 Michael A Okunlola,3,4 Yemane Berhane,5 Joshua Odunayo Akinyemi6 1Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia; 2Pan African University Life and Earth Sciences Institute, University of...

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Autores principales:	Moges NA, Adesina OA, Okunlola MA, Berhane Y, Akinyemi JO
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	risky sexual behavior newly diagnosed hiv patients sti ethiopia Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/d71920a0bfb64f2cb99026f74133cc57
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spelling	oai:doaj.org-article:d71920a0bfb64f2cb99026f74133cc572021-12-02T10:20:48ZRisky Sexual Practice, Sexually Transmitted Infection and Associated Factors Among Newly Diagnosed HIV-positive People in Northwest Ethiopia1179-1373https://doaj.org/article/d71920a0bfb64f2cb99026f74133cc572020-09-01T00:00:00Zhttps://www.dovepress.com/risky-sexual-practice-sexually-transmitted-infection-and-associated-fa-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Nurilign Abebe Moges,1,2 Olubukola Adeponle Adesina,3,4 Michael A Okunlola,3,4 Yemane Berhane,5 Joshua Odunayo Akinyemi6 1Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia; 2Pan African University Life and Earth Sciences Institute, University of Ibadan, Ibadan, Nigeria; 3Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan, Ibadan, Nigeria; 4Department of Obstetrics and Gynecology, University College Hospital, Ibadan, Nigeria; 5Department of Epidemiology, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia; 6Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, NigeriaCorrespondence: Nurilign Abebe Moges Tel +251910106295Email nure113@gmail.comPurpose: Risky sexual practice expose for the acquisition of sexually transmitted infection (STI) including human immunodeficiency virus (HIV). This study was conducted to fill the knowledge gap on the prevalence of risky sexual practice, STIs and associated factors among newly diagnosed HIV-positive people in northwest Ethiopia.Patients and Methods: This study was a cross-sectional study design which was conducted on 745 newly diagnosed HIV patients. An interviewer-administered questionnaire was used to interview patients within seven days of HIV diagnosis using client exit interview approach. Data were entered to EpiData and exported to SPSS version 24 for analysis. Binary logistic regression analysis was employed to select factors for multivariate logistic regression at p-value of less than 0.25. Two separate logistic regression models were used for risky sexual practice and STI as dependent variables. The strength of statistical association was quantified using an adjusted odds ratio (AOR) with a 95% confidence level.Results: The prevalence of risky sexual practices and STIs among newly diagnosed HIV-positive people were 15.8% (95%CI: 13.1– 18.4) and 6.6% (95%CI: 4.8– 8.5), respectively. Although there were no statistically significant factors associated with STI, having two or more lifetime sexual partners (AOR=3.19; 95%CI: 1.57– 6.49) and frequent use of alcohol (AOR=3.10; 95%CI: 1.34– 7.19) were the factors associated with risky sexual practice.Conclusion: Risky sexual practice and STI were found to be low among newly identified HIV patients. Factors associated with risky sexual practice failed to explain STI diagnosis using the syndromic approach. Therefore, revisiting the definition of risky sexual practice is necessary for the universal test and treat approach since sustained viral suppression may leave the need for consistent use of condoms among HIV patients who are on ART especially with regular sexual partners. Further study is also recommended to measure changes in sexual practice after initiating antiretroviral therapy.Keywords: risky sexual behavior, newly diagnosed HIV patients, STI, EthiopiaMoges NAAdesina OAOkunlola MABerhane YAkinyemi JODove Medical Pressarticlerisky sexual behaviornewly diagnosed hiv patientsstiethiopiaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 12, Pp 431-439 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	risky sexual behavior newly diagnosed hiv patients sti ethiopia Immunologic diseases. Allergy RC581-607
spellingShingle	risky sexual behavior newly diagnosed hiv patients sti ethiopia Immunologic diseases. Allergy RC581-607 Moges NA Adesina OA Okunlola MA Berhane Y Akinyemi JO Risky Sexual Practice, Sexually Transmitted Infection and Associated Factors Among Newly Diagnosed HIV-positive People in Northwest Ethiopia
description	Nurilign Abebe Moges,1,2 Olubukola Adeponle Adesina,3,4 Michael A Okunlola,3,4 Yemane Berhane,5 Joshua Odunayo Akinyemi6 1Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia; 2Pan African University Life and Earth Sciences Institute, University of Ibadan, Ibadan, Nigeria; 3Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan, Ibadan, Nigeria; 4Department of Obstetrics and Gynecology, University College Hospital, Ibadan, Nigeria; 5Department of Epidemiology, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia; 6Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, NigeriaCorrespondence: Nurilign Abebe Moges Tel +251910106295Email nure113@gmail.comPurpose: Risky sexual practice expose for the acquisition of sexually transmitted infection (STI) including human immunodeficiency virus (HIV). This study was conducted to fill the knowledge gap on the prevalence of risky sexual practice, STIs and associated factors among newly diagnosed HIV-positive people in northwest Ethiopia.Patients and Methods: This study was a cross-sectional study design which was conducted on 745 newly diagnosed HIV patients. An interviewer-administered questionnaire was used to interview patients within seven days of HIV diagnosis using client exit interview approach. Data were entered to EpiData and exported to SPSS version 24 for analysis. Binary logistic regression analysis was employed to select factors for multivariate logistic regression at p-value of less than 0.25. Two separate logistic regression models were used for risky sexual practice and STI as dependent variables. The strength of statistical association was quantified using an adjusted odds ratio (AOR) with a 95% confidence level.Results: The prevalence of risky sexual practices and STIs among newly diagnosed HIV-positive people were 15.8% (95%CI: 13.1– 18.4) and 6.6% (95%CI: 4.8– 8.5), respectively. Although there were no statistically significant factors associated with STI, having two or more lifetime sexual partners (AOR=3.19; 95%CI: 1.57– 6.49) and frequent use of alcohol (AOR=3.10; 95%CI: 1.34– 7.19) were the factors associated with risky sexual practice.Conclusion: Risky sexual practice and STI were found to be low among newly identified HIV patients. Factors associated with risky sexual practice failed to explain STI diagnosis using the syndromic approach. Therefore, revisiting the definition of risky sexual practice is necessary for the universal test and treat approach since sustained viral suppression may leave the need for consistent use of condoms among HIV patients who are on ART especially with regular sexual partners. Further study is also recommended to measure changes in sexual practice after initiating antiretroviral therapy.Keywords: risky sexual behavior, newly diagnosed HIV patients, STI, Ethiopia
format	article
author	Moges NA Adesina OA Okunlola MA Berhane Y Akinyemi JO
author_facet	Moges NA Adesina OA Okunlola MA Berhane Y Akinyemi JO
author_sort	Moges NA
title	Risky Sexual Practice, Sexually Transmitted Infection and Associated Factors Among Newly Diagnosed HIV-positive People in Northwest Ethiopia
title_short	Risky Sexual Practice, Sexually Transmitted Infection and Associated Factors Among Newly Diagnosed HIV-positive People in Northwest Ethiopia
title_full	Risky Sexual Practice, Sexually Transmitted Infection and Associated Factors Among Newly Diagnosed HIV-positive People in Northwest Ethiopia
title_fullStr	Risky Sexual Practice, Sexually Transmitted Infection and Associated Factors Among Newly Diagnosed HIV-positive People in Northwest Ethiopia
title_full_unstemmed	Risky Sexual Practice, Sexually Transmitted Infection and Associated Factors Among Newly Diagnosed HIV-positive People in Northwest Ethiopia
title_sort	risky sexual practice, sexually transmitted infection and associated factors among newly diagnosed hiv-positive people in northwest ethiopia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/d71920a0bfb64f2cb99026f74133cc57
work_keys_str_mv	AT mogesna riskysexualpracticesexuallytransmittedinfectionandassociatedfactorsamongnewlydiagnosedhivpositivepeopleinnorthwestethiopia AT adesinaoa riskysexualpracticesexuallytransmittedinfectionandassociatedfactorsamongnewlydiagnosedhivpositivepeopleinnorthwestethiopia AT okunlolama riskysexualpracticesexuallytransmittedinfectionandassociatedfactorsamongnewlydiagnosedhivpositivepeopleinnorthwestethiopia AT berhaney riskysexualpracticesexuallytransmittedinfectionandassociatedfactorsamongnewlydiagnosedhivpositivepeopleinnorthwestethiopia AT akinyemijo riskysexualpracticesexuallytransmittedinfectionandassociatedfactorsamongnewlydiagnosedhivpositivepeopleinnorthwestethiopia
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Risky Sexual Practice, Sexually Transmitted Infection and Associated Factors Among Newly Diagnosed HIV-positive People in Northwest Ethiopia

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