Predictors of refusal of provider initiated HIV testing among clients visiting adult outpatient departments in Jimma town, Oromia Region, Ethiopia: unmatched case control study

Yohannes Kebede Lemu, Zewdie Birhanu Koricha, Lakew Abebe Gebretsadik, Ameyu Godesso RoroDepartment of Health Education and Behavioral Sciences, Jimma University, Jimma, EthiopiaBackground: Currently, provider-initiated human immunodeficiency virus (HIV) testing (PIHT) in health facilities is one of...

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Autores principales:	Lemu YK, Koricha ZB, Gebretsadik LA, Roro AG
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/e0ed49a98d9741a59eb8cdc68a4a28b5
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spelling	oai:doaj.org-article:e0ed49a98d9741a59eb8cdc68a4a28b52021-12-02T00:50:52ZPredictors of refusal of provider initiated HIV testing among clients visiting adult outpatient departments in Jimma town, Oromia Region, Ethiopia: unmatched case control study1179-1373https://doaj.org/article/e0ed49a98d9741a59eb8cdc68a4a28b52012-08-01T00:00:00Zhttp://www.dovepress.com/predictors-of-refusal-of-provider-initiated-hiv-testing-among-clients--a10597https://doaj.org/toc/1179-1373Yohannes Kebede Lemu, Zewdie Birhanu Koricha, Lakew Abebe Gebretsadik, Ameyu Godesso RoroDepartment of Health Education and Behavioral Sciences, Jimma University, Jimma, EthiopiaBackground: Currently, provider-initiated human immunodeficiency virus (HIV) testing (PIHT) in health facilities is one of the strategies to advance HIV testing and related services. However, many HIV infected clients are missing the opportunities. This study intends to identify predictors of refusal of PIHT among clients visiting adult outpatient departments (OPDs) in Jimma town.Methods: An unmatched case control study was conducted among 296 clients: 149 cases refusing HIV testing and 147 controls accepting HIV testing. The study recruited clients from OPDs of four public health facilities between March 6 and April 8, 2011 using consecutive sampling. The study instrument was adapted mainly considering health belief model (HBM). Jimma University ethical committee reviewed the study protocol. Data were collected by face-to-face interview and analyzed using SPSS Statistics (IBM Corporation, Somers, NY) software, version 16.0. Data were subjected to factor and reliability analysis. For prediction analysis, the study used logistic regression and odds ratio (OR) with 95% confidence interval (CI). To see the effects among HBM constructs, the study used standardized beta (&beta;) coefficients at P &lt; 0.05.Results: The study findings showed adjusted protective effects on refusal of PIHT for residence outside study town [adjusted OR (AOR) (95% CI) = 0.41 (0.22&ndash;0.79)] and higher scores of perceived benefit of early testing [AOR (95% CI)] = 0.86 (0.69&ndash;0.99)], self efficacy to live with HIV [AOR (95% CI) = 0.79 (0.66&ndash;0.93)], nondisclosure agreement [AOR (95% CI) = 0.74 (0.58&ndash;0.93)], perceived explicitness of opt-out right during initiation [AOR (95% CI) = 0.74 (0.56&ndash;0.98)] and clients&rsquo; perceptions of selective initiation of HIV suspected [AOR (95% CI) = 0.54 (0.41&ndash;0.73)]. On the other hand, report of recent testing [AOR (95% CI) = 3.82 (1.71&ndash;8.55)] and perceived unpreparedness for testing [AOR (95% CI) = 1.86 (1.57&ndash;2.21)] aggravated refusal of PIHT. Exposure to cues to testing significantly reduced perceived barriers [&beta; (P) = &ndash;0.05 (0.037)].Conclusion: Clients&rsquo; perceived barriers: feeling of unpreparedness for testing strongly aggravated refusal of test. Enhanced self-efficacy to live with HIV and presence of cues to HIV testing would reduce unpreparedness and protect from refusing PIHT.Keywords: HIV testing, provider-initiated, acceptanceLemu YKKoricha ZBGebretsadik LARoro AGDove Medical PressarticleImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol 2012, Iss default, Pp 103-115 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Immunologic diseases. Allergy RC581-607
spellingShingle	Immunologic diseases. Allergy RC581-607 Lemu YK Koricha ZB Gebretsadik LA Roro AG Predictors of refusal of provider initiated HIV testing among clients visiting adult outpatient departments in Jimma town, Oromia Region, Ethiopia: unmatched case control study
description	Yohannes Kebede Lemu, Zewdie Birhanu Koricha, Lakew Abebe Gebretsadik, Ameyu Godesso RoroDepartment of Health Education and Behavioral Sciences, Jimma University, Jimma, EthiopiaBackground: Currently, provider-initiated human immunodeficiency virus (HIV) testing (PIHT) in health facilities is one of the strategies to advance HIV testing and related services. However, many HIV infected clients are missing the opportunities. This study intends to identify predictors of refusal of PIHT among clients visiting adult outpatient departments (OPDs) in Jimma town.Methods: An unmatched case control study was conducted among 296 clients: 149 cases refusing HIV testing and 147 controls accepting HIV testing. The study recruited clients from OPDs of four public health facilities between March 6 and April 8, 2011 using consecutive sampling. The study instrument was adapted mainly considering health belief model (HBM). Jimma University ethical committee reviewed the study protocol. Data were collected by face-to-face interview and analyzed using SPSS Statistics (IBM Corporation, Somers, NY) software, version 16.0. Data were subjected to factor and reliability analysis. For prediction analysis, the study used logistic regression and odds ratio (OR) with 95% confidence interval (CI). To see the effects among HBM constructs, the study used standardized beta (&beta;) coefficients at P &lt; 0.05.Results: The study findings showed adjusted protective effects on refusal of PIHT for residence outside study town [adjusted OR (AOR) (95% CI) = 0.41 (0.22&ndash;0.79)] and higher scores of perceived benefit of early testing [AOR (95% CI)] = 0.86 (0.69&ndash;0.99)], self efficacy to live with HIV [AOR (95% CI) = 0.79 (0.66&ndash;0.93)], nondisclosure agreement [AOR (95% CI) = 0.74 (0.58&ndash;0.93)], perceived explicitness of opt-out right during initiation [AOR (95% CI) = 0.74 (0.56&ndash;0.98)] and clients&rsquo; perceptions of selective initiation of HIV suspected [AOR (95% CI) = 0.54 (0.41&ndash;0.73)]. On the other hand, report of recent testing [AOR (95% CI) = 3.82 (1.71&ndash;8.55)] and perceived unpreparedness for testing [AOR (95% CI) = 1.86 (1.57&ndash;2.21)] aggravated refusal of PIHT. Exposure to cues to testing significantly reduced perceived barriers [&beta; (P) = &ndash;0.05 (0.037)].Conclusion: Clients&rsquo; perceived barriers: feeling of unpreparedness for testing strongly aggravated refusal of test. Enhanced self-efficacy to live with HIV and presence of cues to HIV testing would reduce unpreparedness and protect from refusing PIHT.Keywords: HIV testing, provider-initiated, acceptance
format	article
author	Lemu YK Koricha ZB Gebretsadik LA Roro AG
author_facet	Lemu YK Koricha ZB Gebretsadik LA Roro AG
author_sort	Lemu YK
title	Predictors of refusal of provider initiated HIV testing among clients visiting adult outpatient departments in Jimma town, Oromia Region, Ethiopia: unmatched case control study
title_short	Predictors of refusal of provider initiated HIV testing among clients visiting adult outpatient departments in Jimma town, Oromia Region, Ethiopia: unmatched case control study
title_full	Predictors of refusal of provider initiated HIV testing among clients visiting adult outpatient departments in Jimma town, Oromia Region, Ethiopia: unmatched case control study
title_fullStr	Predictors of refusal of provider initiated HIV testing among clients visiting adult outpatient departments in Jimma town, Oromia Region, Ethiopia: unmatched case control study
title_full_unstemmed	Predictors of refusal of provider initiated HIV testing among clients visiting adult outpatient departments in Jimma town, Oromia Region, Ethiopia: unmatched case control study
title_sort	predictors of refusal of provider initiated hiv testing among clients visiting adult outpatient departments in jimma town, oromia region, ethiopia: unmatched case control study
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/e0ed49a98d9741a59eb8cdc68a4a28b5
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Predictors of refusal of provider initiated HIV testing among clients visiting adult outpatient departments in Jimma town, Oromia Region, Ethiopia: unmatched case control study

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