Sero Status Disclosure to Sexual Partner and Associated Factors among Adult HIV Positive Patients in Bale Zone Hospitals, Oromia Region, Ethiopia: Institution Based Cross-Sectional Study

Tsige Defere Geremew,Jeylan Kassim Esmael,Rameto Aman Nuri

doi:10.4236/ojepi.2018.82004

Abstract

Background: Disclosure of HIV sero status is among varies HIV prevention strategy to prevent the spread of HIV. It is the base for accessing care and treatment programs, attains psycho-social support and reduces stigma, adheres to treatment and promotes safer health behavior particularly for couples. Objective: To assess HIV sero status disclosure to sexual partner and associated factors among HIV positive adult patient in Bale Zone hospitals. Method: A cross-sectional study design was conducted among 411 adult HIV positive clients who were selected by using systematic random sampling methods from Bale Zone Hospitals. Data were collected by using pre-tested questionnaire after verbal consent obtained from participants by trained nurse. Multiple logistic regression analysis was done by using SPSS version 20 and P-value of less than 0.05 was taken to declare statistical significance. Result: HIV sero status disclosure to sexual partners was 52.6%. Residence (AOR = 1.62; 95% CI, 1.0, 2.60), receiving pre-test counselling related disclosure (AOR = 6.25; 95% CI, 3.45, 11.33) and knowledge of partner’s HIV sero status (P-Value = 0.001) were significantly associated with HIV sero status disclosure. Fear of stigma and violence by sexual partner were the main reasons suggested for not disclosing HIV sero-status. Conclusion: The level of HIV sero-status disclosure to sexual partner was low. Disclosure of HIV sero status to sexual partner was significantly associated with clients’ place of residence, receiving pre-test counselling about disclosure and Knowledge of partners HIV sero status.

Highlights

Human immune deficiency virus continues to be a major public health problem in Sub-Saharan Africa where more than ten million people were living with the virus of which 960,000 were newly infected
Another research done in a secondary health facility of North-Eastern Nigeria showed a prevalence of HIV sero status disclosure to spouse of 36.8% and age of the respondents was found to be significantly associated with sero status disclosure [7]
The finding was higher than the result of a study in Axum health facilities Northern part of Ethiopia which revealed over all HIV sero-status disclosure to sexual partner of 41.8% [10]

Summary

Introduction

Human immune deficiency virus continues to be a major public health problem in Sub-Saharan Africa where more than ten million people were living with the virus of which 960,000 were newly infected. Sex of HIV positive client and receiving pre-test counselling service related to disclosure were identified as significant determinants of HIV sero status disclosure to sexual partner [5]. Objective: To assess HIV sero status disclosure to sexual partner and associated factors among HIV positive adult patient in Bale Zone hospitals. Residence (AOR = 1.62; 95% CI, 1.0, 2.60), receiving pre-test counselling related disclosure (AOR = 6.25; 95% CI, 3.45, 11.33) and knowledge of partner’s HIV sero status (P-Value = 0.001) were significantly associated with HIV sero status disclosure. Disclosure of HIV sero status to sexual partner was significantly associated with clients’ place of residence, receiving pre-test counselling about disclosure and Knowledge of partners HIV sero status

Objectives

Methods

Results

Discussion

Conclusion