HIV-Positive Status Disclosure to Sexual Partner and Associated Factors Among Adult HIV-Positive Patients in Debre Markos Town, 2019

Abstract

Mengistu Benayew Shifraew,1 Muluken Teshome Shiferaew,2 Haymanot Zeleke Mitiku,3 Agumas Fentahun Ayalew4 1Department of Nursing, College of Health Sciences, Salale University, Fiche, Oromia Region, Ethiopia; 2Departments of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Amhara, Ethiopia; 3Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Amhara, Ethiopia; 4Department of Public Health Salale, College of Health Sciences, Salale University, Fiche, Oromia Region, EthiopiaCorrespondence: Mengistu Benayew ShifraewDepartment of Nursing, College of Health Sciences, Salale University, P.O.Box: 245, Fiche, Oromia Region, EthiopiaTel [phone]Email [email protected]: Human immunodeficiency virus (HIV) positive status non-disclosure to a sexual partner is a public health problem where a high prevalence of HIV infection is reported in a region with poor partner disclosure status. This study aimed to assess HIV-positive status disclosure to sexual partners and associated factors among adult HIV clients at Debre Markos town, Amhara Regional State Ethiopia, in 2019.Methods: A facility-based cross-sectional study was conducted among 406 adult HIV-positive clients in Debre Markos town from September 1 to 30, 2019. Epidata version 3.1 for data entry and SPSS version 25 for data analysis were used. Bivariable and multivariable logistic analyses at (p< 0.05) were performed.Results: From 421 study participants, 406 were participated giving response rate of 96.4%. The proportion of HIV status disclosure to sexual partner was 92.6%. Male sex (AOR = 2.863, 95%, CI = 1.147– 7.146), urban residence (AOR = 2.438, 95% CI = 1.032– 5.759), knowing sexual partner’s HIV status (AOR = 2.749, 95% CI = 1.015– 7.441), good anti-retroviral medication adherence status (AOR = 2.445, 95% CI = 1.023– 5.845), and being a member of an anti-HIV club (AOR = 3.07, 95% CI = 1.314– 7.171) were factors significantly associated with HIV-positive status disclosure at p value < 0.05.Conclusions and Recommendation: The proportion of HIV-positive status disclosure to sexual partners was high. This study recommended that it is better to promote antiretroviral treatment adherence counseling, mutual partner HIV testing, and membership of anti-HIV/acquired immune deficiency syndrome (AIDS) club through extensive health education with particular attention given to females and rural residents.Keywords: human immunodeficiency virus; HIV, acquired immune deficiency syndrome; AIDS, disclosure status, sexual partner

Keywords

• human immunodeficiency virus
• acquired immune deficiency syndrome
• disclosure status
• sexual partner