HIV-Positive Status Disclosure and Associated Factors among HIV-Positive Adult Patients Attending Art Clinics at Public Health Facilities of Butajira Town, Southern Ethiopia

Berhe, Tamirat Melis; Lemma, Lire; Alemayehu, Addissu; Ajema, Desalegn; Glagn, Mustefa; Dessu, Samuel

doi:10.1155/2020/7165423

Cited by 14 publications

(12 citation statements)

References 16 publications

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“…18 In the study area, about 90% of the clients had a positive disclosure status. 19 Food insecurity significantly affects HIV clients on treatment in the study area (78.1%: 95% CI=73.7-82.8%), with 32% and 41.7% having moderate and severe food insecurity, respectively. 20 Thus, maintaining normal BMI among HIV adults is of first priority for successful treatment.…”

Section: Introductionmentioning

confidence: 90%

Episodes of Undernutrition and its Predictors among Clients on Antiretroviral Treatment in Southwest Ethiopia: A Record Review

Abdu

Mekonnen

2021

HIV

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Background: More than a quarter of people living with human immune virus had increased burden of malnutrition leading to poor disease progression and survival. However, evidence on predictors for episodes of malnutrition is limited despite its importance for targeted interventions. This paper assessed the episodes of undernutrition and its predictors among HIV-positive adults on treatment in southwest Ethiopia. Methods: A facility-based cross-sectional study using secondary data was conducted among 519 randomly selected records of adult clients on antiretroviral treatment. Malnutrition was assessed using the records of weight and height at different points of follow-up (0, 6, 12, 18, and 24 months of ART follow-up). Analysis of variance, covariance, and spaghetti plot were done to compare the mean change in body mass index. To assess predictors of malnutrition episodes, a linear mixed model was used with parameter estimate with 95% confidence interval and P-values were estimated via maximum likelihood method. Akaike's information criteria was used for model fitness. Results: A total of 480 records were reviewed with a mean age of 36 years (±9 years). A total of 354 (73.8%) and 34.6% of clients got dietary counseling and support, respectively. Statistically significant improvement in mean BMI after initiating treatment (P-value=0.0001) was observed. Being male (β=−0.72; P=0.044), having problems of eating difficulty (β=−1.61; P=0.0001), anemia (β=−1.51; P=0.003), shorter follow-up intervals (β=0.04; P=0.129), not getting nutritional counseling (β=0.63; P=0.32), and diarrheal disease (β=−0.04; P=0.129) were predictors of undernutrition. Conclusion: Improvement in nutritional status after initiation of ART was seen. The presence of eating disorder, anemia, not getting nutritional counseling, and the short followup interval predict undernutrition.

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Section: Introductionmentioning

confidence: 90%

Episodes of Undernutrition and its Predictors among Clients on Antiretroviral Treatment in Southwest Ethiopia: A Record Review

Abdu

Mekonnen

2021

HIV

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“…The study assessed HIV-positive status disclosure through self-reports of participants who disclosed their HIV status to others, including sexual partners, family, friends, or others ( Melis Berhe et al, 2020 ).…”

Section: Methodsmentioning

confidence: 99%

Factors influencing self-efficacy for self-management among adult people with human immune deficiency virus on antiretroviral therapy in public hospitals of south-west Ethiopia

Abdisa,

Gindaba,

Zerihun

2024

Front. Psychol.

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IntroductionSelf-management is crucial for effective HIV management, and self-efficacy is a mechanism for achieving it, but there is limited evidence on variables that affect self-efficacy. This study aimed to identify factors influencing self-efficacy for self-management among adults on antiretroviral therapy in resource constraint settings.MethodsA cross-sectional study was conducted among 422 adult people on antiretroviral therapy in southwest Ethiopia from March to April 2022. Face-to-face interviews were used to gather data using a structured questionnaire on the self-efficacy measure. The data were then imported into Epi Data version 4.2 and exported to SPSS version 26. Descriptive statistics, independent tests, one-way analysis of variance, Pearson correlation, and multivariate linear regression were used to analyze the data. The predictors with p-value of less than 0.05 were declared statistically significant.ResultsA total of 413 adults on antiretroviral therapy were interviewed with response rate of 97.9%. The total mean score of self-efficacy for self-management was 15.12 (±2.22) out of 24. Higher age, gender of the female, divorced, duration of diagnosis, and drug side effects were negatively predictors of low self-efficacy. Higher schooling, urban residence, better income, and the use of reminders positively influenced self-efficacy for self-management.ConclusionThe study found low self-efficacy among adults on antiretroviral therapy and higher age, female gender, HIV duration, and presence of drug side effects were associated with lower self-efficacy, while higher schooling, better income, and use of reminder use were associated with higher self-efficacy for self-management. Further research is needed to determine the causal relationship between these variables and self-efficacy.

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“…Of the total index case (834), only 723 who had at least one family member were selected and given a serial code. The unique ART code numbers given by the national program to the facilities were used to identify each study facility.” In a study done at public health facilities in Butajira Town, Southern Ethiopia, HIV-positive status disclosure among HIV-positive adult patients attending ART clinics, the magnitude of non-disclosure was 10% [ 11 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence of HIV seropositive status and associated factors among family members of index cases of antiretroviral clinical attendants in Sodo Town, Southern Ethiopia

Kefale¹,

Daka

Kerbo

et al. 2023

PLoS ONE

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Background Human immunodeficiency virus is primarily transmitted through sexual contact with an infected partner and babies born to mothers infected with the virus. Partners of people living with HIV and children whose parents have HIV are at higher risk of contracting HIV unless they take preventive measures. This study aimed at identifying prevalence and determinants of HIV infection among family members of index cases on antiretroviral treatment (ART). Methods A community-based cross-sectional study was conducted among 623 randomly selected family members of HIV index cases in Sodo Town from February to June 2021. A pre-tested structural questionnaire was used to collect data. Binary logistic regression was used to identify variables independently associated with the outcome variable. The adjusted odds ratio (AOR) with 95% confidence interval (CI) was used to show the strength of association, and a P-value 0.05 was used as a cut-off point to determine the level of statistical significance of point estimate. Results This study revealed that 31.5% (95%CI: 27.6–35.2%) of family members of index cases were HIV seropositive. In subgroup analysis, this study also revealed that 11.1% (95%CI 8.4–14.5%) of biological children and 69.6% (95%CI 63.1–75.6%) of spousal partners of index cases were HIV seropositive. Immediate ART initiation of index cases (AOR = 0.148, 95%CI: 0.067–0.325), being bedridden or ambulatory functional status at enrollment (AOR = 7.71, 95%CI: 3.5–17), and baseline CD4 level of 350 cells/ml (AOR = 8.06, 95%CI: 1.8–36) were statistically significant with the outcome variable among biological children. Among spousal partners, STI history or symptoms (AOR = 5.7, 95%CI: 1.86–17.5), early disclosure (AOR = 0.062, 95%CI: 0.024–0.159), immediate ART initiation (AOR = 0.172, 95%CI: 0.044–0.675), and duration of infection (AOR = 5.09, 95%CI: 1.8–14.4) were statistically associated with the outcome variable. Conclusion As evidenced by our data, the risk of HIV among family members of index cases is high. Interventions like immediate ART initiation, early disclosure, screening, and early treatment of STIs for minimizing HIV transmission might be given.

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HIV-Positive Status Disclosure and Associated Factors among HIV-Positive Adult Patients Attending Art Clinics at Public Health Facilities of Butajira Town, Southern Ethiopia

Cited by 14 publications

References 16 publications

Episodes of Undernutrition and its Predictors among Clients on Antiretroviral Treatment in Southwest Ethiopia: A Record Review

Episodes of Undernutrition and its Predictors among Clients on Antiretroviral Treatment in Southwest Ethiopia: A Record Review

Factors influencing self-efficacy for self-management among adult people with human immune deficiency virus on antiretroviral therapy in public hospitals of south-west Ethiopia

Prevalence of HIV seropositive status and associated factors among family members of index cases of antiretroviral clinical attendants in Sodo Town, Southern Ethiopia

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