HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia

Haileselassie Berhane Alema; Worku Awoke Yalew; Melkamu Bedimo Beyene; Meresa Gebremedhin Woldu

doi:doi:10.11648/j.sjph.20150301.21

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HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia

Haileselassie Berhane Alema, Worku Awoke Yalew, Melkamu Bedimo Beyene, Meresa Gebremedhin Woldu

Published in Science Journal of Public Health (Volume 3, Issue 1)

Received: 23 December 2014 Accepted: 12 January 2015 Published: 27 January 2015

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Abstract

Background: Disclosure of HIV positive status to sexual partners, friends or relatives is a main tool for prevention and care strategies. Significant proportions of HIV positive adults never disclose their HIV positive status. Identifying factors associated with disclosure is necessary to freely disclose of HIV positive status result to their sexual partners, parents and friends to achieve a goal ‘zero new infection.’ Objective: This study was aimed to assess the HIV positive status disclosure and associated factors among HIV positive adults attending in Axum health facilities, Northern Ethiopia. Methods: Institutional based cross-sectional study was conducted from July - August, 2013 in Axum St. Marry hospital and Axum health center. After verbal consent was obtained data were collected by trained counselors and ART nurses using pre-tested structured questionnaire. Data were entered into SPSS version 16 databases. Bivariate and multivariable logistic regression models were used to identify associated factors for disclosure of HIV positive status at 95% confidence intervals and p-value of 0.05. Results: A total of 361 respondents were participated in the study of which gives 99.7% of response rate. The majority (80.1%) disclosed their HIV positive result to at least one person and among currently have sexual partner, 81.2% disclosed to their current sexual partner. marital status of the respondents, [(AOR = 3.70; 95% CI, 1.206 – 11.39)] knowledge of partner’s HIV status [(AOR= 3.43; 95% CI, 1.02– 11.5)] and member of Anti- HIV/AIDS association [(AOR = 4.81; 95% CI, 1.01 – 23.05)] had significant association with disclosure of HIV positive status. Conclusion: The rate of HIV positive status disclosure among HIV positive adults still continued to be low. Marital status of respondents, knowledge of partners HIV status, and a member of Anti- HIV/AIDS association were identified as predictors of HIV positive status disclosure.

Published in	Science Journal of Public Health (Volume 3, Issue 1)
DOI	10.11648/j.sjph.20150301.21
Page(s)	61-66
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

HIV Positive Status Disclosure, HIV Positive Adults, Axum Health Facilities

References

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[4]	Naaman N. Kajura and Nikki Schaay, “The perceived and experienced barriers and reported consequences of HIV positive status disclosure by people living with HIV to their partners and family members in Djibouti,” masters mini thesis 2010. Unpublished.
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[6]	Tadese A., Berihun M., Mamo W. “Predictors of HIV status disclosure to sexual partners among People living with HIV/AIDS in Ethiopia,” Pan African Medical Journal, 2012; 13(87).
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[8]	S. Mohammed, W. Belaynew, and A. Mengesha, “Disclosure of HIV Positive Result to a Sexual Partner among Adult Clinical Service Users in Kemissie District, Northeast Ethiopia,” Afr J Reprod Health, 2012; 16(1): pp.97-104.
[9]	D. Kebede, L. Wassie, and D. Yismaw, “Determinants and outcomes of disclosing HIV- sero positive status to sexual partners among women in Mettu and Gore towns, Illubabor Zone southwest Ethiopia,” Ethiop.J.Health Dev., 2005; 19(2): pp.126-131.
[10]	G. Antelman et al, “Associated factors of HIV-1 status disclosure: A prospective study among HIV-infected pregnant women in Dar es Salaam, Tanzania,” AIDS 2001, Vol 15, pp. 1865-1874.
[11]	Taye Gari, Dereje Habte,and Endrias Markos, “HIV positive status disclosure to sexual partner among women attending ART clinic at Hawassa University Referral Hospital,” SNNPR, Ethiopia. Ethiop. J. Health Dev.2010;24(1):pp. 9-14
[12]	Geneviève Rouleau, José Côté, and Chantal Cara, “Disclosure experience in a convenience sample of quebec-born women living with HIV,” a phenomenological study, BMC Women's Health, 2012, 12:37
[13]	Rapid response service; Disclosure of HIV-positive status: Towards the development of guidelines, strategies and interventions rapid service # 65 march 2013
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[15]	Isaac Kadowa, and Fred Nuwaha, “Factors influencing disclosure of HIV positive status in Mityana district of Uganda,” African Health Sciences, 2009; 9(1):pp.26-33
[16]	Pride Mucheto et al., “Determinants of nondisclosure of HIV status among women attending the prevention of mother to child transmission programme, Makonde district, Zimbabwe,” Pan Africa journal, 2011; 8:51.
[17]	Jennifer D.Makin et al., “Factors Affecting Disclosure in South African HIV-Positive Pregnant Women,” AIDS Patient Care and STDs, 2008, Volume 22, Number 11.
[18]	L.C. Simbayi, S.C.Kalichman, A.Strebel, A. Cloete, N. Henda, and A. Mqeketo, “Disclosure of HIV status to sex partners and sexual risk behaviours among HIV-positive men and women, Cape Town, South Africa,” Sex Transm Infect.,2007 Feb;83(1):pp. 29-34.
[19]	WHO: Gender Dimensions of HIV status Discourse to sexual partners. Rates, Barriers & outcomes: A Review paper. WHO. Geneva, Switzerland; 2004.
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[21]	Michael Legasion, and G. A. Ogunbanjo, “A study on Factors associated with non-disclosure of HIV positive status to sexual partners by adult patients attending the VCT clinic at Nhlangano health centre, Swaziland,” Masters dissertation, 2012.unpublished
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APA Style

Haileselassie Berhane Alema, Worku Awoke Yalew, Melkamu Bedimo Beyene, Meresa Gebremedhin Woldu. (2015). HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia. Science Journal of Public Health, 3(1), 61-66. https://doi.org/10.11648/j.sjph.20150301.21

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Haileselassie Berhane Alema; Worku Awoke Yalew; Melkamu Bedimo Beyene; Meresa Gebremedhin Woldu. HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia. Sci. J. Public Health 2015, 3(1), 61-66. doi: 10.11648/j.sjph.20150301.21

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AMA Style

Haileselassie Berhane Alema, Worku Awoke Yalew, Melkamu Bedimo Beyene, Meresa Gebremedhin Woldu. HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia. Sci J Public Health. 2015;3(1):61-66. doi: 10.11648/j.sjph.20150301.21

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@article{10.11648/j.sjph.20150301.21,
  author = {Haileselassie Berhane Alema and Worku Awoke Yalew and Melkamu Bedimo Beyene and Meresa Gebremedhin Woldu},
  title = {HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia},
  journal = {Science Journal of Public Health},
  volume = {3},
  number = {1},
  pages = {61-66},
  doi = {10.11648/j.sjph.20150301.21},
  url = {https://doi.org/10.11648/j.sjph.20150301.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150301.21},
  abstract = {Background: Disclosure of HIV positive status to sexual partners, friends or relatives is a main tool for prevention and care strategies. Significant proportions of HIV positive adults never disclose their HIV positive status. Identifying factors associated with disclosure is necessary to freely disclose of HIV positive status result to their sexual partners, parents and friends to achieve a goal ‘zero new infection.’ Objective: This study was aimed to assess the HIV positive status disclosure and associated factors among HIV positive adults attending in Axum health facilities, Northern Ethiopia. Methods: Institutional based cross-sectional study was conducted from July - August, 2013 in Axum St. Marry hospital and Axum health center. After verbal consent was obtained data were collected by trained counselors and ART nurses using pre-tested structured questionnaire. Data were entered into SPSS version 16 databases. Bivariate and multivariable logistic regression models were used to identify associated factors for disclosure of HIV positive status at 95% confidence intervals and p-value of 0.05. Results: A total of 361 respondents were participated in the study of which gives 99.7% of response rate. The majority (80.1%) disclosed their HIV positive result to at least one person and among currently have sexual partner, 81.2% disclosed to their current sexual partner. marital status of the respondents, [(AOR = 3.70; 95% CI, 1.206 – 11.39)] knowledge of partner’s HIV status [(AOR= 3.43; 95% CI, 1.02– 11.5)] and member of Anti- HIV/AIDS association [(AOR = 4.81; 95% CI, 1.01 – 23.05)] had significant association with disclosure of HIV positive status. Conclusion: The rate of HIV positive status disclosure among HIV positive adults still continued to be low. Marital status of respondents, knowledge of partners HIV status, and a member of Anti- HIV/AIDS association were identified as predictors of HIV positive status disclosure.},
 year = {2015}
}

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TY  - JOUR
T1  - HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia
AU  - Haileselassie Berhane Alema
AU  - Worku Awoke Yalew
AU  - Melkamu Bedimo Beyene
AU  - Meresa Gebremedhin Woldu
Y1  - 2015/01/27
PY  - 2015
N1  - https://doi.org/10.11648/j.sjph.20150301.21
DO  - 10.11648/j.sjph.20150301.21
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 61
EP  - 66
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20150301.21
AB  - Background: Disclosure of HIV positive status to sexual partners, friends or relatives is a main tool for prevention and care strategies. Significant proportions of HIV positive adults never disclose their HIV positive status. Identifying factors associated with disclosure is necessary to freely disclose of HIV positive status result to their sexual partners, parents and friends to achieve a goal ‘zero new infection.’ Objective: This study was aimed to assess the HIV positive status disclosure and associated factors among HIV positive adults attending in Axum health facilities, Northern Ethiopia. Methods: Institutional based cross-sectional study was conducted from July - August, 2013 in Axum St. Marry hospital and Axum health center. After verbal consent was obtained data were collected by trained counselors and ART nurses using pre-tested structured questionnaire. Data were entered into SPSS version 16 databases. Bivariate and multivariable logistic regression models were used to identify associated factors for disclosure of HIV positive status at 95% confidence intervals and p-value of 0.05. Results: A total of 361 respondents were participated in the study of which gives 99.7% of response rate. The majority (80.1%) disclosed their HIV positive result to at least one person and among currently have sexual partner, 81.2% disclosed to their current sexual partner. marital status of the respondents, [(AOR = 3.70; 95% CI, 1.206 – 11.39)] knowledge of partner’s HIV status [(AOR= 3.43; 95% CI, 1.02– 11.5)] and member of Anti- HIV/AIDS association [(AOR = 4.81; 95% CI, 1.01 – 23.05)] had significant association with disclosure of HIV positive status. Conclusion: The rate of HIV positive status disclosure among HIV positive adults still continued to be low. Marital status of respondents, knowledge of partners HIV status, and a member of Anti- HIV/AIDS association were identified as predictors of HIV positive status disclosure.
VL  - 3
IS  - 1
ER  -

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Author Information

Haileselassie Berhane Alema

Department of Public Health, College of Health Science, Aksum University, Axum, Ethiopia
Worku Awoke Yalew

Department of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
Melkamu Bedimo Beyene

Department of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
Meresa Gebremedhin Woldu

Department of Public Health, College of Health Science, Aksum University, Axum, Ethiopia

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APA Style

Haileselassie Berhane Alema, Worku Awoke Yalew, Melkamu Bedimo Beyene, Meresa Gebremedhin Woldu. (2015). HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia. Science Journal of Public Health, 3(1), 61-66. https://doi.org/10.11648/j.sjph.20150301.21

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ACS Style

Haileselassie Berhane Alema; Worku Awoke Yalew; Melkamu Bedimo Beyene; Meresa Gebremedhin Woldu. HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia. Sci. J. Public Health 2015, 3(1), 61-66. doi: 10.11648/j.sjph.20150301.21

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AMA Style

Haileselassie Berhane Alema, Worku Awoke Yalew, Melkamu Bedimo Beyene, Meresa Gebremedhin Woldu. HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia. Sci J Public Health. 2015;3(1):61-66. doi: 10.11648/j.sjph.20150301.21

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@article{10.11648/j.sjph.20150301.21,
  author = {Haileselassie Berhane Alema and Worku Awoke Yalew and Melkamu Bedimo Beyene and Meresa Gebremedhin Woldu},
  title = {HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia},
  journal = {Science Journal of Public Health},
  volume = {3},
  number = {1},
  pages = {61-66},
  doi = {10.11648/j.sjph.20150301.21},
  url = {https://doi.org/10.11648/j.sjph.20150301.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150301.21},
  abstract = {Background: Disclosure of HIV positive status to sexual partners, friends or relatives is a main tool for prevention and care strategies. Significant proportions of HIV positive adults never disclose their HIV positive status. Identifying factors associated with disclosure is necessary to freely disclose of HIV positive status result to their sexual partners, parents and friends to achieve a goal ‘zero new infection.’ Objective: This study was aimed to assess the HIV positive status disclosure and associated factors among HIV positive adults attending in Axum health facilities, Northern Ethiopia. Methods: Institutional based cross-sectional study was conducted from July - August, 2013 in Axum St. Marry hospital and Axum health center. After verbal consent was obtained data were collected by trained counselors and ART nurses using pre-tested structured questionnaire. Data were entered into SPSS version 16 databases. Bivariate and multivariable logistic regression models were used to identify associated factors for disclosure of HIV positive status at 95% confidence intervals and p-value of 0.05. Results: A total of 361 respondents were participated in the study of which gives 99.7% of response rate. The majority (80.1%) disclosed their HIV positive result to at least one person and among currently have sexual partner, 81.2% disclosed to their current sexual partner. marital status of the respondents, [(AOR = 3.70; 95% CI, 1.206 – 11.39)] knowledge of partner’s HIV status [(AOR= 3.43; 95% CI, 1.02– 11.5)] and member of Anti- HIV/AIDS association [(AOR = 4.81; 95% CI, 1.01 – 23.05)] had significant association with disclosure of HIV positive status. Conclusion: The rate of HIV positive status disclosure among HIV positive adults still continued to be low. Marital status of respondents, knowledge of partners HIV status, and a member of Anti- HIV/AIDS association were identified as predictors of HIV positive status disclosure.},
 year = {2015}
}

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TY  - JOUR
T1  - HIV Positive Status Disclosure and Associated Factors among HIV Positive Adults in Axum Health Facilities, Tigray, Northern Ethiopia
AU  - Haileselassie Berhane Alema
AU  - Worku Awoke Yalew
AU  - Melkamu Bedimo Beyene
AU  - Meresa Gebremedhin Woldu
Y1  - 2015/01/27
PY  - 2015
N1  - https://doi.org/10.11648/j.sjph.20150301.21
DO  - 10.11648/j.sjph.20150301.21
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 61
EP  - 66
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20150301.21
AB  - Background: Disclosure of HIV positive status to sexual partners, friends or relatives is a main tool for prevention and care strategies. Significant proportions of HIV positive adults never disclose their HIV positive status. Identifying factors associated with disclosure is necessary to freely disclose of HIV positive status result to their sexual partners, parents and friends to achieve a goal ‘zero new infection.’ Objective: This study was aimed to assess the HIV positive status disclosure and associated factors among HIV positive adults attending in Axum health facilities, Northern Ethiopia. Methods: Institutional based cross-sectional study was conducted from July - August, 2013 in Axum St. Marry hospital and Axum health center. After verbal consent was obtained data were collected by trained counselors and ART nurses using pre-tested structured questionnaire. Data were entered into SPSS version 16 databases. Bivariate and multivariable logistic regression models were used to identify associated factors for disclosure of HIV positive status at 95% confidence intervals and p-value of 0.05. Results: A total of 361 respondents were participated in the study of which gives 99.7% of response rate. The majority (80.1%) disclosed their HIV positive result to at least one person and among currently have sexual partner, 81.2% disclosed to their current sexual partner. marital status of the respondents, [(AOR = 3.70; 95% CI, 1.206 – 11.39)] knowledge of partner’s HIV status [(AOR= 3.43; 95% CI, 1.02– 11.5)] and member of Anti- HIV/AIDS association [(AOR = 4.81; 95% CI, 1.01 – 23.05)] had significant association with disclosure of HIV positive status. Conclusion: The rate of HIV positive status disclosure among HIV positive adults still continued to be low. Marital status of respondents, knowledge of partners HIV status, and a member of Anti- HIV/AIDS association were identified as predictors of HIV positive status disclosure.
VL  - 3
IS  - 1
ER  -

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