Bezawit Adane¹*, Bereket Kefale², Yitayish Damtie⁶, Elsabeth Addisu², Mastewal Arefaynie², Yitbarek Wasihun³, Tezera Asfaw⁴, Kefale Mitiku⁵ and Melaku Yalew⁶

¹Department of Epidemiology and Biostatistics, Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia
²Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
³Department of Health Education and Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
⁴School of Medicine, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
⁵Department of Physiology, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia
⁶Department of Epidemiology and Biostatistics, Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia

*Corresponding Author: Bezawit Adane, Department of Epidemiology and Biostatistics, Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.

Received: January 05, 2023; Published: March 13, 2023

Abstract

Background: Despite of different strategies being implemented to prevent and control HIV transmission and disclosure of HIV status is important to reduce HIV-related risk sexual behavior; still it is a major public health problem in Ethiopia. Articles published in this area are disclosure to family or friends, those studies were cross-sectional, and still, there is limited evidence on determinants of self-non-disclosure to a sexual partner in low-income countries like Ethiopia.

Objective: The aim of this study was to identify determinants of self-non-disclosure to sexual partners among adult HIV-positive people in public health facilities of Dessie town, Northeast Ethiopia, 2022.

Method: Facility-based unmatched case-control study design was conducted among adult HIV-infected people attending ART centers in public health facilities of Dessie town from March 1 to April 30, 2020. A total of 470 adult HIV-infected people were sampled and simple random sampling was employed for selecting study participants based on their average number of clients in a month. A pretested structured questionnaire was used for data collection and data were entered into Epi-data 3.1 version and were exported to STATA version 14 for analysis. Binary logistic regression analysis was used to identify factors associated with HIV results in self-non-disclosure. Odds ratio with a 95% confidence interval was used to declare statistical significance.

Result: Determinants of self non-disclosure of HIV status to their sexual partner were; Negative serostatus of the partner, AOR = 0.02 (95% CI : 0.00, 0.16), WHO clinical stage one, AOR = 10.97 (95%CI: 4.33, 27.81) and WHO clinical stage two, AOR = 20.14 (95% CI: 4.78, 84.83), having social support from their family or friends, AOR = 0.16 (95% CI: 0.06, 0.39), attend HIV counseling program, AOR = 0.07 (95% CI: 0.02, 0.18) and minimal depression, AOR = 8.69 (95%CI :3.62, 20.89).

Conclusions: Factors that have a significant association with non-disclosure of HIV status to their sexual partner were serostatus of sexual partner, WHO clinical stage, social support, attending HIV counseling, and depression. Continuous emphasis should be given to health care providers to encourage their counseling services for their customers with special attention given to patients whose partners were HIV negative.

 Keywords: Self Non-disclosure; Adult; HIV-Positive; Dessie; Ethiopia; Case-control Study

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Citation

Citation: Bezawit Adane., et al. “Determinants of Self Non-disclosure to Sexual Partner Among Adult HIV-positive People Attending ART Center in Public Health Facilities of Dessie Town, Ethiopia, 2022: Case-control Study". Acta Scientific Women's Health 5.4 (2023): 55-65.

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Copyright: © 2022 Bezawit Adane., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.