Ali Mohammed Seid, Tesfaye Tegegne Eleni, Kassa Tesemma Mekibib, Tesfaye Tegegne Kaleab
School of Nursing, College of Medicine and Health Sciences, Gondar University, Gondar, Ethiopia.
Institute of Tropical Medicine (ITM), in Collaboration with University of Gondar, Gondar, Ethiopia.
AIDS Res Treat. 2019 Mar 17;2019:7134908. doi: 10.1155/2019/7134908. eCollection 2019.
The burden of Human Immune Deficiency Virus or Acquired Immune Deficiency Syndrome is high in sub-Saharan countries including Ethiopia which have over two-thirds of the global HIV burden. Many would argue that consistent condom use is not most effective method for HIV prevention. Condoms offer protection against unwanted pregnancy and some sexually transmitted infections including Human Immune Deficiency Virus, when used correctly and consistently. Inconsistent use of condom by People Living with Human Immune Deficiency Virus or Acquired Immune Deficiency Syndrome on Antiretroviral Therapy will lead to further worsening the Human Immune Deficiency Virus infection epidemic and reinfection with new drug resistant viral strains.
To assess magnitude of consistent condom use and associated factors among HIV-positive clients on Antiretroviral Therapy in North West Ethiopian health center, 2016 GC.
An institutional based cross-sectional study was conducted, from April 15 to June 10, 2016. A total of 358 patients on ART in Koladiba Health Center had participated in this research. Koladiba Health Center is the first health center in Ethiopia that is found in Debbie district, which is located in north Gondar Zone. Study participants were selected by simple random sampling technique. Data were collected by using pretested structured questionnaires and analyzed using SPSS version 22. Descriptive statistics was computed and binary and multiple logistic regressions were also conducted to examine the effect of selected independent variables on consistent condom use.
A total of 358 ART clients participated in the study with response rate of 90%. Among study participants, 138 (38.5%) were in the age category of 35-44 years. About 216 (60.3%) of the participants were female and 325 (90.8%) were Orthodox followers. Consistent condom use was reported by 130 (55.8%) sexually active study subjects. Respondents in rural residence (AOR=0.326, 95% CI: 0.109, 0.973) and sexual partner initiated condom use (AOR=0.031, 95% CI: 0.005, 0.186) were found to be the independent predictors of consistent condom use.
Consistent condom utilization among HIV clients on ART was low (55.8%). Place of residence and condom use initiation during sexual contact were significantly associated with consistent condom use. It is better to give more emphasis on health education and counseling service about consistent condom use for PLWHA who are on ART during follow-up especially for those who came from rural areas.
包括埃塞俄比亚在内的撒哈拉以南国家，人类免疫缺陷病毒或获得性免疫缺陷综合征的负担很重，这些国家承担着全球超过三分之二的艾滋病负担。许多人认为，持续使用避孕套并非预防艾滋病最有效的方法。如果正确且持续使用，避孕套可预防意外怀孕和一些性传播感染，包括人类免疫缺陷病毒。感染人类免疫缺陷病毒或获得性免疫缺陷综合征且正在接受抗逆转录病毒治疗的人若不持续使用避孕套，将导致艾滋病感染疫情进一步恶化，并感染新的耐药病毒株。
评估2016年埃塞俄比亚西北卫生中心接受抗逆转录病毒治疗的艾滋病病毒阳性患者中持续使用避孕套的情况及相关因素。
于2016年4月15日至6月10日进行了一项基于机构的横断面研究。共有358名在科拉迪巴卫生中心接受抗逆转录病毒治疗的患者参与了本研究。科拉迪巴卫生中心是埃塞俄比亚位于德布区的第一家卫生中心，德布区位于贡德尔北区。研究参与者通过简单随机抽样技术选取。使用预先测试的结构化问卷收集数据，并使用SPSS 22版进行分析。计算描述性统计数据，并进行二元和多元逻辑回归分析，以检验选定自变量对持续使用避孕套的影响。
共有358名抗逆转录病毒治疗患者参与了研究，应答率为90%。在研究参与者中，138人（38.5%）年龄在35 - 44岁之间。约216人（60.3%）为女性，325人（90.8%）是东正教徒。130名（55.8%）有性活动的研究对象报告持续使用避孕套。农村居民（调整后比值比=0.326，95%置信区间：0.109，0.973）和性伴侣发起使用避孕套（调整后比值比=0.031，95%置信区间：0.005，0.186）被发现是持续使用避孕套的独立预测因素。
接受抗逆转录病毒治疗的艾滋病患者中持续使用避孕套的比例较低（55.8%）。居住地和性接触期间是否发起使用避孕套与持续使用避孕套显著相关。在随访期间，最好更加强调对接受抗逆转录病毒治疗的艾滋病患者进行关于持续使用避孕套的健康教育和咨询服务，特别是对那些来自农村地区的患者。
