Benayew Shifraew Mengistu, Teshome Shiferaew Muluken, Zeleke Mitiku Haymanot, Ayalew Agumas Fentahun
Department of Nursing, College of Health Sciences, Salale University, Fiche, Oromia Region, Ethiopia.
Departments of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Amhara, Ethiopia.
HIV AIDS (Auckl). 2021 May 24;13:571-579. doi: 10.2147/HIV.S293017. eCollection 2021.
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.
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.
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 value <0.05.
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.
向性伴侣隐瞒人类免疫缺陷病毒（HIV）阳性状况是一个公共卫生问题，在性伴侣告知状况较差的地区，HIV感染率较高。本研究旨在评估2019年埃塞俄比亚阿姆哈拉州德布雷马科斯镇成年HIV感染者向性伴侣披露HIV阳性状况及其相关因素。
2019年9月1日至30日，在德布雷马科斯镇对406名成年HIV阳性感染者开展了一项基于机构的横断面研究。数据录入使用Epidata 3.1版本，数据分析使用SPSS 25版本。进行了双变量和多变量逻辑分析（p<0.05）。
421名研究参与者中，406名参与了研究，应答率为96.4%。向性伴侣披露HIV状况的比例为92.6%。男性（调整后比值比[AOR]=2.863，95%置信区间[CI]=1.147-7.146）、城市居住（AOR=2.438，95%CI=1.032-5.759）、知晓性伴侣的HIV状况（AOR=2.749，95%CI=1.015-7.441）、抗逆转录病毒药物依从性良好（AOR=2.445，95%CI=1.023-5.845）以及是抗HIV俱乐部成员（AOR=3.07，95%CI=1.314-7.171）是与HIV阳性状况披露显著相关的因素（p值<0.05）。
向性伴侣披露HIV阳性状况的比例较高。本研究建议通过广泛的健康教育，尤其关注女性和农村居民，更好地促进抗逆转录病毒治疗依从性咨询、性伴侣相互HIV检测以及加入抗HIV/获得性免疫缺陷综合征（AIDS）俱乐部。
