Department of Public Health, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.
Department of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Public Health. 2024 Aug 6;12:1354067. doi: 10.3389/fpubh.2024.1354067. eCollection 2024.
Voluntary counseling and testing for HIV has proven to be a highly effective and cost-efficient approach in many locations, yielding excellent results. It serves as a gateway to a range of HIV-related services, including the provision of antiretroviral drugs. Therefore, this study was aimed to assess the willingness toward VCT and associated factors among TB infected patients at Public Hospitals in Addis Ababa, Ethiopia; 2023.
A facility-based cross-sectional study was undertaken at public hospitals in Addis Ababa from 1st to 30th of March 2023 with 235 participants using systematic random sampling. Trained data collectors employed a pretested data extraction tool for information gathering. Variables with -value less than 0.05 in the multivariable logistic regression were considered statistically significant.
The prevalence of willingness toward VCT among TB infected patients was (78.3, 95%CI: 72.8, 83.4). Individuals with a primary education level (AOR: 6.32; 95%CI: 1.65, 24.25), government employees (AOR: 5.85; 95%CI: 1.78, 19.22) and private employees (AOR: 3.35; 95%CI: 1.12, 10.01), good knowledge of VCT (AOR: 3.12; 95%CI: 1.36, 7.16), perceived a higher risk (AOR: 6.58; 95%CI: 2.44, 17.73) and perceived stigma (AOR: 14.95; 95%CI: 4.98, 44.91) were factors associated with willingness toward VCT.
The proportion of Tuberculosis infected patients expressing willingness toward Voluntary Counseling and Testing in this study was higher than in previous studies, it falls below the UNAIDS target of 90% of people knowing their HIV status. Notably, factors such as level of education, occupation, knowledge, perceived risk, and perceived stigma emerged as independent factors significantly associated with the willingness of TB-infected patients to undergo VCT. These findings underscore the importance of considering socio-demographic characteristics, knowledge levels, and psychosocial factors in designing strategies to enhance VCT acceptance among TB-infected individuals.
自愿咨询和检测艾滋病毒已被证明在许多地方是一种非常有效和具有成本效益的方法，取得了优异的成果。它是一系列艾滋病毒相关服务的门户，包括提供抗逆转录病毒药物。因此，本研究旨在评估埃塞俄比亚亚的斯亚贝巴公立医院结核感染患者对自愿咨询和检测的意愿及其相关因素；2023 年。
2023 年 3 月 1 日至 30 日，在亚的斯亚贝巴公立医院进行了一项基于设施的横断面研究，使用系统随机抽样方法抽取了 235 名参与者。经过培训的数据收集员使用预先测试的数据提取工具收集信息。多变量逻辑回归中 P 值小于 0.05 的变量被认为具有统计学意义。
结核感染患者对自愿咨询和检测的意愿比例为 78.3%（95%CI：72.8%，83.4%）。具有小学教育水平的个体（AOR：6.32；95%CI：1.65，24.25）、政府雇员（AOR：5.85；95%CI：1.78，19.22）和私营部门雇员（AOR：3.35；95%CI：1.12，10.01）、对自愿咨询和检测有较好的了解（AOR：3.12；95%CI：1.36，7.16）、认为风险较高（AOR：6.58；95%CI：2.44，17.73）和认为有污名（AOR：14.95；95%CI：4.98，44.91）与对自愿咨询和检测的意愿相关。
本研究中表达对自愿咨询和检测意愿的结核感染患者比例高于以往研究，但低于艾滋病规划署 90%的艾滋病毒检测目标。值得注意的是，教育程度、职业、知识、感知风险和感知耻辱等因素被确定为与结核感染患者接受自愿咨询和检测意愿相关的独立因素。这些发现强调了在设计策略以提高结核感染个体对自愿咨询和检测的接受程度时，考虑社会人口特征、知识水平和心理社会因素的重要性。
