Disclosure of HIV seropositivity to sexual partner in Ethiopia: A systematic review

被引:4
|
作者
Endalamaw, Aklilu [1 ,2 ]
Assefa, Yibeltal [2 ]
Geremew, Demeke [3 ]
Belete, Habte [1 ,2 ]
Dachew, Berihun Assefa [4 ,5 ]
Belachew, Amare [1 ,6 ]
Animaw, Worku [1 ]
Habtewold, Tesfa Dejenie [7 ,8 ]
Wilson, Rhonda [9 ,10 ]
机构
[1] Bahir Dar Univ, Coll Med & Hlth Sci, Bahir Dar 6000 77, Ethiopia
[2] Univ Queensland, Sch Publ Hlth, Brisbane, Qld, Australia
[3] Univ Gondar, Coll Med & Hlth Sci, Sch Biomed & Lab Sci, Dept Immunol, Gondar, Ethiopia
[4] Curtin Univ, Sch Publ Hlth, Perth, WA, Australia
[5] Univ Gondar, Inst Publ Hlth, Dept Epidemiol & Biostat, Gondar, Ethiopia
[6] Australian Natl Univ, Sch Populat Hlth, Canberra, ACT, Australia
[7] Univ Groningen, Univ Med Ctr Groningen, Dept Epidemiol & Psychiat, Groningen, Netherlands
[8] Maastricht Univ, Sch Business & Econ, Dept Quantitat Econ, Maastricht, Netherlands
[9] Univ Southern Denmark, Fac Hlth Sci, Dept Clin Res, Odense, Denmark
[10] Univ Canberra Hosp, Fac Hlth, Canberra, ACT, Australia
关键词
disclosure; Ethiopia; HIV/AIDS; psychosocial factors; sexual partner; POSITIVE STATUS; ANTIRETROVIRAL TREATMENT; PEOPLE; WOMEN; TRANSMISSION; QUALITY; MODEL; RISK; AIDS; MEN;
D O I
10.1177/17455065211063021
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Introduction: In Ethiopia, the burden of HIV/AIDS is a public health issue that requires significant control of transmission. Once an infection has been established, determinants influence people living with HIV to disclose or not their HIV-positive status to sexual partners. This study assessed the proportion and associated factors of people living with HIV's disclosure status to sexual partners. Methods: CRD42020149092 is the protocol's registration number in the PROSPERO database. We searched PubMed, Scopus, African Journals Online, and Google Scholar databases. For the subjective and objective assessment of publication bias, we used a funnel plot and Egger's regression test, respectively. The I-2 statistic was used to assess variation across studies. Meta-analysis of weighted inverse variance random-effects model was used to estimate the pooled proportion. We conducted subgroup and sensitivity analyses to investigate the cause of heterogeneity and the impact of outliers on the overall estimation, respectively. A trend analysis was also performed to show the presence of time variation. Results: The percentage of people living with HIV who disclosed their HIV-positive status to sexual partners was 76.03% (95% confidence interval: 68.78, 83.27). Being on antiretroviral therapy (adjusted odds ratio = 6.19; 95% confidence interval: 2.92, 9.49), cohabiting with partner (adjusted odds ratio = 4.48; 95% confidence interval: 1.24, 7.72), receiving HIV counseling (adjusted odds ratio = 3.94; 95% confidence interval: 2.08, 5.80), having discussion prior to HIV testing (adjusted odds ratio = 4.40; 95% confidence interval: 2.11, 6.69), being aware of partner's HIV status (adjusted odds ratio = 6.08; 95% confidence interval: 3.05, 9.10), positive relationship with partner (adjusted odds ratio = 4.44; 95% confidence interval:1.28, 7.61), and being member of HIV association (adjusted odds ratio = 3.70; 95% confidence interval: 2.20, 5.20) had positive association with HIV status disclosure. Conclusion: In Ethiopia, more than one-fourth of adults living with HIV did not disclose their HIV-positive status to sexual partners. HIV-positive status disclosure was influenced by psychosocial factors. A multidimensional approach is required to increase seropositive disclosure in Ethiopia.
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页数:12
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