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. 2019 Jan 28;19(1):113.
doi: 10.1186/s12889-019-6438-5.

Risky sexual practice and associated factors among HIV positive adults visiting ART clinics in public hospitals in Addis Ababa city, Ethiopia: a cross sectional study

Wondimagegne Belay Tadesse  1 , Abebaw Addis Gelagay  2
Affiliations

Risky sexual practice and associated factors among HIV positive adults visiting ART clinics in public hospitals in Addis Ababa city, Ethiopia: a cross sectional study

Wondimagegne Belay Tadesse et al. BMC Public Health. .

Abstract

Background: Sexual behavior of HIV positive individuals visiting anti- retroviral clinics is a neglected issue. With access to anti-retroviral treatment, HIV positive individuals experience improved health and are able to reintegrate into their social life and many of them engage in sexual activities. In the context of Ethiopia, safer sex practices among people living with HIV is critical in terms of preventing the acquisition of another strain of HIV and helping address the epidemic.

Method: An institution-based cross sectional study was conducted at Addis Ababa public hospitals from January to February 2017. A pretested structured questionnaire was used to collect the data. Using the systematic random sampling technique, a total of 562 respondents participated in the study. The data were entered into EPI info version 3.5.3 and transferred to SPSS version 20 for analysis. Descriptive statistics, bi-variate, and multi variable analyses were done. A p-value < 0.05 was considered to determine the statistical significance of the association between factors (independent variables) and risky sexual practice. The Odds ratio was also used to determine the presence and the degree of association between dependent and independent variables.

Results: A total of 562 respondents participated in the study which revealed that the prevalence of risky sexual practice was 39.1% (95% CI: 35.2, 43.8) three months prior to the data collection. Educational status of participants who were below grade eight (AOR = 2.27, 95% CI:1.01,5.10) and went to grades eight to twelve (AOR = 2.12, 95% CI:1.02,4.41), were married (AOR = 2.07, 95% CI:1.06,4.02), had no concern for safer sexual practice (AOR = 3.74, 95% CI:2.28, 6.13), had CD4 count of ≥500cells/mm3(AOR = 1.66, 95% CI:1.04, 2.64), and used substance (AOR = 3.41, 95% CI:1.83, 6.35) were significantly associated with risky sexual practice.

Conclusion: The prevalence of risky sexual practice was markedly high in this study due to such contributory factors as low educational status, marriage, lack of concern for safer sexual practices, and substance use.

Keywords: Ethiopia; HIV positive adults; Risky sexual practice; Visiting ART clinic.

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Conflict of interest statement

Ethics approval and consent to participate

Ethical clearance was obtained from Institutional Review Board of University of Gondar, College of Medicine and Health Science, Institute of public health Support letter and permission was also obtained from Addis Ababa health bureau ethical review committee and disease prevention core process unit of each hospital. On the data collecting tool itself, the first page of the questionnaire provided full information to the study participants regarding the purpose and nature of the research then written consent was obtained from each participant. Participation to the study was done on voluntary basis, and participants were informed about their right not to participate in the study or withdraw at any time. Moreover, confidentiality of the information was assured by using anonymous questionnaire.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Figure that shows the types of risky sexual practice that the participants had
See this image and copyright information in PMC

References

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