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Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia
BACKGROUND: Consistent condom use plays a significant role in the successful protection of the transmission of human immunodeficiency virus (HIV) infection in couples with sero-discordant HIV status, mother-to-child-transmission (MTCT), and acquiring other strains in HIV-positive concordant pairs. L...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386488/ https://www.ncbi.nlm.nih.gov/pubmed/35991634 http://dx.doi.org/10.3389/fmed.2022.907879 |
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author | Tibebu, Nebiyu Solomon Kassie, Belayneh Ayanaw Kebede, Azmeraw Ambachew Anteneh, Tazeb Alemu Temesgan, Wubedle Zelalem Aklil, Mastewal Belayneh Wondie, Kindu Yinges Abegaz, Marta Yimam Ayalew, Hiwotie Getaneh Rade, Bayew Kelkay |
author_facet | Tibebu, Nebiyu Solomon Kassie, Belayneh Ayanaw Kebede, Azmeraw Ambachew Anteneh, Tazeb Alemu Temesgan, Wubedle Zelalem Aklil, Mastewal Belayneh Wondie, Kindu Yinges Abegaz, Marta Yimam Ayalew, Hiwotie Getaneh Rade, Bayew Kelkay |
author_sort | Tibebu, Nebiyu Solomon |
collection | PubMed |
description | BACKGROUND: Consistent condom use plays a significant role in the successful protection of the transmission of human immunodeficiency virus (HIV) infection in couples with sero-discordant HIV status, mother-to-child-transmission (MTCT), and acquiring other strains in HIV-positive concordant pairs. Limited data and information about this issue are available in low-resource setting countries, including the study setting. Therefore, this study aimed to assess the level of consistent condom use and its associated factors among HIV-positive pregnant women. MATERIALS AND METHODS: An institution-based cross-sectional study was done from 17 October 2020 to 1 March 2021. A total of 423 HIV-positive pregnant women were involved in this study and selected using a systematic random sampling technique. Data were collected using a semi-structured, pretested, and interviewer-administered questionnaire and then entered into EPI INFO version 7 and analyzed using Statistical Package for Social Sciences (SPSS) version 21. Logistic regressions were performed to identify factors. P-Value ≤ 0.05 denotes statistical significance. RESULTS: The prevalence of consistent condom use among HIV-positive pregnant women was 14.2% [95% confidence interval (CI) 10.9%, 17.5%]. Women having a higher educational status [adjusted odds ratio (AOR) = 6.33, 95% CI 1.96, 20.42], women having a CD4 count > 600 cells/mm (AOR = 4.78, 95% CI 2.08, 10.97), women testing positive for HIV during the non-pregnant state (AOR = 5.99, 95% CI 3.01, 11.94), and women disclosing their HIV status to sexual partners (AOR = 4.85, 95% CI 1.71, 13.71) were found to be statically significant with women’s consistent condom use. CONCLUSION: In this study, consistent condom use among HIV-positive pregnant women was low. Women having educational status of college and above studies, women testing positive for HIV during the non-pregnant state, women disclosing their HIV status to a sexual partner, and women having a CD4 count > 600 cells/mm had better consistent condom use. Hence, giving more emphasis on health education and counseling service about HIV testing before pregnancy, and disclosing their HIV status to their sexual partners and about the need for consistent condom use during pregnancy would be important. |
format | Online Article Text |
id | pubmed-9386488 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93864882022-08-19 Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia Tibebu, Nebiyu Solomon Kassie, Belayneh Ayanaw Kebede, Azmeraw Ambachew Anteneh, Tazeb Alemu Temesgan, Wubedle Zelalem Aklil, Mastewal Belayneh Wondie, Kindu Yinges Abegaz, Marta Yimam Ayalew, Hiwotie Getaneh Rade, Bayew Kelkay Front Med (Lausanne) Medicine BACKGROUND: Consistent condom use plays a significant role in the successful protection of the transmission of human immunodeficiency virus (HIV) infection in couples with sero-discordant HIV status, mother-to-child-transmission (MTCT), and acquiring other strains in HIV-positive concordant pairs. Limited data and information about this issue are available in low-resource setting countries, including the study setting. Therefore, this study aimed to assess the level of consistent condom use and its associated factors among HIV-positive pregnant women. MATERIALS AND METHODS: An institution-based cross-sectional study was done from 17 October 2020 to 1 March 2021. A total of 423 HIV-positive pregnant women were involved in this study and selected using a systematic random sampling technique. Data were collected using a semi-structured, pretested, and interviewer-administered questionnaire and then entered into EPI INFO version 7 and analyzed using Statistical Package for Social Sciences (SPSS) version 21. Logistic regressions were performed to identify factors. P-Value ≤ 0.05 denotes statistical significance. RESULTS: The prevalence of consistent condom use among HIV-positive pregnant women was 14.2% [95% confidence interval (CI) 10.9%, 17.5%]. Women having a higher educational status [adjusted odds ratio (AOR) = 6.33, 95% CI 1.96, 20.42], women having a CD4 count > 600 cells/mm (AOR = 4.78, 95% CI 2.08, 10.97), women testing positive for HIV during the non-pregnant state (AOR = 5.99, 95% CI 3.01, 11.94), and women disclosing their HIV status to sexual partners (AOR = 4.85, 95% CI 1.71, 13.71) were found to be statically significant with women’s consistent condom use. CONCLUSION: In this study, consistent condom use among HIV-positive pregnant women was low. Women having educational status of college and above studies, women testing positive for HIV during the non-pregnant state, women disclosing their HIV status to a sexual partner, and women having a CD4 count > 600 cells/mm had better consistent condom use. Hence, giving more emphasis on health education and counseling service about HIV testing before pregnancy, and disclosing their HIV status to their sexual partners and about the need for consistent condom use during pregnancy would be important. Frontiers Media S.A. 2022-08-04 /pmc/articles/PMC9386488/ /pubmed/35991634 http://dx.doi.org/10.3389/fmed.2022.907879 Text en Copyright © 2022 Tibebu, Kassie, Kebede, Anteneh, Temesgan, Aklil, Wondie, Abegaz, Ayalew and Rade. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Tibebu, Nebiyu Solomon Kassie, Belayneh Ayanaw Kebede, Azmeraw Ambachew Anteneh, Tazeb Alemu Temesgan, Wubedle Zelalem Aklil, Mastewal Belayneh Wondie, Kindu Yinges Abegaz, Marta Yimam Ayalew, Hiwotie Getaneh Rade, Bayew Kelkay Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia |
title | Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia |
title_full | Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia |
title_fullStr | Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia |
title_full_unstemmed | Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia |
title_short | Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia |
title_sort | consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in ethiopia |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386488/ https://www.ncbi.nlm.nih.gov/pubmed/35991634 http://dx.doi.org/10.3389/fmed.2022.907879 |
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