The Magnitude and Associated Factors of Consistent Condom Utilization Among ART Users in Hawassa City, Sidama, Ethiopia
Open Access
- 1 December 2020
- journal article
- research article
- Published by Taylor & Francis Ltd in HIV/AIDS - Research and Palliative Care
- Vol. ume 12, 909-922
- https://doi.org/10.2147/hiv.s280143
Abstract
Background: Antiretroviral therapy (ART) introduction has sharply decreased mortality and morbidity rates among HIV-infected patients and resulted in longer and healthier lives among people living with HIV. Hence, the aim of this study is to determine the level of consistent condom use and associated factors among ART users in Hawassa City. Methods: Cross-sectional study design triangulated with qualitative phenomenology was used. One hospital and one health center were selected by simple random sampling and proportional to size allocation was used to assign participants to each health facility. Accordingly, 358 study subjects were selected. Adjusted odds ratio (AOR) with 95% confidence interval was used to implicate significant factors. Thematic content analysis was used and narrative report writing with a quote was used to present qualitative data. Results: The prevalence of consistent condom utilization in this study was 51.4%. Sex (AOR= 4.20, 95% CI: 2.386, 7.41), residence (AOR=3.55, 95% CI: 1.81, 6.99) educational status (AOR=0.4, 95% CI: 0.196, 0.946), perception on ART’s does not reduction of HIV transmission (AOR=1.96, 95% CI: 1.12, 3.43), rate of counseling (AOR=0.37, 95% CI: 0.17, 0.84) and use condom to prevent pregnancy (AOR=4.53, 95% CI: 2.11, 9.73) were found to be independent predictors of consistent condom utilization among ART users. Refusal by husbands, decrement in satisfaction, gender difference with more women than men willing to use consistently and religious reasons were factors associated with inconsistent condom utilization in the qualitative study. Conclusion and Recommendation: Consistent condom utilization among ART users was low. Sex, residence, educational status, perception towards ART were significantly associated with consistent condom utilization. Moreover, husband refusal, religious reason, decrement in satisfaction on the qualitative study were associated with non-consistent use of a condom. The importance of consistent condom use should be well addressed in HIV/AIDS patients, to prevent transmission and multiple infections of HIV.Keywords
This publication has 35 references indexed in Scilit:
- Sexual risk behaviour, marriage and ART: a study of HIV-positive people in Papua New GuineaAIDS Research and Therapy, 2013
- Alcohol use and HIV serostatus of partner predict high-risk sexual behavior among patients receiving antiretroviral therapy in South Western UgandaBMC Public Health, 2013
- Patterns of condom use and associated factors among adult HIV positive clients in North Western Ethiopia: a comparative cross sectional studyBMC Public Health, 2012
- Internal construct validity of the Shirom-Melamed Burnout Questionnaire (SMBQ)BMC Public Health, 2012
- Knowing a Sexual Partner Is HIV-1-Uninfected Is Associated With Higher Condom Use Among HIV-1-Infected Adults in KenyaSexually Transmitted Diseases, 2011
- Changes in sexual desires and behaviours of people living with HIV after initiation of ART: Implications for HIV prevention and health promotionBMC Public Health, 2011
- Decreased sexual risk behavior in the era of HAART among HIV-infected urban and rural South Africans attending primary care clinicsAIDS, 2010
- Heterosexual HIV-1 transmission after initiation of antiretroviral therapy: a prospective cohort analysisThe Lancet, 2010
- Prevalence and Contexts of Inconsistent Condom Use Among Heterosexual Men and Women Living with HIV in India: Implications for PreventionAIDS Patient Care and STDs, 2010
- Sexual behaviour, condom use, and disclosure of HIV status in HIV infected heterosexual individuals attending an inner London HIV clinicSexually Transmitted Infections, 2006