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Title: Assessment of premarital HIV testing results and discordant rate and factors associated with them in public voluntary counseling and testing centers in Addis Ababa
Authors: Girma, Temam
Advisors: Professor Ahmed Ali (B.Sc., MPH, PhD)
Keywords: public health
Date Added: 3-May-2012
Publisher: AAU
Abstract: Introduction: - Understanding and monitoring the prevalence of Human immunodeficiency virus (HIV) infection among premarital clients and discordant rate among premarital couples and applying specific interventions targeted at this group could bring dual benefit as it prevents both heterosexual and vertical transmission of the disease. Objective: - The main objective of this study was to assess the prevalence of HIV and discordant rate and factors associated with them among premarital voluntary counseling and testing (VCT) clients in public VCT centers in Addis Ababa. Methods: - A cross-sectional facility based study was conducted from March to April 2008. Seven public VCT centers were selected using simple random sampling. Then all consecutive premarital VCT clients were interviewed until the required sample size was attained using pre- tested structured questionnaire. Data were entered using Epi-info 2007 version 3.4.1 and analysis was carried out using SPSS-13 statistical packages. Results:-Of 392 premarital VCT clients who participated in the study, 32 (8.2%) were sero positive for HIV. HIV sero status was significantly associated with the number of life time sexual partner (AOR=9.06(2.66-30.83)), previous history of HIV testing (AOR=6.70(2.32-19.35)) and type of VCT service utilization (AOR=4.17(1.53-11.36)). Out of 276(138 couples) who presented as couple, 6.5% were found to be sero discordant, while concordant negative and concordant positive accounted for 92.0% and 1.4% respectively. Significantly higher rate of sero discordance was observed among participants who had more than one life time sexual partner, (AOR=15.06(2.87-79.17)) and who lack history of previous HIV testing (AOR=13.91(3.08-62.91)). Both HIV sero IX positivity and discordance were relatively higher among those who previously separated/divorced and widowed partners. Conclusion and recommendation: - As considerable prevalence of sero positivity and sero discordant among premarital couples were observed in this study, every effort to be exerted to make premarital couples aware of their own and their partners’ sero status before engagement was recommended.
URI: http://hdl.handle.net/123456789/2314
Appears in:Thesis - Public Health

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