Factors Affecting The Prevalence Of HIV In Amhara Region Across Rural And Urban Areas: The Case Of Bahirdar And Kone-Wadla

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Addis Ababa University


The General objective was to analyze the direct and indirect major determinants affecting the prevalence of HIV in Amhara region across the selected urban and rural areas. Based on Dixon and Leach's [1978] formula, a total of 493 subjects who are eligible were selected and included in the populations for the household survey. Moreover, Logistics regression models were fitted based on results found to be significant in Chi Square and bivariate an<:tlyses and examined using Forward LR stepwise analysis. Due to the large number of parameters estimated, variables that were not significantly associated with the outcome variables (P<0.05) were not entered in binary logistic regression model. Univariate and bivariate data analyses were performed using SPSS (release 11.0) and 95% confidence intervals and p-value were computed for all predicted variables. With regard to the results, as it can be observed from the chi square result (Table 5.1), residence was significantly associated with Early marriage, Unemployment, marital status, HIV-test and mobility of individuals. The independent variable, place of residence, was found to be significant in explaining the variations in the probability of risk factors as follows; the probability of getting employment in rural areas was 73.3% decreased (x2 =46.114, p=o.ooo) as compared to that of urban dwellers, the probability of rural dwellers with the odd ratio 1.55, (x2 = 7b.609, p=o.ooo) were found to be more likely to be not tested as compared to )C the urban dwellers, the probability of rural dwellers with the odd ratio 0.572 (X2 = 8.019, P=0.005) were found to be less likely to practice harmful traditional practices as compared to the Urban dwellers, the probability of rural dwellers ever departing for at least two weeks were 2.00 (x2 =8.284, P=0.004) times more likely than that of the urban, the probability of rural dwellers that were Ever married were 2.004(x2 = 9.891, p=0.002) times more likely than that of the urban, and the proportion of late marriage (above 15) in rural dwellers was decreased by 88.0% (x2 = 24.605, p=o.ooo) than urban dwellers. In general, the findings have revealed clearly that the risk factors incidences were significantly higher among rural residents. Among the rural; early marriage, illiteracy rate, unemployment rate were higher Compared to the urban dwellers. But, in the urban, the rate of mobile individuals was higher. Hence, accordingly, all of these consider being the possible determinant risk factors for the relatively higher HIV prevalence across urban and rural populations studied in Amhara region, respectively. Thus, adapted preventive programs and Innovative clientdriven risk reduction strategies addressing the pandemic in the region should be developed to prevent further spread of the infection in this population.



HIV/AIDS, Across Rural And Urban Areas