Risky Sexual Practice and Factors Related Among People Living With HIV/AIDS Attending Art in Addis Ababa Public Hospitals.
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Date
2009-06
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Addis Ababa University
Abstract
Background: The sexual behavior of HIV infected people has received little serious attention for a range of factors. Even though many of them avoid risky sexual behavior, a substantial number continue to engage in risky sexual practices that not only transmit the virus to others but also place themselves at risk of contracting secondary infection.
Objective: This study aimed to assess risky sexual practice and factors related among people living with HIV/AIDS (PLWHA) attending ART in Addis Ababa public hospitals
Methods: A cross-sectional quantitative study supplemented with a qualitative study was conducted among ART attendants in Addis Ababa public hospitals from February to March, 2009.
Results: The majority of the respondents were using condoms consistently; however, significant proportion (36.9%) had a history of unprotected sex in the three months prior to the study period. The major reasons given for not using condoms were partner’s dislike of them, both partners being positive for HIV and need to have a child. Discussion about condom use and safe sex (AOR=7.23,95%CI: 4.14, 12.63), negative safer sex pleasure (AOR=2.39, 95% CI: 1.52, 3.76), multiple partnerships (AOR=2.67,95% CI:1.09, 6.57), negative partner sero status (AOR=0.33,95% CI:0.14,0.80), unknown partner sero status (AOR=0.19 CI 95% CI: 0.09,0.39) and self-efficacy to use condom ( AOR =3.29, 95% CI: 2.07, 5.23) are factors associated with unprotected sex.
Conclusion and Recommendation: Even if majority of ART attendants used condoms consistently, still considerable number engaged in unprotected sex with HIV positive, negative or unknown sero status partner. This would have negative effect in terms of reinfection with a new strain, other sexually transmitted infection and further transmission of the virus. So, interventions targeted to those factors related with unprotected sex practice were recommended to be addressed through counseling, teaching, encouragements and other possible approaches.
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Keywords
Sexual Behavior ,HIV infected people