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Risky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study

Authors Mosisa G, Woldemichael K, Ayalew F

Received 13 December 2017

Accepted for publication 25 April 2018

Published 10 July 2018 Volume 2018:10 Pages 125—131

DOI https://doi.org/10.2147/HIV.S159670

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 2

Editor who approved publication: Professor Bassel Sawaya


Getu Mosisa,1 Kifle Woldemichael,2 Fantahun Ayalew,3,†

1Department of Nursing and Midwifery, College of Health Sciences, Wollega University, Nekemte, Ethiopia; 2Department of Epidemiology, College of Health Sciences, Jimma University, Jimma, Ethiopia; 3Department of Nursing and Midwifery, College of Health Sciences, Jimma University, Jimma, Ethiopia

Fantahun Ayalew passed away on August 31, 2017

Background: HIV/AIDS remains a major public health problem. Practice of risky sexual behaviors is the major effective driver of the HIV epidemic among HIV-positive individuals. This behavior exposes their partners to HIV, and for those that are already positive it exposes them to a risk of suprainfection by other strains.
Objective: The aim of this study was to assess the prevalence of risky sexual behavior and associated factors among people living with HIV attending antiretroviral therapy (ART) clinic at Nekemte Referral Hospital.
Methods: An institution-based based cross-sectional study was conducted at the ART clinic of Nekemte Referral Hospital from March to April 2016. A total of 337 people living with HIV on ART for at least 3 months were selected by consecutive sampling technique. Data were collected through face-to-face interview. Data were entered into Epi-data Version 3.1 and analyzed using SPSS version 20. Variables significant on bivariate logistic regression analysis at p<0.25 were considered as candidates for the multivariable logistic regression analysis, and statistical significance was set at p<0.05.
Results: Approximately one third (32.9%) of the study participants were engaged in risky sexual behavior in the past 3 months prior to the study. Having multiple sexual partners (adjusted odds ratio [AOR] =6.38, 95% CI: 1.65, 24.74), being with a positive sero-status partner (AOR =2.68, 95% CI: 1.31, 5.5), not disclosing sero-status (AOR =5.99, 95% CI: 1.36, 26.35), having a desire for a child (AOR =2.6, 95% CI: 1.5, 4.51), having experience of perceived stigma (AOR =2.63, 95% CI: 1.5, 4.62), and lack of education on importance of protecting self from strain (AOR =5.64, 95% CI: 3.19, 9.96) were significantly associated with risky sexual behavior.
Conclusion and recommendation: The prevalence of risky sexual behavior was high, and approximately one third of study participants were engaged in risky sexual behavior. Efforts to increase awareness through health education and counseling are highly recommended.

Keywords: HIV, risky sexual behavior, Nekemte Referral Hospital, Ethiopia

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