Human Immune Deficiency Virus Serostatus and Associated Factors Among Children of Adult Index Cases in Northern Ethiopia

Medhin Mehari,1 Meresa Gebremedhin Weldu,2 Teklit Angesom,2 Hagos Degefa Hidru,1 Hirut Teame,1 Haftay Gebremedhin,1 Yonas Angaw,1 Embay Amare Alemseged1 1Adigrat University College of Medicine and Health Science, Department of Public Health, Adigrat, Tigrai, Ethiopia; 2Aksum University College of Me...

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Main Authors: Mehari M, Weldu MG, Angesom T, Hidru HD, Teame H, Gebremedhin H, Angaw Y, Alemseged EA
Format: Article
Language:English
Published: Dove Medical Press 2021-06-01
Series:HIV/AIDS: Research and Palliative Care
Subjects:
Online Access:https://www.dovepress.com/human-immune-deficiency-virus-serostatus-and-associated-factors-among--peer-reviewed-fulltext-article-HIV
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author Mehari M
Weldu MG
Angesom T
Hidru HD
Teame H
Gebremedhin H
Angaw Y
Alemseged EA
author_facet Mehari M
Weldu MG
Angesom T
Hidru HD
Teame H
Gebremedhin H
Angaw Y
Alemseged EA
author_sort Mehari M
collection DOAJ
description Medhin Mehari,1 Meresa Gebremedhin Weldu,2 Teklit Angesom,2 Hagos Degefa Hidru,1 Hirut Teame,1 Haftay Gebremedhin,1 Yonas Angaw,1 Embay Amare Alemseged1 1Adigrat University College of Medicine and Health Science, Department of Public Health, Adigrat, Tigrai, Ethiopia; 2Aksum University College of Medicine and Health Science, Department of Public Health, Aksum, Tigrai, EthiopiaCorrespondence: Medhin Mehari Tel +251914194266Email medhinmehari493@gmail.comIntroduction: Children whose parents with human immunodeficiency virus (HIV) and family of index clients are at high risk of HIV infection. Family testing is an efficient and effective way of identifying children’s HIV. The number of children becoming newly infected with HIV remains unacceptably high. This study is to assess human immune deficiency, virus serostatus, and associated factors among children of adult index cases in central Tigrai, Northern Ethiopia, 2019.Methods: An institution-based cross-sectional study design was conducted to select a total of 454 index cases from February 01 to April 30, 2019. Data were collected from adult clients on antiretroviral treatment who have children using administered questionnaires and data extraction from the hospital antiretroviral register. Simple random sampling was used to select the index cases using the medical record number. Binary logistic regression analysis, odds ratio, and 95% confidence interval were used to determine the strength of association between dependent and independent variables. Statistical significance was declared a P-value < 0.05.Results: The prevalence of HIV in children from family index case testing was 8.9% with 95% CI (6.5– 11.6). Female index clients [AOR=0.18, 95% CI: 06-0.55], the age of the child [AOR=0.86, 95% CI: 0.76, 0.97], importance of HIV testing [AOR=5.20, 95% CI: 2.2011.96], and discussion HIV testing [AOR=3.22, 95% CI: 1.5– 16.84]. Participants who did not discuss HIV were 3.2 more likely have HIV positive child than who discussed with family members.Conclusion: The majority of the index clients test their children, but the prevalence rate of HIV in children from family index case testing is high. Strategies should be developed on how to communicate with household members about HIV.Keywords: HIV serostatus, human immunodeficiency virus, HIV index case, HIV in children, antiretroviral therapy, ART, HIV/AIDS
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spelling doaj.art-2bbcd6616e0043179125ce54eb90f3c92022-12-21T21:32:43ZengDove Medical PressHIV/AIDS: Research and Palliative Care1179-13732021-06-01Volume 1369970766252Human Immune Deficiency Virus Serostatus and Associated Factors Among Children of Adult Index Cases in Northern EthiopiaMehari MWeldu MGAngesom THidru HDTeame HGebremedhin HAngaw YAlemseged EAMedhin Mehari,1 Meresa Gebremedhin Weldu,2 Teklit Angesom,2 Hagos Degefa Hidru,1 Hirut Teame,1 Haftay Gebremedhin,1 Yonas Angaw,1 Embay Amare Alemseged1 1Adigrat University College of Medicine and Health Science, Department of Public Health, Adigrat, Tigrai, Ethiopia; 2Aksum University College of Medicine and Health Science, Department of Public Health, Aksum, Tigrai, EthiopiaCorrespondence: Medhin Mehari Tel +251914194266Email medhinmehari493@gmail.comIntroduction: Children whose parents with human immunodeficiency virus (HIV) and family of index clients are at high risk of HIV infection. Family testing is an efficient and effective way of identifying children’s HIV. The number of children becoming newly infected with HIV remains unacceptably high. This study is to assess human immune deficiency, virus serostatus, and associated factors among children of adult index cases in central Tigrai, Northern Ethiopia, 2019.Methods: An institution-based cross-sectional study design was conducted to select a total of 454 index cases from February 01 to April 30, 2019. Data were collected from adult clients on antiretroviral treatment who have children using administered questionnaires and data extraction from the hospital antiretroviral register. Simple random sampling was used to select the index cases using the medical record number. Binary logistic regression analysis, odds ratio, and 95% confidence interval were used to determine the strength of association between dependent and independent variables. Statistical significance was declared a P-value < 0.05.Results: The prevalence of HIV in children from family index case testing was 8.9% with 95% CI (6.5– 11.6). Female index clients [AOR=0.18, 95% CI: 06-0.55], the age of the child [AOR=0.86, 95% CI: 0.76, 0.97], importance of HIV testing [AOR=5.20, 95% CI: 2.2011.96], and discussion HIV testing [AOR=3.22, 95% CI: 1.5– 16.84]. Participants who did not discuss HIV were 3.2 more likely have HIV positive child than who discussed with family members.Conclusion: The majority of the index clients test their children, but the prevalence rate of HIV in children from family index case testing is high. Strategies should be developed on how to communicate with household members about HIV.Keywords: HIV serostatus, human immunodeficiency virus, HIV index case, HIV in children, antiretroviral therapy, ART, HIV/AIDShttps://www.dovepress.com/human-immune-deficiency-virus-serostatus-and-associated-factors-among--peer-reviewed-fulltext-article-HIVhiv sero-statushuman immunodeficiency virushiv index casehiv in childrenantiretroviral therapyarthiv/aids
spellingShingle Mehari M
Weldu MG
Angesom T
Hidru HD
Teame H
Gebremedhin H
Angaw Y
Alemseged EA
Human Immune Deficiency Virus Serostatus and Associated Factors Among Children of Adult Index Cases in Northern Ethiopia
HIV/AIDS: Research and Palliative Care
hiv sero-status
human immunodeficiency virus
hiv index case
hiv in children
antiretroviral therapy
art
hiv/aids
title Human Immune Deficiency Virus Serostatus and Associated Factors Among Children of Adult Index Cases in Northern Ethiopia
title_full Human Immune Deficiency Virus Serostatus and Associated Factors Among Children of Adult Index Cases in Northern Ethiopia
title_fullStr Human Immune Deficiency Virus Serostatus and Associated Factors Among Children of Adult Index Cases in Northern Ethiopia
title_full_unstemmed Human Immune Deficiency Virus Serostatus and Associated Factors Among Children of Adult Index Cases in Northern Ethiopia
title_short Human Immune Deficiency Virus Serostatus and Associated Factors Among Children of Adult Index Cases in Northern Ethiopia
title_sort human immune deficiency virus serostatus and associated factors among children of adult index cases in northern ethiopia
topic hiv sero-status
human immunodeficiency virus
hiv index case
hiv in children
antiretroviral therapy
art
hiv/aids
url https://www.dovepress.com/human-immune-deficiency-virus-serostatus-and-associated-factors-among--peer-reviewed-fulltext-article-HIV
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