Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia

BackgroundConsistent condom use plays a significant role in the successful protection of the transmission of human immunodeficiency virus (HIV) infection in couples with sero-discordant HIV status, mother-to-child-transmission (MTCT), and acquiring other strains in HIV-positive concordant pairs. Lim...

Full description

Bibliographic Details
Main Authors: Nebiyu Solomon Tibebu, Belayneh Ayanaw Kassie, Azmeraw Ambachew Kebede, Tazeb Alemu Anteneh, Wubedle Zelalem Temesgan, Mastewal Belayneh Aklil, Kindu Yinges Wondie, Marta Yimam Abegaz, Hiwotie Getaneh Ayalew, Bayew Kelkay Rade
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.907879/full
_version_ 1818172768909262848
author Nebiyu Solomon Tibebu
Belayneh Ayanaw Kassie
Azmeraw Ambachew Kebede
Tazeb Alemu Anteneh
Wubedle Zelalem Temesgan
Mastewal Belayneh Aklil
Kindu Yinges Wondie
Marta Yimam Abegaz
Hiwotie Getaneh Ayalew
Bayew Kelkay Rade
author_facet Nebiyu Solomon Tibebu
Belayneh Ayanaw Kassie
Azmeraw Ambachew Kebede
Tazeb Alemu Anteneh
Wubedle Zelalem Temesgan
Mastewal Belayneh Aklil
Kindu Yinges Wondie
Marta Yimam Abegaz
Hiwotie Getaneh Ayalew
Bayew Kelkay Rade
author_sort Nebiyu Solomon Tibebu
collection DOAJ
description BackgroundConsistent condom use plays a significant role in the successful protection of the transmission of human immunodeficiency virus (HIV) infection in couples with sero-discordant HIV status, mother-to-child-transmission (MTCT), and acquiring other strains in HIV-positive concordant pairs. Limited data and information about this issue are available in low-resource setting countries, including the study setting. Therefore, this study aimed to assess the level of consistent condom use and its associated factors among HIV-positive pregnant women.Materials and methodsAn institution-based cross-sectional study was done from 17 October 2020 to 1 March 2021. A total of 423 HIV-positive pregnant women were involved in this study and selected using a systematic random sampling technique. Data were collected using a semi-structured, pretested, and interviewer-administered questionnaire and then entered into EPI INFO version 7 and analyzed using Statistical Package for Social Sciences (SPSS) version 21. Logistic regressions were performed to identify factors. P-Value ≤ 0.05 denotes statistical significance.ResultsThe prevalence of consistent condom use among HIV-positive pregnant women was 14.2% [95% confidence interval (CI) 10.9%, 17.5%]. Women having a higher educational status [adjusted odds ratio (AOR) = 6.33, 95% CI 1.96, 20.42], women having a CD4 count > 600 cells/mm (AOR = 4.78, 95% CI 2.08, 10.97), women testing positive for HIV during the non-pregnant state (AOR = 5.99, 95% CI 3.01, 11.94), and women disclosing their HIV status to sexual partners (AOR = 4.85, 95% CI 1.71, 13.71) were found to be statically significant with women’s consistent condom use.ConclusionIn this study, consistent condom use among HIV-positive pregnant women was low. Women having educational status of college and above studies, women testing positive for HIV during the non-pregnant state, women disclosing their HIV status to a sexual partner, and women having a CD4 count > 600 cells/mm had better consistent condom use. Hence, giving more emphasis on health education and counseling service about HIV testing before pregnancy, and disclosing their HIV status to their sexual partners and about the need for consistent condom use during pregnancy would be important.
first_indexed 2024-12-11T19:17:52Z
format Article
id doaj.art-8546384f0e964fb8b3c2034943ddc9ed
institution Directory Open Access Journal
issn 2296-858X
language English
last_indexed 2024-12-11T19:17:52Z
publishDate 2022-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj.art-8546384f0e964fb8b3c2034943ddc9ed2022-12-22T00:53:36ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-08-01910.3389/fmed.2022.907879907879Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in EthiopiaNebiyu Solomon Tibebu0Belayneh Ayanaw Kassie1Azmeraw Ambachew Kebede2Tazeb Alemu Anteneh3Wubedle Zelalem Temesgan4Mastewal Belayneh Aklil5Kindu Yinges Wondie6Marta Yimam Abegaz7Hiwotie Getaneh Ayalew8Bayew Kelkay Rade9Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Women’s and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Midwifery, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaDepartment of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaBackgroundConsistent condom use plays a significant role in the successful protection of the transmission of human immunodeficiency virus (HIV) infection in couples with sero-discordant HIV status, mother-to-child-transmission (MTCT), and acquiring other strains in HIV-positive concordant pairs. Limited data and information about this issue are available in low-resource setting countries, including the study setting. Therefore, this study aimed to assess the level of consistent condom use and its associated factors among HIV-positive pregnant women.Materials and methodsAn institution-based cross-sectional study was done from 17 October 2020 to 1 March 2021. A total of 423 HIV-positive pregnant women were involved in this study and selected using a systematic random sampling technique. Data were collected using a semi-structured, pretested, and interviewer-administered questionnaire and then entered into EPI INFO version 7 and analyzed using Statistical Package for Social Sciences (SPSS) version 21. Logistic regressions were performed to identify factors. P-Value ≤ 0.05 denotes statistical significance.ResultsThe prevalence of consistent condom use among HIV-positive pregnant women was 14.2% [95% confidence interval (CI) 10.9%, 17.5%]. Women having a higher educational status [adjusted odds ratio (AOR) = 6.33, 95% CI 1.96, 20.42], women having a CD4 count > 600 cells/mm (AOR = 4.78, 95% CI 2.08, 10.97), women testing positive for HIV during the non-pregnant state (AOR = 5.99, 95% CI 3.01, 11.94), and women disclosing their HIV status to sexual partners (AOR = 4.85, 95% CI 1.71, 13.71) were found to be statically significant with women’s consistent condom use.ConclusionIn this study, consistent condom use among HIV-positive pregnant women was low. Women having educational status of college and above studies, women testing positive for HIV during the non-pregnant state, women disclosing their HIV status to a sexual partner, and women having a CD4 count > 600 cells/mm had better consistent condom use. Hence, giving more emphasis on health education and counseling service about HIV testing before pregnancy, and disclosing their HIV status to their sexual partners and about the need for consistent condom use during pregnancy would be important.https://www.frontiersin.org/articles/10.3389/fmed.2022.907879/fullcondomHIVpregnantwomenEthiopia
spellingShingle Nebiyu Solomon Tibebu
Belayneh Ayanaw Kassie
Azmeraw Ambachew Kebede
Tazeb Alemu Anteneh
Wubedle Zelalem Temesgan
Mastewal Belayneh Aklil
Kindu Yinges Wondie
Marta Yimam Abegaz
Hiwotie Getaneh Ayalew
Bayew Kelkay Rade
Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia
Frontiers in Medicine
condom
HIV
pregnant
women
Ethiopia
title Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia
title_full Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia
title_fullStr Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia
title_full_unstemmed Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia
title_short Consistent condom use and its associated factors among human immunodeficiency virus-positive pregnant women in Ethiopia
title_sort consistent condom use and its associated factors among human immunodeficiency virus positive pregnant women in ethiopia
topic condom
HIV
pregnant
women
Ethiopia
url https://www.frontiersin.org/articles/10.3389/fmed.2022.907879/full
work_keys_str_mv AT nebiyusolomontibebu consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia
AT belaynehayanawkassie consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia
AT azmerawambachewkebede consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia
AT tazebalemuanteneh consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia
AT wubedlezelalemtemesgan consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia
AT mastewalbelaynehaklil consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia
AT kinduyingeswondie consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia
AT martayimamabegaz consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia
AT hiwotiegetanehayalew consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia
AT bayewkelkayrade consistentcondomuseanditsassociatedfactorsamonghumanimmunodeficiencyviruspositivepregnantwomeninethiopia