Behavioral factors associated with delayed ART initiation among people living with HIV/AIDS (PLWH) in Nekemte referral Hospital, Western Ethiopia
Background: Delayed initiation of antiretroviral therapy (ART) continues to drive morbidity, mortality and onward human immune virus (HIV) infection transmission. The major causes for HIV related life threatening events were due to delayed ART initiation. Little has been documented about the timing...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | International Journal of Africa Nursing Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214139121000032 |
| _version_ | 1818729939348750336 |
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| author | Lami Bayisa Abilo Tadesse Diriba Mulisa Ebisa Turi Tadesse Tolosa |
| author_facet | Lami Bayisa Abilo Tadesse Diriba Mulisa Ebisa Turi Tadesse Tolosa |
| author_sort | Lami Bayisa |
| collection | DOAJ |
| description | Background: Delayed initiation of antiretroviral therapy (ART) continues to drive morbidity, mortality and onward human immune virus (HIV) infection transmission. The major causes for HIV related life threatening events were due to delayed ART initiation. Little has been documented about the timing of ART initiation in hospital settings where majority of patients present with advanced HIV disease and opportunistic infections, with a potentially high risk of mortality after discharge. So early initiation of ART is needed to reduce HIV related morbidity and mortality and to reduce HIV infection transmission, so the study aimed to determine PLWH’s health belief factors related to delayed ART initiation. Methods: A hospital-based cross-sectional study was conducted to explore health-related beliefs among PLWH on delayed ART initiation at ART Clinic, Nekemte Referral hospital, Western Ethiopia between January 1, 2020 and March 31, 2020 for the time period from January 1, 2016 to December 31, 2019. Consecutive sampling method was used to recruit 417 PLWH. Patients were interviewed to obtain socio-demographic data. Relevant medical history was obtained from patients’ chart records. The collected data were processed and analyzed using Epi data version 3.1 and SPSS version 20. Logistic regression models were constructed to identify independently associated behavioral factors with delayed ART initiation. P-value of <0.05 was used to declare the statistical significance. Result: The mean age of the 417 PLWH was 33.5 (SD±9.8) years. Most (>75%) of them were urban dwellers and attended formal education. A third (34%) of PLWH initiated ART delayed. Poor literacy status was significantly associated with delayed use of ART. Timing of ART initiation had significantly affected by respondents’ perceived threat, perceived net benefit and self-efficacy to start ART there. Conclusion: Prevalence of delayed ART initiation was relatively low. Strengthening the mechanisms of early HIV test, linkage to care and awareness on ART benefit are recommended to initiate ART early. |
| first_indexed | 2024-12-17T22:53:51Z |
| format | Article |
| id | doaj.art-8a48ed1f86c840fdbe2654442f1f0a87 |
| institution | Directory Open Access Journal |
| issn | 2214-1391 |
| language | English |
| last_indexed | 2024-12-17T22:53:51Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Africa Nursing Sciences |
| spelling | doaj.art-8a48ed1f86c840fdbe2654442f1f0a872022-12-21T21:29:36ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912021-01-0114100280Behavioral factors associated with delayed ART initiation among people living with HIV/AIDS (PLWH) in Nekemte referral Hospital, Western EthiopiaLami Bayisa0Abilo Tadesse1Diriba Mulisa2Ebisa Turi3Tadesse Tolosa4Inistitute of Health Sciences, School of Nursing and Midwifery, Wollega University, Ethiopia; Corresponding author.College of Medicine and Health Sciences, University of Gondar, EthiopiaInistitute of Health Sciences, School of Nursing and Midwifery, Wollega University, Ethiopia; Inistitute of Health Science, Department of Public Health, Wollega University, EthiopiaInistitute of Health Sciences, School of Nursing and Midwifery, Wollega University, Ethiopia; Inistitute of Health Science, Department of Public Health, Wollega University, EthiopiaInistitute of Health Sciences, School of Nursing and Midwifery, Wollega University, Ethiopia; Inistitute of Health Science, Department of Public Health, Wollega University, EthiopiaBackground: Delayed initiation of antiretroviral therapy (ART) continues to drive morbidity, mortality and onward human immune virus (HIV) infection transmission. The major causes for HIV related life threatening events were due to delayed ART initiation. Little has been documented about the timing of ART initiation in hospital settings where majority of patients present with advanced HIV disease and opportunistic infections, with a potentially high risk of mortality after discharge. So early initiation of ART is needed to reduce HIV related morbidity and mortality and to reduce HIV infection transmission, so the study aimed to determine PLWH’s health belief factors related to delayed ART initiation. Methods: A hospital-based cross-sectional study was conducted to explore health-related beliefs among PLWH on delayed ART initiation at ART Clinic, Nekemte Referral hospital, Western Ethiopia between January 1, 2020 and March 31, 2020 for the time period from January 1, 2016 to December 31, 2019. Consecutive sampling method was used to recruit 417 PLWH. Patients were interviewed to obtain socio-demographic data. Relevant medical history was obtained from patients’ chart records. The collected data were processed and analyzed using Epi data version 3.1 and SPSS version 20. Logistic regression models were constructed to identify independently associated behavioral factors with delayed ART initiation. P-value of <0.05 was used to declare the statistical significance. Result: The mean age of the 417 PLWH was 33.5 (SD±9.8) years. Most (>75%) of them were urban dwellers and attended formal education. A third (34%) of PLWH initiated ART delayed. Poor literacy status was significantly associated with delayed use of ART. Timing of ART initiation had significantly affected by respondents’ perceived threat, perceived net benefit and self-efficacy to start ART there. Conclusion: Prevalence of delayed ART initiation was relatively low. Strengthening the mechanisms of early HIV test, linkage to care and awareness on ART benefit are recommended to initiate ART early.http://www.sciencedirect.com/science/article/pii/S2214139121000032PLWHHealth belief modelWestern Ethiopia |
| spellingShingle | Lami Bayisa Abilo Tadesse Diriba Mulisa Ebisa Turi Tadesse Tolosa Behavioral factors associated with delayed ART initiation among people living with HIV/AIDS (PLWH) in Nekemte referral Hospital, Western Ethiopia International Journal of Africa Nursing Sciences PLWH Health belief model Western Ethiopia |
| title | Behavioral factors associated with delayed ART initiation among people living with HIV/AIDS (PLWH) in Nekemte referral Hospital, Western Ethiopia |
| title_full | Behavioral factors associated with delayed ART initiation among people living with HIV/AIDS (PLWH) in Nekemte referral Hospital, Western Ethiopia |
| title_fullStr | Behavioral factors associated with delayed ART initiation among people living with HIV/AIDS (PLWH) in Nekemte referral Hospital, Western Ethiopia |
| title_full_unstemmed | Behavioral factors associated with delayed ART initiation among people living with HIV/AIDS (PLWH) in Nekemte referral Hospital, Western Ethiopia |
| title_short | Behavioral factors associated with delayed ART initiation among people living with HIV/AIDS (PLWH) in Nekemte referral Hospital, Western Ethiopia |
| title_sort | behavioral factors associated with delayed art initiation among people living with hiv aids plwh in nekemte referral hospital western ethiopia |
| topic | PLWH Health belief model Western Ethiopia |
| url | http://www.sciencedirect.com/science/article/pii/S2214139121000032 |
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