Vulnerability to human immunodeficiency virus infection and associated factors among married women in northwest Ethiopia: a cross-sectional study
Purpose This study investigated the vulnerability to human immunodeficiency virus (HIV) infection and associated factors among married women in northwest Ethiopia. Methods A community-based cross-sectional survey (n=657) was conducted from April 1 to 15, 2020, in Metema District, northwest Ethiopia,...
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| Format: | Article |
| Language: | English |
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Korean Society of Women Health Nursing
2022-12-01
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| Series: | Korean Journal of Women Health Nursing |
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| Online Access: | http://www.kjwhn.org/upload/pdf/kjwhn-2022-12-02.pdf |
| _version_ | 1797692880835313664 |
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| author | Asiya Hussien Abdissa Boka Asnake Fantu |
| author_facet | Asiya Hussien Abdissa Boka Asnake Fantu |
| author_sort | Asiya Hussien |
| collection | DOAJ |
| description | Purpose This study investigated the vulnerability to human immunodeficiency virus (HIV) infection and associated factors among married women in northwest Ethiopia. Methods A community-based cross-sectional survey (n=657) was conducted from April 1 to 15, 2020, in Metema District, northwest Ethiopia, in four randomly selected kebele administrations (the lowest level of local government). The inclusion criteria were married women aged ≥18 years residing with their husbands. Logistic regression analysis was conducted to identify factors associated with married women’s vulnerability to HIV infection. Result Participants were on average 33.70±9.50 years and nearly one-fourth (n=148, 22.5%) were identified as vulnerable to HIV infection (i.e., experienced sexually transmitted disease symptoms or an extramarital affair of either spouse within the past 12 months). Only 18.9% reported sexual communication with their husband. Respondents who did not discuss the risk of HIV infection with their husbands had fivefold odds of vulnerability (adjusted odds ratio [AOR], 5.02; 95% confidence interval [CI], 1.43–17.5). Those who did not have premarital sex (AOR, 0.20; 95% CI, 0.05–0.77) had no worries about HIV infection (AOR, 0.27; 95% CI, 0.08–0.94), sufficient income (AOR, 0.56; 95% CI, 0.16–0.86), and less than four children (AOR, 0.69; 95% CI, 0.50–0.97) had decreased odds of being vulnerable to HIV than their counterparts. Conclusion Not discussing risk of HIV infection with husband was a major factor of vulnerability to HIV infection as was premarital sex, worry about HIV, income, and number of children. Measures to strengthen couple’s sexual communication and support economical stability is important for decreasing HIV vulnerability. |
| first_indexed | 2024-03-12T02:34:00Z |
| format | Article |
| id | doaj.art-9c41449d324b4733be5526053fa1cd7a |
| institution | Directory Open Access Journal |
| issn | 2287-1640 2093-7695 |
| language | English |
| last_indexed | 2024-03-12T02:34:00Z |
| publishDate | 2022-12-01 |
| publisher | Korean Society of Women Health Nursing |
| record_format | Article |
| series | Korean Journal of Women Health Nursing |
| spelling | doaj.art-9c41449d324b4733be5526053fa1cd7a2023-09-05T01:52:46ZengKorean Society of Women Health NursingKorean Journal of Women Health Nursing2287-16402093-76952022-12-0128430731610.4069/kjwhn.2022.12.02979Vulnerability to human immunodeficiency virus infection and associated factors among married women in northwest Ethiopia: a cross-sectional studyAsiya Hussien0Abdissa Boka1Asnake Fantu2 College of Health Sciences, Ambo University, Ambo, Ethiopia College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia College of Health Sciences, Ethiopian Defense University, Bishoftu, EthiopiaPurpose This study investigated the vulnerability to human immunodeficiency virus (HIV) infection and associated factors among married women in northwest Ethiopia. Methods A community-based cross-sectional survey (n=657) was conducted from April 1 to 15, 2020, in Metema District, northwest Ethiopia, in four randomly selected kebele administrations (the lowest level of local government). The inclusion criteria were married women aged ≥18 years residing with their husbands. Logistic regression analysis was conducted to identify factors associated with married women’s vulnerability to HIV infection. Result Participants were on average 33.70±9.50 years and nearly one-fourth (n=148, 22.5%) were identified as vulnerable to HIV infection (i.e., experienced sexually transmitted disease symptoms or an extramarital affair of either spouse within the past 12 months). Only 18.9% reported sexual communication with their husband. Respondents who did not discuss the risk of HIV infection with their husbands had fivefold odds of vulnerability (adjusted odds ratio [AOR], 5.02; 95% confidence interval [CI], 1.43–17.5). Those who did not have premarital sex (AOR, 0.20; 95% CI, 0.05–0.77) had no worries about HIV infection (AOR, 0.27; 95% CI, 0.08–0.94), sufficient income (AOR, 0.56; 95% CI, 0.16–0.86), and less than four children (AOR, 0.69; 95% CI, 0.50–0.97) had decreased odds of being vulnerable to HIV than their counterparts. Conclusion Not discussing risk of HIV infection with husband was a major factor of vulnerability to HIV infection as was premarital sex, worry about HIV, income, and number of children. Measures to strengthen couple’s sexual communication and support economical stability is important for decreasing HIV vulnerability.http://www.kjwhn.org/upload/pdf/kjwhn-2022-12-02.pdfacquired immunodeficiency syndromehivmarriagesexually transmitted diseasessocial vulnerability |
| spellingShingle | Asiya Hussien Abdissa Boka Asnake Fantu Vulnerability to human immunodeficiency virus infection and associated factors among married women in northwest Ethiopia: a cross-sectional study Korean Journal of Women Health Nursing acquired immunodeficiency syndrome hiv marriage sexually transmitted diseases social vulnerability |
| title | Vulnerability to human immunodeficiency virus infection and associated factors among married women in northwest Ethiopia: a cross-sectional study |
| title_full | Vulnerability to human immunodeficiency virus infection and associated factors among married women in northwest Ethiopia: a cross-sectional study |
| title_fullStr | Vulnerability to human immunodeficiency virus infection and associated factors among married women in northwest Ethiopia: a cross-sectional study |
| title_full_unstemmed | Vulnerability to human immunodeficiency virus infection and associated factors among married women in northwest Ethiopia: a cross-sectional study |
| title_short | Vulnerability to human immunodeficiency virus infection and associated factors among married women in northwest Ethiopia: a cross-sectional study |
| title_sort | vulnerability to human immunodeficiency virus infection and associated factors among married women in northwest ethiopia a cross sectional study |
| topic | acquired immunodeficiency syndrome hiv marriage sexually transmitted diseases social vulnerability |
| url | http://www.kjwhn.org/upload/pdf/kjwhn-2022-12-02.pdf |
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