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HIV risk behavior and associated factors among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis.
PLoS One. 2022; 17(7):e0269304.Plos

Abstract

BACKGROUND

HIV risk behavior among people living with HIV/AIDS (PLWHA) is a major public health concern as it increases HIV transmission. In Ethiopia, findings regarding HIV risk behavior have been inconsistent and inconclusive. Therefore, this meta-analysis aimed to estimate the pooled prevalence of HIV risk behavior and associated factors among PLWHA in Ethiopia.

METHODS

International databases, including Google Scholar, Cochrane library, HINARI, Pub Med, CINAHL, and Global Health were systematically searched to identify articles reporting the prevalence of HIV risk behavior and associated factors among PLWHA in Ethiopia. The data were analyzed using STATA/SE version-14. The random-effects model was used to estimate the pooled effects. I-squared statistics and Egger's test were used to assess the heterogeneity and publication bias respectively.

RESULTS

A total of 4,137 articles were reviewed and fourteen articles fulfilling the inclusion criteria were included in this meta-analysis. The pooled prevalence of HIV risk behavior in Ethiopia was 34.3%% (95% CI: 28.2, 40.3). Severe heterogeneity was observed between the included research articles (I2 = 96.6, p = 0.000). Alcohol use (OR = 1.9, 95%, CI: [1.6, 2.3]), HIV status non-disclosure (OR = 2.3, 95% CI: [1.3, 4.0]) and perceived stigma (OR = 2.3, 95% CI: [1.3, 4.1]) had a significant association with HIV risk behavior.

CONCLUSION

The prevalence of HIV risk behavior among PLWHA in Ethiopia was high. Alcohol use, HIV status non-disclosure, and perceived stigma had a significant association with HIV risk behavior. In addition to promoting access to Antiretroviral Therapy (ART) treatment and improving medication adherence among PLWHA, various intervention programs focusing on the associated factors have to be implemented to tackle high-risk sexual behavior and go forward toward ending the HIV/AIDS pandemic.

Links

Authors+Show Affiliations

Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Biostatistics and Epidemiology, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Biostatistics and Epidemiology, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Biostatistics and Epidemiology, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Biostatistics and Epidemiology, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Biostatistics and Epidemiology, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Biostatistics and Epidemiology, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Biostatistics and Epidemiology, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Biostatistics and Epidemiology, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Health System and Policy, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

MeSH

Acquired Immunodeficiency SyndromeEthiopiaHIV InfectionsHumansMedication AdherencePrevalenceRisk-Taking

Pub Type(s)

Journal Article

Meta-Analysis

Systematic Review

Language

eng

PubMed ID

35901123

Citation

Damtie, Yitayish, et al. "HIV Risk Behavior and Associated Factors Among People Living With HIV/AIDS in Ethiopia: a Systematic Review and Meta-analysis." PloS One, vol. 17, no. 7, 2022, pp. e0269304.

Damtie Y, Kefale B, Yalew M, et al. HIV risk behavior and associated factors among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis. PLoS One. 2022;17(7):e0269304.

Damtie, Y., Kefale, B., Yalew, M., Arefaynie, M., Adane, B., Muche, A., Dewau, R., Fentaw, Z., Amsalu, E. T., Bitew, G., Ayele, W. M., Kassa, A. A., Chanie, M. G., Melaku, M. S., & Adane, M. (2022). HIV risk behavior and associated factors among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis. PloS One, 17(7), e0269304. https://doi.org/10.1371/journal.pone.0269304

Damtie Y, et al. HIV Risk Behavior and Associated Factors Among People Living With HIV/AIDS in Ethiopia: a Systematic Review and Meta-analysis. PLoS One. 2022;17(7):e0269304. PubMed PMID: 35901123.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - HIV risk behavior and associated factors among people living with HIV/AIDS in Ethiopia: A systematic review and meta-analysis. AU - Damtie,Yitayish, AU - Kefale,Bereket, AU - Yalew,Melaku, AU - Arefaynie,Mastewal, AU - Adane,Bezawit, AU - Muche,Amare, AU - Dewau,Reta, AU - Fentaw,Zinabu, AU - Amsalu,Erkihun Tadesse, AU - Bitew,Gedamnesh, AU - Ayele,Wolde Melese, AU - Kassa,Assefa Andargie, AU - Chanie,Muluken Genetu, AU - Melaku,Mequannent Sharew, AU - Adane,Metadel, Y1 - 2022/07/28/ PY - 2021/06/06/received PY - 2022/05/18/accepted PY - 2022/7/28/entrez PY - 2022/7/29/pubmed PY - 2022/8/2/medline SP - e0269304 EP - e0269304 JF - PloS one JO - PLoS One VL - 17 IS - 7 N2 - BACKGROUND: HIV risk behavior among people living with HIV/AIDS (PLWHA) is a major public health concern as it increases HIV transmission. In Ethiopia, findings regarding HIV risk behavior have been inconsistent and inconclusive. Therefore, this meta-analysis aimed to estimate the pooled prevalence of HIV risk behavior and associated factors among PLWHA in Ethiopia. METHODS: International databases, including Google Scholar, Cochrane library, HINARI, Pub Med, CINAHL, and Global Health were systematically searched to identify articles reporting the prevalence of HIV risk behavior and associated factors among PLWHA in Ethiopia. The data were analyzed using STATA/SE version-14. The random-effects model was used to estimate the pooled effects. I-squared statistics and Egger's test were used to assess the heterogeneity and publication bias respectively. RESULTS: A total of 4,137 articles were reviewed and fourteen articles fulfilling the inclusion criteria were included in this meta-analysis. The pooled prevalence of HIV risk behavior in Ethiopia was 34.3%% (95% CI: 28.2, 40.3). Severe heterogeneity was observed between the included research articles (I2 = 96.6, p = 0.000). Alcohol use (OR = 1.9, 95%, CI: [1.6, 2.3]), HIV status non-disclosure (OR = 2.3, 95% CI: [1.3, 4.0]) and perceived stigma (OR = 2.3, 95% CI: [1.3, 4.1]) had a significant association with HIV risk behavior. CONCLUSION: The prevalence of HIV risk behavior among PLWHA in Ethiopia was high. Alcohol use, HIV status non-disclosure, and perceived stigma had a significant association with HIV risk behavior. In addition to promoting access to Antiretroviral Therapy (ART) treatment and improving medication adherence among PLWHA, various intervention programs focusing on the associated factors have to be implemented to tackle high-risk sexual behavior and go forward toward ending the HIV/AIDS pandemic. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/35901123/HIV_risk_behavior_and_associated_factors_among_people_living_with_HIV/AIDS_in_Ethiopia:_A_systematic_review_and_meta_analysis_ DB - PRIME DP - Unbound Medicine ER -