scholarly journals Dual Contraceptive Use and Factor Associated with People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Yibeltal Mesfin ◽  
Muche Argaw ◽  
Shegaw Geze ◽  
Bitew Tefera

Introduction. A dual contraceptive method is the usage of any modern contraceptive method with male or female condoms which could lower sexually transmitted diseases and unwanted pregnancy. Ethiopian standard utilization of dual contraceptive is low. The hassle is more severe for HIV/AIDS-infected people. Therefore, this review was aimed at assessing dual contraceptive utilization and factor associated with people living with HIV/AIDS in Ethiopia. Method. International databases (PubMed/MEDLINE, Hinari, Embase, African Journals Online, Scopus, and Google Scholar) and Ethiopian university repository online have been covered in this review. Microsoft Excel was used for extraction, and the Stata 14 software program was used for analysis. We detected the heterogeneity between studies using the Cochran Q statistic and I 2 test. Publication bias was assessed by funnel plot and Egger’s and Begg’s tests. Result. The overall prevalence of dual contraceptive use among people living with HIV/AIDS was 27.73% (95% CI: 20.26-35.19) in Ethiopia. Discussion with the partner (OR: 3.78, 95% CI: 3.08-4.69), HIV status disclosure to the spouse/partner (OR: 2.810, 95% CI: 2.26-3.48), postdiagnosis counseling (OR: 5.00, 95% CI: 3.71-6.75), schooling in secondary and above education (OR: 3.78, 95% CI: 2.41-5.93), partner involvement in counseling (OR: 2.76, 95% CI: 1.99-3.82), urban residence (OR: 2.84, 95% CI 2.03-3.94), and having no fertility desire (OR: 4.01, 95% CI 2.91-5.57) were significantly associated with dual contraceptive use. Conclusion. Dual contraceptive utilization among people living with HIV/AIDS was found to be low in Ethiopia. This will be a significant concern unless future intervention focuses on rural residence, involvement of the partner in postdiagnosis counseling, encouraging the people living with HIV/AIDS to disclose HIV status, and discussion with the partner. Providing counseling during the antenatal and postnatal period also enhances dual contraceptive use.

2021 ◽  
Author(s):  
Endeshaw Chekol Abebe ◽  
Teklie Mengie ◽  
Tadesse Asmamaw Dejenie ◽  
Zelalem Tilahun Muchie

Abstract Introduction: Preventing unintended pregnancy among HIV-positive women constitutes a critical global public health priority for addressing the desperate state of maternal and child health in HIV hyper endemic settings, yet few data exist on contraceptive use among women entering ART follow up in Debre Tabor Referral Hospital. Objective: The main objective of this study was to assess contraceptive utilization and associated factors among women aged 15-49 years living with HIV/AIDS in Debre Tabor Referral Hospital.Methods: Institution based cross-sectional study was conducted from January 02 to February 03, 2020 on women aged 15-49 years living with HIV/AIDS in Debre Tabor Referral Hospital. A total of 415 reproductive women living with HIV/AIDS were selected for the study using simple random sampling technique. Data was collected using a Structured questionnaires through face to face interview by two trained nurses assigned at ART clinic of DTH during data collection period. The data was presented using descriptive statistics of frequency and percentage and the association between dependent and selected independent variables was determined by inferential statistics of chi-square test.Result: The study analysis shows that there is significant association (p-value<0.05) between educational status (p-value=0.000), knowledge about modern contraceptive (p-value=0.000), spouse approval (p-value=0.000) and receive counseling about modern contraceptive (p-value=0.000) with their modern contraceptive use.Conclusion: This study in generally showed lower utilization of modern contraceptive in the study area.


2021 ◽  
Author(s):  
Endeshaw Chekol Abebe ◽  
Teklie Mengie Ayele ◽  
Tadesse Asmamaw Dejenie ◽  
Zelalem Tilahun Muche

Abstract Background: Preventing unintended pregnancy among HIV-positive women constitutes a critical global public health priority for addressing the desperate state of maternal and child health in HIV hyper endemic settings, yet few data exist on contraceptive use among women having ART follow up in Debre Tabor Referral Hospital (DTRH). Therefore, the main objective of this study was to assess contraceptive utilization and associated factors among women aged 15-49 years living with HIV/AIDS in DTRH, Ethiopia.Methods: Institution based cross-sectional study was conducted from January 02 to February 03, 2020 on women aged 15-49 years living with HIV/AIDS in DTRH. A total of 415 reproductive women living with HIV/AIDS were selected for the study using simple random sampling technique. Data was collected using structured questionnaires through face to face interview by two trained nurses assigned at ART clinic of DTRH during data collection period. The data was presented using descriptive statistics of frequency and percentage and the association between dependent and selected independent variables was determined by inferential statistics of chi-square test.Result: The study analysis shows that there is significant association (p<0.05) between educational status (p<0.001), knowledge about modern contraceptive (p<0.001), spouse approval (p<0.001) and receive counseling about modern contraceptive (p<0.001) with their modern contraceptive use.Conclusion: This study in generally showed lower utilization of modern contraceptive in the study area.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kefyalew Dagne Gizachew ◽  
Yigrem Ali Chekol ◽  
Elyas Admasu Basha ◽  
Shiferaw Abeway Mamuye ◽  
Abate Dargie Wubetu

Abstract Background Suicide is the act of intentionally causing one's own death. HIV/AIDS continues to be associated with an under-recognized risk for suicidal behavior. Suicidal behavior among people living with HIV/AIDS is not only a predictor of future attempted suicide and completed suicide, but it is also associated with poor quality of life and poor adherence with antiretroviral therapy. Objective The aim of this study was to assess the prevalence of suicidal ideation and attempt and associated factors among people living with HIV/AIDS in selected public hospitals of Amhara region, central Ethiopia. Methods Institutional based cross-sectional study design was employed. The study was conducted in four public hospitals in North Shewa Zone from May to December 2017. Study population comprised all HIV-infected individuals from Antiretroviral Therapy (ART) clinic. A total of 348 study subjects were recruited using systematic random sampling and 326 completed the interview. Suicidality module from Composite International Diagnostic Interview (CIDI) was modified to assess suicidal behavior. Crude and adjusted OR was analyzed using logistic regression and the level of significance of association was determined at P value < 0.05. Result A total of 326 (93.7%) study subjects were interviewed. The magnitude of suicidal ideation and attempt was found to be 16% and 7.1%, respectively. Low monthly income, living alone, suicidal thought before knowing seropositive status, family history of suicide, experiencing mild and moderate-to-severe depression and anxiety symptoms, being gossiped sometimes in the last 12 months of the study period due to HIV status and ever use of khat (a psychoactive substance) was statistically significant associated factor with suicidal ideation. And low monthly income, experiencing mild and moderate-to-severe depression and anxiety symptoms, being gossiped sometimes and often in the previous 12 months of the study period due to HIV status and using alcohol currently were significantly associated factors with suicidal attempt. Conclusion Suicidal ideation and attempt among people living with HIV/AIDS (PLWHA) in this study were higher than prevalence in the general population. This shows suicidal ideation and attempt is a mental health concern of PLWHA and it needs great attention in Ethiopia.


2019 ◽  
Vol 7 (20) ◽  
pp. 3459-3463
Author(s):  
Elmeida Effendy ◽  
Mustafa M. Amin ◽  
Lidya De Vega ◽  
Nurul Utami

BACKGROUND: The lives of individuals diagnosed with HIV and the subsequent illness, AIDS, were often chaotic because these individuals deal with the physical, emotional, and interpersonal sequelae of this illness. Depressive symptoms and stress were common and impact on functioning, quality of life, and health status, highlighting the importance of diagnosis and treatment of patients with HIV infection. Psychiatric clinical practice and rating scales have come to play an ever-increasing role both in determining specific symptoms and diagnosing an individual condition. Descriptive reports of psychiatric morbidity among those with HIV infection, that relied primarily on self-report rating scales, described high rates of symptomatic depression and stress. AIM: This study aimed to determine the proportion of depression among people living with HIV/AIDS using the BDI-II and PSS to determine a relationship between symptoms of depression and stress with CD4 counts. METHODS: This study was a numerical correlative analytic study with a cross-sectional study approach that assessed the correlation between stress, depression and CD4 level in people with HIV/AIDS that were receiving ARV therapy in the Voluntary Counselling Test (VCT) Polyclinic of General Hospital Haji Medan by recruiting 46 subjects. CD4 level was examined in the Pramita Medan laboratory. RESULTS: When analysis of BDI-II level and CD4 scores were done, a significant correlation was found (P < 0.05). The strength of the relationship between the BDI score and the CD4 score was 0.548 revealing a positive correlation with moderate correlation strength CONCLUSION: We have shown a significant relationship between depression, stress and CD4 level among people with HIV/AIDS in Medan, Indonesia. Psychological distress may affect the immunity in infected people, leading to the disease progressivity.


2019 ◽  
Author(s):  
REKIKU Fikre ABEBE ◽  
Tamrayhu seyoum

Abstract Abstract Introduction: Globally 78 million peoples have been infected with HIV/AIDS. Ethiopia has one of the largest populations of HIV infected people in the sub-Saharan region of Africa. The relationship between HIV epidemic and food security situation in Ethiopia is complex. Hence, it is likely that the epidemic will contribute to worsening widespread food insecurity. The aim of study was to assess the level of food security and associated factors among adult people living with HIV /AIDS attending ART Clinic in Hospitals of Hawassa city Administration. Methodology: Thisinstitutional based cross-sectional study was conducted from October to December 2017. Systematic sampling technique was used to select a total of 532 study participant. Data entry was done with EPI-info version 3.5.3 and transferred into SPSS Version 20. Crude with adjusted odds ratio with 95% confidence interval at p- value < 0.05were computed to examine statistical significance. Results:Based on food security assessment core module scale 360 (67.3%) People living with HIV/AIDSwere food insecure. People living with HIV/AIDSwho disclose HIV status were 3.9 (AOR=3.902, 95% CI (1.238, 12.301) times more likely to be food secured compared with their counterparts.Similarly, those who were with high and medium dietary diversity were about 5 times more likely to be house hold food insecure compared to those with low dietary diversity AOR= 4.990(2.488,10.05), AOR= 4.696(1.54,14.36), respectively. Conclusions:Food Security status among People living with HIV/AIDSon ART in Hawassa town was low. Dietary diversity, household size, and disclosing HIV status were found to be significant predictors of food security. Key words: Food security, food insecurity ,Adult living with HIV/AIDS.


2014 ◽  
pp. 185-191
Author(s):  
Xuan Huy Le ◽  
Phuoc Thuoc Doan ◽  
Dinh Son Nguyen

Introduction: The objectives of the study are to describe the status and influence, and the harms of stigma and discrimination against people living with HIV/AIDS in Khanh Hoa. Methodology: Cross-sectional study using the combination of quantitative and qualitative methods, with 200 people living with HIV/AIDS, aged 16 and older. Results: 4.5% of people living with HIV/AIDS reported their rights have been violated, 3% of people living with HIV/AIDS outcasts, shunned and 8% were refused to participate in community activities. The harmful effect of stigma and discrimination are both of physical and spiritual: the HIV-infected people intend to suicidal accounted for 10% and 72.5% of people did not accessing Voluntary Counselling and Testing room (VCT) for fear of being stigmatized; 16.7% people did not access Anti Retroviral Therapy (ART) due to fear of stigma. Conclusion: Status of stigma and discrimination against people living with HIV/AIDS in Khanh Hoa has declined through effective intervention strategies in the long term, however, this situation still exists. Keywords: Stigma and Discrimination, HIV/AIDS, Khanh Hoa.


2015 ◽  
Vol 11 (2) ◽  
pp. 7-14 ◽  
Author(s):  
S Timilsina ◽  
K Regmi

Introduction: Assessing the health related quality of life (HQoL) and depression in human immunodeficiency virus (HIV) positive people and TB-HIV co infected people is of extreme importance in designing strategies and implementing interventional programs on treatment care and support to People living with HIV and AIDS. Methodology: A cross-sectional study was conducted among People living with HIV/AIDS and TB-HIV Co infection from July to December 2011 at care and support canters in Kathmandu, Nepal. The list HIV care and Support centre registered at Kathmandu were selected using the lottery proportionately to meet the sample size of 154. The method of data collection was summarized in the World Health Organization’s questionnaire for Health related Quality of life and Beck Depression Inventory Scale II for depression. Data was collected using verbal information of respondents, entered on Epi Data version3.4.1 and analyzed using SPSS version 16.0. Results: TB-HIV co infected people had lower quality of life in all domains compared to HIV/AIDS infected people. The prevalence of depression was found higher in TB-HIV co infected people than HIV/AIDS group. CD4 count, educational status, occupation, ethnicity, family size and depression were statistically significant with the QoL domains. Among co infected patients, depression was 3.86 times more likely to influence QoL while adjusted odds ratio was 4.21 times higher. Conclusion: The TB control program should design strategies to improve the quality of life of TB-HIV co infected people and depression should be targeted as an intervention to improve the quality of life of people living with HIV with or without TB.DOI: http://dx.doi.org/10.3126/saarctb.v11i2.12428SAARC J TUBER LUNG DIS HIV/AIDS, 2014;XI(2) Page: 7-14   


2010 ◽  
Vol 24 (10) ◽  
pp. 675-681 ◽  
Author(s):  
Sarah N. Ssali ◽  
Lynn Atuyambe ◽  
Christopher Tumwine ◽  
Eric Segujja ◽  
Nicolate Nekesa ◽  
...  

2020 ◽  
Vol 4 (2) ◽  
pp. 50-58
Author(s):  
Tutur Irfantoro ◽  
Dwi Kartika Rukmi

Background: Victory Plus Foundation is a Non-Government Organization that helps the population directly affected by HIV/AIDS in Yogyakarta. Status disclosure’s research on People Living with HIV/AIDS (PLWHA) in Victory Plus Foundation is scarce. Even though the status disclosure is one of HIV spreading prevention, it has two-sided effects, both negative and positive, so its result can affect the quality of life despite PLWHA having tried to find a support system. Therefore, it is essential to know how the quality of life of PLWHA has opened up their status.Purpose: This study aimed to determine the relationship between HIV status disclosure and the quality of life of PLWHA in the Victory Plus Foundation, Yogyakarta.Method: This descriptive-analytic correlation study with a cross-sectional approach was conducted in June-July 2019 on 68 PLWHA at the Victory Plus Foundation. Purposively, samples were asked to fill out a disclosure questionnaire and WHOQOL-BREF. Univariate data presented in descriptions and Chi-Square tested bivariate data.Result: Most of the HIV status disclosure of PLWHA in the Victory Plus foundation was classified into a moderate category (77.9%) and low quality of life (64 %). The bivariate test result found a significant relationship between the HIV status disclosures with the quality of life in general (p = 0.001) with a moderate relationship closeness (r=0.403).Conclusion: Consequently, there is a relationship between the HIV status disclosures with the quality of life of PLWHA in the Victory Plus Foundation in Yogyakarta.


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