HIV-Positive Status Disclosure to Sexual Partner and Associated Factors Among Adult HIV-Positive Patients in Debre Markos Town, 2019

Figures & data

Table 1 Sociodemographic Characteristics of Adult HIV-Positive Clients on Follow Up Care at ART Clinics in Debre Markos Town, in 2019 (n = 406)

Variables	Category	No	%	X^2 test, P value
Age	18–27	66	16.3	–
	28–37	177	43.6
	≥ 38	163	40.1
Sex	Male	199	49	X^2=0.013, p= 0.008
	Female	207	51
Residence	Urban	223	54.9	X^2=0.055, p=0.029
	Rural	183	45.1
Religion	Orthodox	383	94.3	–
	Protestant	17	4.2
	Muslim	6	1.5
Ethnicity	Amhara	397	97.8	–
	Oromo	6	1.5
	Tigre	3	0.7
Marital status	Never married	58	14.3	X^2=0.056, p=0.048
	Ever married	348	85.7
Educational status	Unable to read and write	122	30	–
	Able to read and write	51	12.6
	Primary school	102	25.1
	Secondary and above	131	32.3
Occupations	Unemployed	234	57.6	X^2=0.341, p=0.199
	Employed	172	42.4
Has children	No	123	30.3	X^2=0.061, p=0.037
	Yes	285	69.7
Living with sexual partner	No	180	44.3	X^2=0.011, p=0.009
	Yes	226	55.7

Table 2 Clinical Condition, Partner and Social Related Factors of Adult HIV-Positive Clients on Follow Up Care at ART Clinic, in Debre markos Town Public, in 2019 (n = 406)

Variables	Category	Frequency	Percentage	X^2 test, P value
Health status at HIV diagnosis	Sick	221	54.4	X^2=0.704, p=0.375
	Well	185	45.6
Baseline WHO stage of the disease	Stage I–II	199	49	X^2=0.450, p=0.248
	Stage III–IV	207	51
Type HIV testing	VCT	200	49.3	X^2=0.022, p=0.014
	PICT	206	50.7
Knowing partner HIV status	No	241	59.4	X^2=0.020, p=0.012
	Yes	165	40.6
Having risky sexual practice before disclosure to sexual partner	No	268	71.3	–
	Yes	108	28.7
ART adherence status	Poor	212	52.2	X^2=0.056, p=0.032
	Good	194	47.8
Duration of ART follow up care in months	1–12 months	215	53	–
	13–25 months	96	23.6
	≥ 26 months	95	33.4
Prior discussion on HIV testing with partner	No	219	53.9	X^2=0.035, p=0.020
	Yes	187	46.1
See public HIV^+ status disclosure	No	190	46.5	X^2=0.183, p=0.094
	Yes	216	53.2
Being a member of anti- HIV/ADIS club	No	186	45.8	X^2=0.056, p=0.035
	Yes	220	54.2
Use of Substance	No	391	96.3	X^2=0.913, P=0.694
	Yes	15	3.7

Figure 1 Proportion of HIV-positive status disclosure to sexual partner among adult ART clients at Debre Markos Town ART clinics, East Gojjam, Amhara Regional State, Ethiopia, 2019 (n = 406).

Table 3 Showed Reasons Given to Disclose and Not to Disclose HIV-Positive Status to Sexual Partner/s by Adult HIV-Positive Clients on ART Follow Up Care at a Public ART Clinic in Debre Markos Town, 2019 (n =376)

Respondents Reason to Disclose	No	%
Not to transmit the disease	126	33.5
To get support	78	20.7
To adhere to treatment	115	30.6
Due to illness	57	15.2
Respondents reason not to disclose	No	%
Fear of stigma	4	13.3
Fear of divorcing	18	60
Fear of breaking of confidentiality	8	26.7

Table 4 Bivariate and Multivariate Analysis of Factors Associated with HIV Status Disclosure to Sexual Partner Among Adult HIV-Positive Clients on ART Follow Up Care at a Public ART Clinic in Debre Markos Town, 2019 (n = 406)

Variables		HIV Status Disclosure		COR (95% CI)	AOR (95% CI)	P value
		Yes	No
Sex	Male	191	8	2.839 (1.233–6.538)	2.863 (1.147–7.146)	0.024*
	Female	185	22	1.00	1.00
Marital status	Ever married	50	8	2.371 (1.001–5.615)	1.799 (0.667–4.853)	0.246
	Never married	326	22	1.00	1.00
Residence	Urban	212	11	2.233 (1.034–4.823)	2.438 (1.032–5.759)	0.042*
	Rural	164	19	1.00	1.00
Living with sexual partner	Yes	216	10	2.70 (1.230–5.926)	2.16 (0.912–5.114)	0.800
	No	160	20	1.00	1.00
Knows partners HIV status	Yes	159	6	2.931 (1.171–7.337)	2.749 (1.015–7.441)	0.047*
	No	217	24	1.00	1.00
Has children	Yes	267	16	2.143 (1.011–4.541)	2.152 (0.937–4.945)	0.071
	No	109	14	1.00	1.00
ART adherence status	Good	185	9	2.26 (1.009–5.063)	2.445 (1.023–5.845)	0.044*
	Poor	191	21	1.00	1.00
Type of HIV test	PICT	179	21	2.568 (1.146–5.753)	2.359 (0.977–5.692)	0.056
	VCT	197	9	1.00	1.00
Prior discussion of HIV test	Yes	179	8	2.499 (1.085–5.754)	2.386 (0.966–5.893)	0.059
	No	197	22	1.00	1.00
Being member of anti-HIV club	Yes	209	11	2.162 (1.001–4.668)	3.07 (1.314–7.171)	0.010*
	No	167	19	1.00	1.00

Note: NB:* Stands for variables that showed significant association in the multiple logistic analyses.