Abstract:
Background: HIV-positive status disclosure is the process of informing one’s HIV-positive status to others. It is the base for accessing care and treatment programs, adhering to treatment, and promoting safer health. Even though different strategies were done in Ethiopia to increase the magnitude of HIV status disclosure among HIV-positive patients, the magnitude is still low. Despite the government of Ethiopia had executed lots of interventions to aware the community, reduce stigma, discrimination, social support and counseling program to ease disclosure of HIV status, still the issue continued to be a major public health problem.
Objectives: is to assess human immunodefiency virus disclosure status to sexual partners and associated factors among human immunodefiency virus positive adults at Oromia Special Zone Surrounding Finfinne, Ethiopia, 2022
Method: Institution-based cross-sectional study was conducted among 422 in Oromia Special Zone Surrounding Finfinne and data were collected from August 1/2022-September 18/2022. Systematic sampling technique was used to select the study participants. Binary and multivariable logistic regression analyses were done to identify factors associated with HIV-disclosure status. Adjusted odds ratio with 95% CI was estimated and level of statistical significance was declared at p-value < 0.05.
Result: Magnitude of HIV sero-status disclosure to sexual partners was 67.9 %[( 95% CI: 63.5%, 72.5%)]. Pretest counseling (AOR = 7.86; 95% CI: 3.61, 17.08), marital status (AOR = 9.32; 95% CI: 2.62, 33.19), presence of initiating factors (AOR = 7.18; 95% CI: 3.41, 15.01), types of VCT (AOR= 6.44; 95%CI: 2.43, 17.07), perception of HIV-related stigma (AOR= 0.21; 95% CI: 0.09, 0.47) and having clinical symptoms during HIV test (AOR: 22.12; 95% CI 8.74, 56.2) were significantly associated factors with HIV sero-status disclosure.
Conclusion: HIV-Status disclosure status is a considerable public health problem among adults living in the study area. This study shows that, receiving pretest counselling, being married in marital status, having initiating factors such TV/Radio, visiting an HIV test by peer initiation, and having clinical symptoms during the HIV-test were associated with increased likelihood of HIV-status disclosure, whereas, perceiving HIV-related stigma was associated with reduced odds of HIV-status disclosure among adults HIV-positive living in the study area
