背景:人类免疫病毒或获得性免疫缺陷综合征,是对全球数百万人健康的重大威胁。在埃塞俄比亚,有超过一百万人感染艾滋病毒/艾滋病。持续和适当使用避孕套,特别是那些有艾滋病毒阳性客户的人,对于采取全面和长期的方法来避免艾滋病毒和其他性传播感染以及意外怀孕至关重要。但经常报告不规律使用避孕套。关于埃塞俄比亚经常使用避孕套的流行率和相关性的报告不一致。本研究的目的是概述埃塞俄比亚艾滋病毒感染者使用安全套的最新研究。
方法:PubMed的四个数据库,科学直接,Scopus,和谷歌学者被使用。最后,系统评价和荟萃分析包括10项符合资格标准的研究。数据是使用有条理的检查表进行数据提取收集的,STATA14用于分析。据报道,在研究之前的每次性接触中都使用了避孕套。通过将经常使用避孕套的患者总数除以HIV/AIDS患者总数并将结果乘以100来计算HIV/AIDS患者中一致使用避孕套的患病率。使用合并比值比(OR)描述与一致使用避孕套相关的因素,并根据纳入的主要研究的二元结果进行计算。基于相关因子确定统计显著性,因为它们的置信水平不应包括1。通过使用随机效应模型进行按地区和出版年份的亚组分析。多震级信号的STATA命令,使用随机xlab(.1,5,10)lcols(作者)by(变量)文本(120)xsize(18)ysize(14)进行亚组分析.为了评估发表偏见的存在,漏斗图,计算了5%显著水平的Egger检验和Begg检验。漏斗图的不对称性和Egger检验和Begg检验P值0>0.5表明不存在发表偏倚。CochraneQ检验统计量和I2检验用于评估异质性。
结果:一致使用安全套的合并幅度为50.56%(95CI:38.09-63.02)。持续使用避孕套的预测因素包括城市居住(AOR=3.46;95%CI:2.24-5.35),婚姻状况(AOR=0.33;95%CI:0.18-0.61),和艾滋病毒披露状态(AOR=5.61;95CI:2.29-13.73)。
结论:我们研究中一半的HIV/AIDS患者经常使用避孕套。根据这项研究,城市居住权,披露状态,和婚姻状况均与HIV/AIDS患者一致使用安全套相关.因此,应向已婚夫妇和农村地区的人们提供有关安全套使用的健康教育。此外,披露艾滋病毒感染状况和持续使用避孕套的必要性对于持续使用避孕套至关重要。
BACKGROUND: The human immune virus or acquired immune deficiency syndrome, is a major threat to the health of millions of people worldwide. In Ethiopia, there were more than a million people living with HIV/AIDS. The continuous and appropriate use of
condoms, particularly among those who have HIV-positive clients, is essential to a comprehensive and long-term approach to avoiding HIV and other STIs as well as unintended pregnancy. But irregular condom use is regularly reported. There is inconsistent reports of the prevalence and correlates of frequent condom use in Ethiopia. This study\'s goal is to provide an overview of the most recent research on magnitude condom use among people living with HIV in Ethiopia.
METHODS: Four databases of PubMed, Science Direct, Scopus, and Google Scholar were used. Finally, 10 studies that satisfied the eligibility criteria were included in the systematic review and meta-analysis. The data were collected using a methodical checklist for data extraction, and STATA 14 was utilized for the analysis. The consistent condom use was reported as use of condom in every sexual encounter preceding the study. The prevalence of consistent condom usage among HIV/AIDS patients was calculated by dividing the total number of patients who regularly used
condoms by the total number of HIV/AIDS patients and multiplying that result by 100. The factors associated with a consistent use of condom were described using the pooled odds ratio (OR) and calculated based on binary outcomes from the included primary studies. The statistical significance was determined based on the correlation factor as their confidence level should not include 1. Subgroup analyses by region and publication years were carried out by using a random-effects model. The STATA commands of metan magnitude semagnitude, random xlab(.1,5,10) lcols (authors) by (variables)texts(120) xsize(18) ysize (14) were used to carried out the subgroup analysis. To assess the presence of publication bias, funnel plot, Egger test and Begg\'s test at 5% significant level were computed. The asymmetry of funnel plot and the Egger test and Begg\'s test P value of 0 >0.5 showed the absence of publication bias. The Cochrane Q test statistic and I2 tests were used to assess heterogeneity.
RESULTS: The pooled magnitude of consistent condom use was 50.56% (95%CI: 38.09-63.02). The predictors of consistent condom use includes urban residence (AOR = 3.46; 95% CI: 2.24-5.35), marital status (AOR = 0.33; 95% CI: 0.18-0.61), and HIV disclosure status (AOR = 5.61;95%CI: 2.29-13.73).
CONCLUSIONS: Half of the HIV/AIDS patients in our study regularly used
condoms. According to this study, urban residency, disclosure status, and marital status were all associated with consistent condom use among HIV/AIDS patients. Therefore, health education about condom use should be provided to married couples and people living in rural regions. In addition, disclosing HIV status and the necessity of constant condom usage would be crucial for consistent condom use.