Evidence map›Paper›PMID 37463817›Full record

ArticleBMJ open2023

Risky sexual practice and associated factors among adult people living with HIV/AIDS in public hospitals of Kembata Tambaro Zone, Southern Ethiopia: a cross-sectional study.

Zelalem Bekele, Ibsa Mussa, Yonas Assefa, Negash Abera, Ermias Woldie Amerga, Addisu Girma, Awugchew Teshome Ayele, Melkamu Merid Mengesha

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. The burden ofFrontiers in reproductive health · 2025
    Article
  3. Psychosocial Phenotype and Risky Sexual Behavior Among People Living with HIV in Changsha: A Latent Profile Analysis.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Zelalem BekeleClinical Governance and Quality Improvement Unit, Doctor Bogalech Gebre Memorial General Hospital, Durame, Ethiopia.
Ibsa MussaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.ORCID 0000-0002-6318-4092
Yonas AssefaCenter of Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.ORCID 0000-0003-1650-9664
Negash AberaCenter of Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Ermias Woldie AmergaCenter of Public Health Emergency Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.ORCID 0000-0003-4728-0276
Addisu GirmaClinical Governance and Quality Improvement Unit, Doctor Bogalech Gebre Memorial General Hospital, Durame, Ethiopia.ORCID 0000-0001-5055-0615
Awugchew Teshome AyeleEnvironmental Health Sciences, School of Public Health, Arba Minch University, Arba Minch, Ethiopia.ORCID 0000-0002-0269-5729
Melkamu Merid MengeshaEpidemiology and Biostatistics Unit, School of Public Health, Arba Minch University, Arba Minch, Ethiopia melkamu.meried@amu.edu.et.ORCID 0000-0003-4312-0136
Ethiopian Public Health Institute · ETArba Minch University · ETHaramaya University · ETLund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study assessed the magnitude of risky sexual practices and associated factors among adult people living with HIV (PLHIV) attending antiretroviral clinics in public hospitals in Kembata Tembaro Zone, southern Ethiopia.

designA cross-sectional study was conducted.

settingA hospital-based study was conducted among adult PLHIV in the Kambata Tambaro Zone, southern Ethiopia.

participants300 men and women aged 15 years and older who had been receiving HIV/AIDS care and support in four public hospitals participated in this study. STUDY OUTCOME: Risky sexual practice was the study outcome. It was defined based on responses to four items: multiple sexual partnerships, casual sex, consistent condom use and sex under the influence of alcohol. Risky sexual practice was defined based on a 'yes' response to any of the four items.

resultsOf the adult PLHIV who were sexually active in the 6 months preceding the survey, 75.7% (95% CI: 70.5% to 80.2%) engaged in at least one risky sexual practice, with 3.3% (95% CI: 1.8% to 6.1%) engaged in three or more. A positive attitude towards condom use and being on antiretroviral therapy for over 10 years were correlated with low odds of risky sexual practices. There was a higher likelihood of risky sexual behaviour among those who kept their HIV status secret and did not bring up using a condom before sexual contact. Whereas, those with a positive attitude towards condom use had a reduced risk of engaging in risky sexual practices.

conclusionA considerable proportion of adult PLHIV engage in risky sexual practices. Efforts directed at removing barriers to disclosing HIV status to partners and promoting condom use discussion among sexual partners could reduce the burden of risky sexual practices and the onward transmission of HIV.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsAdultCondomsCross-Sectional StudiesEthiopiaFemaleHospitals, PublicHumansMaleRisk-TakingSexual BehaviorepidemiologyHIV & AIDSpublic health

Identifiers

PMID37463817
PMCPMC10357730
OpenAlexW4384652237

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.