Consistent Condom Use in HIV/AIDS Patients Receiving Antiretroviral Therapy in Northwestern Ethiopia: Implication to Reduce Transmission and Multiple Infections - A Critical Review of Article
Abstract:
Introduction: This is a
critical review of an article by Zewdneh Shewamene published in the July 2015. The
central theme is that consistent condom use among HIV patients is important in preventing
transmission of HIV.
Article summary: The premise of the authors
is that consistent condom use among HIV infected is critical for interrupting transmission
of HIV and acquisition of resistant strains of HIV. Among the 317 respondents, condoms
awareness was 96.2%. Independent factors for consistent use were, male sex (AOR=6.87;
p=0.001), urban residency, (AOR=4.65; p=0.001), a higher education attainment (AOR=8.98;
p=0.001), and prolonged duration on ART (AOR=3.91; p=0.001). The conclusion was
that some HIV infected people were not using condoms.
Article critique: The article maybe considered
as objective, and unbiased due to the peer review process. The journal that published
it is indexed on PubMed, and, Embase, among others. That the article was published in a journal for those with an interest in
HIV and palliative care makes it relevant for HIV programming particularly in Africa
where HIV burden is high. The objectives are well spelt, and the methodology
is easy to follow. Only verbal consent was obtained from the respondents contrary
to the dictates of the Belmont report that requires written informed consent.
Conclusion: The articles contributed
to literature and can provide a basis of improving future studies of a similar nature.
However, it is suggested that measurement of condom use should be serial and be
recoded to a dichotomous variable in analysis.
Keyword:
Condoms, Ethiopia, HIV.
References:
[3]. Chirundu
Daniel (2016). Condom Use among HIV infected clients seeking care at Rimuka Integrated
HIV and Tuberculosis Site, Kadoma, Zimbabwe 2015. South American Journal of Public
Health Special Edition.
[4].
Cohen D et. al. (1999) Condom Skills, Education and Sexually Transmitted Disease
Re-infection. Journal of Sex Research, 28 (1), 139-144.
[6]. Daly et. al. (2009), Callie Long and Mary Ann
Torres. Barriers to condoms - Implementing and documenting advocacy strategies.
International Council of AIDS Service Organizations (ICASO).
[7]. Drezin
et. al. (2007). Barriers to Condom Access:
setting an advocacy agenda. International Council of AIDS Service Organizations
(ICASO).
[8].
Haddad et. al. (2018) Factors associated with condom
use among men and women living with HIV in Lilongwe, Malawi: a cross sectional study BMJ Sex
Reprod Health2018; 44:42–53.
[9]. Kalichman
S.C. (2000). HIV transmission risk behaviors of men and women living with HIV-AIDS:
prevalence, predictors, and emerging clinical interventions. Clinical Psychology
Science and Practice, 7, 32–47.
[10]. Lurie
et. al. (2008) Sexual Behavior and Reproductive
Health among HIV-Infected Patients in Urban and Rural South Africa; J Acquir Immune
Defic Syndr.
[11]. Macharia
et al. (2017) Barriers
of Condom Use among HIV Positive Women at Thika Level 5 Hospital, Kenya J AIDS
Clin Res 2017, 8:8 DOI: 10.4172/2155-6113.1000722.
[12]. McClellan
et. al. (2010). Fertility desires and
condom use among HIV-positive women at an antiretroviral roll-out program in Zimbabwe.
Afr J Reprod Health: 27–35.
[13]. Noar et. al. (2006) Condom Use Measurement in
56 Studies of Sexual Behavior: Review and Recommendation: Archives of Sexual Behavior.
[14]. Naomi
Nakaie et. al. (2014) Family planning
practice and predictors of risk of inconsistent condom use among HIV-positive women
on anti-retroviral therapy in Cambodia: BMC Public Health 2014, 14:170
[15]. Population
Action International. (2002) Condoms count.
Meeting the need in the era of HIV/AIDS. The PAI report card.
[16]. Pedraza
MA et. al. (1999) Heterosexual transmission
of HIV-1 is associated with high plasma viral load levels and a positive viral isolation
in the infected partner. J Acquir. Immune Defic Syndr 21: 120 – 125.
[17]. Schroder,
K. E. et. al. (2003). Methodological challenges
in research on sexual risk behavior: I. Item content, scaling, and data analytical
options. Annals of Behavioural Medicine, 26, 76–103.
[18]. Sheeran, P., & Abraham, C. (1994). Measurement of condom use
in 72 studies of HIV-preventive behaviour: a critical review. Patient Education
and Counseling, 24(3), 199-216.
DOI: 10.1016/0738-3991(94)90065-5.
[19]. Stole
IG et.al. (2001) Increase in sexually
transmitted infections among homosexual men in Amsterdam in relation to HAART. Sex
Transm Infect 77: 184 – 186.
[20]. The National
Commission for the Protection of Human Subjects of Biomedical and Behavioral Research.
(1978) The Belmont report: Ethical Principles and Guidelines for the Protection
of Human Subjects of Research. . U.S.
Government Printing Office.
[21]. Williams
et. al. (2008) The Declaration of Helsinki
and Public health. Bulletin of the World
Health Organization 2008; 86: 650-651 A Guide to Research Ethics. University of Minnesota Centre for Bioethics
[22]. UNAIDS
(2003). Condoms for HIV Prevention: An Analysis of the Scientific Literature. (Discussion
Paper). UNAIDS.
[23]. UNAIDS
(2006). Report on the global AIDS Epidemic
UNAIDS.
[24]. UNAIDS
(2017), 2017 UNAIDA Data. UNAIDS.
[25]. UNFPA
2002. Condom Programming for HIV Prevention. HIV Prevention NOW. Programme Briefs.
No. 6. New York: UNFPA. 2002.
[26]. Younge
(2008). Condom Use at last sex as a proxy for other measures of condom use: Is it
Good Enough? Adolescence 2008: (172): 927-931).