Consistent Condom Use and Its Associated Factors Among HIV Patients in a Tertiary Hospital in Southwest Nigeria
International Journal of Biomedical Materials Research
Volume 6, Issue 4, December 2018, Pages: 62-66
Received: Jul. 5, 2018;
Accepted: Jul. 30, 2018;
Published: Feb. 26, 2019
Views 589 Downloads 65
Olusegun Adesola Busari, Department of Medicine, Afe Babalola University, Ado-Ekiti, Nigeria
Idowu Oluseyi Adebara, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido-Ekiti, Nigeria
Olaleye Emmanuel Olalekan, Department of Medicine, Afe Babalola University, Ado-Ekiti, Nigeria
Oluwaserimi Ajetunmobi, Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria
Opeyemi James Oje, Department of Food Technology, Federal Polytechnic, Ado-Ekiti, Nigeria
Adebayo Augustine Adeniyi, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido-Ekiti, Nigeria
Segun Mathew Agboola, Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria
Olayide Toyin Elegbede, Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria
Babajide Adewoyin Adeleke, Department of Chemical Pathology, Federal Teaching Hospital, Ido-Ekiti, Nigeria
The objective was to determine the rate of consistent condom use and the associated factors in HIV patients attending adult HIV clinics in Federal Teaching Hospital, Ido-Ekiti, Nigeria. The study was a cross-sectional study of consecutive 212 HIV patients, 18 years and older attending adult ART clinics of Federal Teaching Hospital, I do-Ekiti, for follow up from April to June 2016. Consistent condom use before and after commencement of ART was 21.7% and 43.4% respectively. About half (50.9%) of the participants did not know the HIV status of their sexual partners. The proportion of participants who were sexually active reduced from 90.9% to 64.1% after commencement of antiretroviral therapy. Gender, duration of ART, knowledge of partner’s HIV status and having more than one current sexual partner were significantly associated with consistent condom use. The study shows that consistent condom used increased after the commencement of ART. It also reveals that consistent use of condom of 43.4% after commencement of antiretroviral therapy is significantly associated with male gender, knowledge of partner’s HIV status, more than one current sexual partner and longer duration on ART.
Olusegun Adesola Busari,
Idowu Oluseyi Adebara,
Olaleye Emmanuel Olalekan,
Opeyemi James Oje,
Adebayo Augustine Adeniyi,
Segun Mathew Agboola,
Olayide Toyin Elegbede,
Babajide Adewoyin Adeleke,
Consistent Condom Use and Its Associated Factors Among HIV Patients in a Tertiary Hospital in Southwest Nigeria, International Journal of Biomedical Materials Research.
Vol. 6, No. 4,
2018, pp. 62-66.
Joint United Nations Programme on HIV/AIDS. Global Reports: UNAIDS Reports on the Global AIDS Epidemic 2015. Geneva: Joint United Nations Programme on HIV/AIDS, 2016.
National Agency for the Control of AIDS. Factsheet 2015: update on HIV/AIDS Epidemic and Response in Nigeria. Abuja, Nigeria: National Agency for the Control of AIDS; 2015. (Online) Available from httpa://naca.gov.ng/article/hiv-epidemic-nigeria. (Accessed on 13 September 2016).
Shewamene Z, Legesse B, Tsega B, Bhagavathula S A, Endale A. Consistent condom use in HIV/AIDS patients receiving antiretroviral therapy in northwestern Ethiopia: implication to reduce transmission and multiple infections. HIV-AIDS Palliative Care 2015; 7: 119-124.
Castilla J, Del Romero J, Hernando V, Marincovich B, Garcia S, Rodriguez C. Effectiveness of highly active antiretroviral therapy in reducing heterosexual transmission of HIV. J Acquir Immune DeficSyndr 2005; 40:96-101.
Barreiro P, del Romero J, Hernando V, Asencio R, de Mendoza C. Labarga P, et al. Natural pregnancies in HIV serodiscondant couples receiving antiretroviral therapy. J Acquir Immune DeficSyndr 2006; 43: 324-6.
Nata A. Rates and predictors of consistent condom use by people living with HIV/AIDS on antiretroviral treatment in Uganda. J Health PopulNutr 2012; 3: 270-280.
Jiwatram-Negron T, El-Bassel N. Systematic review of couple-based HIV intervention and prevention studies: advantages, gaps and future directions. AIDS and Behaviour 2014; 18(10): 1864-87.
Cohen MS, Chen YQ, McCaulay M, Gamble T, Hosseinipour MC, Kumarasany N, et al. Prevention of HIV-1 infection with early antiretroviral therapy. New England Journal of Medicine 2011; 365(6): 493-505.
Rodger A, Bruun T, Valentina C, Vernazza P, Estrada V, Van Lunzen J, et al. HIV transmission risk through condomless sex in HIV positive partners on suppressive antiretroviral therapy: PARTNER Study. CROI 2014 March 3; Abstract 153CB.
The INSIGHT START Study Group. Initiation of antiretroviral therapy in early asymptomatic HIV infection. N Engl J Med 2015; 373: 795-807.
Anglemyer A, Norvath T, Rutherford G. Antiretroviral therapy for prevention of HIV transmission in HIV-discordant couples. JAMA 2013; 310(15): 1619-20.
Oladele DA, Gab-Okafor CV, Oke B, Kalejaiye OO, Somefun EO, Ezeobi PM, et al. Patterns, challenges and correlates of condom use among Nigerians living with HIV infection. Asian Pac J Trop Biomed 2004; 4(Suppl 1): S198-S203.
Adih WK, Alexander CS. Determinants of condom use to prevent HIV infection among youths in Ghana. J Adoles Health 1999; 24(1): 63-72.
Johnson BT, Carey MP, Chaudoir SR, Reid AE. Sexual risk reductions for persons with HIV: research synthesis of randomized control trials, 1993 to 2004. J Acquir Immune DeficSyndr 2006; 41: 642-50.
Kalichman SC, Rompa D. HIV treatment adherence and unprotected sex practices in people receiving antiretroviral therapy. Sex TransmInfec 2003; 79: 59-61.
Sarna A, Luchters SM, Geibel S, Kaai S, Munyao P, Shikely KS et al. Sexual risk behaviour and HAART: a comparative study of HIV-infected persons on HAART and on preventive therapy in Kenya. Int J STD AIDS 2008; 19: 85-9.
Dako-Gyeke P, Snow R, Yawson AE. Who is utilizing antiretroviral therapy in Ghana: an analysis of ART service utilization. Int J Equity Health 2012; 11: 62.
Dankoli RS, Aliyu AA, Nsubuga P, Nguku P, Ossai OP, Tukur D, et al. HIV disclosure status and factors among adult HIV positive patients in a secondary health facility in North-Eastern Nigeria. Pan African Medical Journal 2014;18(Supp 1): 1-5.
National Agency for the Control of AIDS, HIV Strategic Plan 2010-2015, Gombe State, Nigeria. National Agency for the Control of AIDS.
Mackian S. A review of health seeking behaviour: problems and prospects. University of Manchester Health System Development Programme; 2003. p.27.
Dunlop S, Coyte PC, Mcisac W. Socioeconomic status and the utilization of physicians’ services: results from the Canadian National Population Health Survey. SocSci Med 2005; 51(1): 123-33.
Magadi MA. Understanding the gender disparity in HIV infection across countries in sub-Saharan Africa: evidence from the Demographic and Health Surveys. Sociol Health Illn. 2001; 33(4): 522-39.
Ackermann L, De Klerk GW. Social factors that make South African women vulnerable to HIV infection. Health Care for Woman International 2002; 23: 2.
Salaudeen AG, Musa OI, Ojotule A, Yusuf AS, Durowade KA, Omokanye LO. Condom use among people living with HIV/AIDS attending Abejukolo General Hospital in Kogi State, North Central Nigeria. Annals of African Medicine 2014; 13(3): 99-103.
Oyebola B. Fertility desire and sexual behaviour of people living with HIV/AIDS in Southwest Nigeria. Hope Worldwide Nigeria. Available from http://www.jhsp.edu/gatesinstitute/pdf/policy_practice/fp-HIV/presentation (Accessed on July 22 2017).
Ikechebelu J, Mbamara SU, Joe-Ikechebelu NN, Ezenwabachili AO. Sexual practice of people living with HIV in Southeastern Nigeria. Niger J ClinPract 2009; 12(4): 416-420.
Ezeanochie M, Olagbuji B, Ande A, Oboro V. Fertility preferences, condom use and concerns among HIV positive women in serodiscordant relationships in the era of antiretroviral therapy. Int J GynaecolObstet 2009; 107(2): 97-98.
Adebayo AM, Ilesanmi OS, Omotoso BA, Ayodeji OO, Kareem AO, Alele FO. Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in Southwest Nigeria. Pan African Medical Journal 2014; 18: 245 doi: 10.11604/pamj.2014.18.245.4371.
Ragnarsson A, Ekstrom AM, Carter J. Ilako F, Lukhwaru A, Marrone G, et al. Sexual risk taking among patients on antiretroviral therapy in an urban informal settlement in Kenya: a cross-sectional survey. J Int AIDS Soc 2011; 14: 20.