Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria
Science Journal of Public Health
Volume 5, Issue 2, March 2017, Pages: 110-116
Received: Oct. 28, 2016;
Accepted: Dec. 8, 2016;
Published: Feb. 21, 2017
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Adaeze Nnenna Anaekwe, Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria
Echendu Dolly Adinma, Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria; Department of Community Medicine, Nnamdi Azikiwe University, Nnewi, Nigeria
Chinomnso Chinanuekpere Nnebue, Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria; Department of HIV Care, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria
Chidebe Olisaegboka Anaekwe, Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria
Kamtochukwu Maduneme Obi, Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria
Achunam Simeom Nwabueze, Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria; Department of Community Medicine, Nnamdi Azikiwe University, Nnewi, Nigeria
Christian Chibuzo Ibeh, Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria; Department of Community Medicine, Nnamdi Azikiwe University, Nnewi, Nigeria
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Background: People in discordant partnerships still deserve the right to enjoy sexual relations, and decide whether or not to have children while at the same time taking care not to infect the negative partner and the unborn child. Objective: To identify and compare factors influencing the sexual and reproductive health practices of HIV- concordant and discordant couples attending comprehensive health centers in Anambra state. Materials and methods: This was a cross-sectional comparative study of 289 (148 HIV-concordant and 141 HIV-discordant) couples, selected by a multistage sampling technique. Data were collected by interview using semi-structured questionnaire and analysed with statistical package for social sciences version 22.0. The models that met the criteria for significance, include: a statistically significant chi-square in the omnibus test (<0.05), a non-significant Hosmer Lemeshow test (> 0.05), Nagelkerke’s R square of at least 0.65. Results: Presence of support from religious circle and female age < 35 at couples' HIV diagnosis appear to encourage HIV couples to bear children (p=0.007 and p<0.000) respectively. Predictor variables that were significantly associated with satisfaction with sexual relationship (p<0.05), and contributed to model significance (p<0.05) consisted of female partner duration on HIV treatment, and safe sex practice method. Conclusions: This study revealed key determinants of the sexual and reproductive health practices of HIV- concordant and discordant couples. Such factors should form the basis for designing novel couple-targeted preventive strategies.
Sero-concordant, Couples, Sero-discordant, HIV, Sexual and Reproductive Health Practices, Determinants, Anambra State Nigeria
To cite this article
Adaeze Nnenna Anaekwe,
Echendu Dolly Adinma,
Chinomnso Chinanuekpere Nnebue,
Chidebe Olisaegboka Anaekwe,
Kamtochukwu Maduneme Obi,
Achunam Simeom Nwabueze,
Christian Chibuzo Ibeh,
Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria, Science Journal of Public Health.
Vol. 5, No. 2,
2017, pp. 110-116.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Shan D, Ge Z, Ming S, Wang L, Sante M, He W et al. Quality of life and related factors among HIV-positive spouses from serdiscordant couples under antiretroviral therapy in Henan Province China. PLoS One. 2011; 6 (6): e21839.
Rispel LC, Cloete A, Metcalf CA, Moody K, Caswell G. It [HIV] is part of the relationship: exploring communication among HIV dis-cordant couples in South Africa and Tanzania. Culture, Health and Sexuality. 14 (3), 257–268
Shuaib FM, Ehiri JE, Jolly P, Zhang O, Emusu D, Ngu J et al. Sexual violence and associated factors among women in HIV discordant and concordant relationships in Uganda. Int J Adolescent Med Health. 2012; 24 (2): 125-33.
Mmbaga EJ, Leyna GH, Ezekiel MJ, Kakoko DC. Fertility desire and intention of people living with HIV/AIDS in Tanzania: a call for restructuring care and treatment services. BMC Public Health. 2013; 13; 86.
Ikechebelu JI. Mbamara SU. Sexual practices of people living with HIV in South eastern Nigeria. Nigerian Journal of Clinical Practice. 2009; 12 (4): 416-420.
Landolt K. Ramautarsing R. Factors associated with the use of irreversible contraception and continuous use of reversible contraception in a cohort of HIV- positive women. Contraception. 2013; 88 (1): 67-73.
Maharaj P, Oleland J. Risk perception and condom use among married or cohabiting couples in Kwazulu-Natal, South Africa. International. Family Plannning Perspectives. 2005; 31 (1): 24–29.
Akani C, Erhabor O, Opurum H, Ejele O, Nwauche C. HIV sero- discordance among Nigerian couples: challenges and controversies. Nigerian Medical Practiioner. 2005; 48: 3.
Nöstlinger C, Desjardins F, Dec J, Platteau T, Hasker E; Eurosupport V Study Group. 2013. Child desire in women and men living with HIV attending HIV outpatient clinics: evidence from a European multicenter study. Eur J. contrcept Report Health Care. 2013; 18 (4): 251-263.
Santos N, Buchalla M. Reproduction and sexuality in HIV-positive women, Brazil. Rev. Saude Publica 2002; 36 (4 suppL) 12-23.
Bell E, Mthembu PO’ Sullivan S. Sexual and reproductive health services and HIV testing: perspectives and experiences of women and men living with HIV and AIDS. Reproductive Health Matters. 2007; 15 (29 Supplement): 113-135.
Dunukofia. Available@ http://en.wikipaedia.org/wiki/Dunukofia.[Last accessed 2013 25].
Kirkwood B. Essentials of medical statistics. Blackwell Scientific Publications. 2nd Edition 2001. p. 190.
Araoye MO. Research methodology with statistics for health and social sciences. Nathadex Publications, saw-mill, Ilorin 2nd ed.2008: p 115-122.
Questionnaire modified from that of Human Sciences Research Council South Africa and Global Network of people living with AIDS. Available@www. stigmaindex. Org /.../ Summary-Booklet-on-Stigma-Index-Survey%20South%20A.. [Last accessed on 2014 Jan 14].
Statistical Package for Social Sciences (IBM SPSS) 22.0 version. Armonk NY: IBM United States. IBM Corp. 2013.
Tadesse M. Assessment of HIV discordance and associated risk factors among couples receiving HIV test in Dilla, Ethiopia. BMC Research Notes. 20147: 893 DOI: 10.1186/1756-0500-7-893
Nozaki I, Dube C, Kazuihiro K, Yamada N, James B. Social factors affecting ART adherence in rural settings in Zambia. AIDS Care. 2011; 23 (7): 831-839.
Bunnell RE, Nassozi J, Marum E, Mubangizi J, Malamba S, Dillon B, et al. Living with discordance: Knowledge, challenges, and prevention strategies of HIV-discordant couples in Uganda. AIDS Care.2005; 17 (8): 999-1012.
Santelli J S, Kouzis AC. Stage of behavior change for condom use: the influence of partner type, relationship and pregnancy factors. Family Planning Perspectives. 2006; 28 (3): 101-107.
King R, Wamai N. Maybe his blood is still strong: a qualitative study among HIV sero-discordant couples on ART in rural Uganda. BMC Public Health. 2012; 12: 801.
USAID – Muslim Religious leaders as partners in fostering positive reproduce Health family planning behaviours: A best practice. www.pathfinder.org/publications-tools/pds/muslim religious leaders. [Last accessed on 2013 June 23].
Jones D L, Ross D. Influence of partner participation on sexual risk behavior reduction among HIV-positive Zambian women. Journal of Urban Health.2005; 82 (3 Suppl 4): iv92-100.