Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria

Adaeze Nnenna Anaekwe; Echendu Dolly Adinma; Chinomnso Chinanuekpere Nnebue; Chidebe Olisaegboka Anaekwe; Kamtochukwu Maduneme Obi; Achunam Simeom Nwabueze; Christian Chibuzo Ibeh

doi:doi:10.11648/j.sjph.20170502.18

Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria

Adaeze Nnenna Anaekwe, Echendu Dolly Adinma, Chinomnso Chinanuekpere Nnebue, Chidebe Olisaegboka Anaekwe, Kamtochukwu Maduneme Obi, Achunam Simeom Nwabueze, Christian Chibuzo Ibeh

Published in Science Journal of Public Health (Volume 5, Issue 2)

Received: 28 October 2016 Accepted: 8 December 2016 Published: 21 February 2017

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Abstract

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.

Published in	Science Journal of Public Health (Volume 5, Issue 2)
DOI	10.11648/j.sjph.20170502.18
Page(s)	110-116
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Sero-concordant, Couples, Sero-discordant, HIV, Sexual and Reproductive Health Practices, Determinants, Anambra State Nigeria

References

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APA Style

Adaeze Nnenna Anaekwe, Echendu Dolly Adinma, Chinomnso Chinanuekpere Nnebue, Chidebe Olisaegboka Anaekwe, Kamtochukwu Maduneme Obi, et al. (2017). 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, 5(2), 110-116. https://doi.org/10.11648/j.sjph.20170502.18

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ACS Style

Adaeze Nnenna Anaekwe; Echendu Dolly Adinma; Chinomnso Chinanuekpere Nnebue; Chidebe Olisaegboka Anaekwe; Kamtochukwu Maduneme Obi, et al. Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria. Sci. J. Public Health 2017, 5(2), 110-116. doi: 10.11648/j.sjph.20170502.18

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AMA Style

Adaeze Nnenna Anaekwe, Echendu Dolly Adinma, Chinomnso Chinanuekpere Nnebue, Chidebe Olisaegboka Anaekwe, Kamtochukwu Maduneme Obi, et al. Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria. Sci J Public Health. 2017;5(2):110-116. doi: 10.11648/j.sjph.20170502.18

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@article{10.11648/j.sjph.20170502.18,
  author = {Adaeze Nnenna Anaekwe and Echendu Dolly Adinma and Chinomnso Chinanuekpere Nnebue and Chidebe Olisaegboka Anaekwe and Kamtochukwu Maduneme Obi and Achunam Simeom Nwabueze and Christian Chibuzo Ibeh},
  title = {Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria},
  journal = {Science Journal of Public Health},
  volume = {5},
  number = {2},
  pages = {110-116},
  doi = {10.11648/j.sjph.20170502.18},
  url = {https://doi.org/10.11648/j.sjph.20170502.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170502.18},
  abstract = {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), 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.},
 year = {2017}
}

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TY  - JOUR
T1  - Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria
AU  - Adaeze Nnenna Anaekwe
AU  - Echendu Dolly Adinma
AU  - Chinomnso Chinanuekpere Nnebue
AU  - Chidebe Olisaegboka Anaekwe
AU  - Kamtochukwu Maduneme Obi
AU  - Achunam Simeom Nwabueze
AU  - Christian Chibuzo Ibeh
Y1  - 2017/02/21
PY  - 2017
N1  - https://doi.org/10.11648/j.sjph.20170502.18
DO  - 10.11648/j.sjph.20170502.18
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 110
EP  - 116
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20170502.18
AB  - 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), 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.
VL  - 5
IS  - 2
ER  -

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Author Information

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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APA Style

Adaeze Nnenna Anaekwe, Echendu Dolly Adinma, Chinomnso Chinanuekpere Nnebue, Chidebe Olisaegboka Anaekwe, Kamtochukwu Maduneme Obi, et al. (2017). 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, 5(2), 110-116. https://doi.org/10.11648/j.sjph.20170502.18

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ACS Style

Adaeze Nnenna Anaekwe; Echendu Dolly Adinma; Chinomnso Chinanuekpere Nnebue; Chidebe Olisaegboka Anaekwe; Kamtochukwu Maduneme Obi, et al. Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria. Sci. J. Public Health 2017, 5(2), 110-116. doi: 10.11648/j.sjph.20170502.18

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AMA Style

Adaeze Nnenna Anaekwe, Echendu Dolly Adinma, Chinomnso Chinanuekpere Nnebue, Chidebe Olisaegboka Anaekwe, Kamtochukwu Maduneme Obi, et al. Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria. Sci J Public Health. 2017;5(2):110-116. doi: 10.11648/j.sjph.20170502.18

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@article{10.11648/j.sjph.20170502.18,
  author = {Adaeze Nnenna Anaekwe and Echendu Dolly Adinma and Chinomnso Chinanuekpere Nnebue and Chidebe Olisaegboka Anaekwe and Kamtochukwu Maduneme Obi and Achunam Simeom Nwabueze and Christian Chibuzo Ibeh},
  title = {Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria},
  journal = {Science Journal of Public Health},
  volume = {5},
  number = {2},
  pages = {110-116},
  doi = {10.11648/j.sjph.20170502.18},
  url = {https://doi.org/10.11648/j.sjph.20170502.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170502.18},
  abstract = {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), 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.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria
AU  - Adaeze Nnenna Anaekwe
AU  - Echendu Dolly Adinma
AU  - Chinomnso Chinanuekpere Nnebue
AU  - Chidebe Olisaegboka Anaekwe
AU  - Kamtochukwu Maduneme Obi
AU  - Achunam Simeom Nwabueze
AU  - Christian Chibuzo Ibeh
Y1  - 2017/02/21
PY  - 2017
N1  - https://doi.org/10.11648/j.sjph.20170502.18
DO  - 10.11648/j.sjph.20170502.18
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 110
EP  - 116
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20170502.18
AB  - 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), 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.
VL  - 5
IS  - 2
ER  -

Copy | Download