Rates of Condom use among HIV Positive Patients on ART in Nasarawa Eggon North Central Nigeria
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 18, Issue 5
Abstract
Introduction: Consistent condom use still remains a key strategy in HIV prevention. Studies have demonstrated declining condom use among HIV positive patients on ART. There is paucity of such information among HIV positive individuals on ART in Nigeria. We sought to find the rates and associated factors for condom use among a cohort of PLHIV on ART in Nigeria. Methods: A cross sectional review of PLHIV on ART was carried out in an ART treatment facility. Trained clinic staff administered a checklist to adult patients who had been on ART for a minimum of 9 months. Information was collected on age, sex, marital status, number of sexual partners, condom use and occurrence of sexually transmitted infection. Results: Of the 282 respondents; average age was 35 years. Forty four percent (44%) never used while 25% used condoms consistently in the previous 3 months. Single (OR: 7.23, CI: 2.999-17.446, p= 0.000) and widowed (OR: 3.76, CI-1.179-12.04, p= 0.026) respondents were more likely to use condom always or sometimes. Male respondents were almost twice as likely to use condoms always and sometimes (OR: 1.74, CI-0.988-3.078, p = 0.055). There was no significant association between condom use and history of STI (OR: 0.74, CI-0.444-1.239, p= 0.254), or number of sexual partners (OR: 0.93, CI-0.427-2.01, p = 0.848). Conclusion: Rates of condom use was low particularly among females and married patients on ART. Program and clinic managers should aggressively target females and married couples with varied and appropriate prevention messaging to improve coverage.The global picture of the HIV epidemic has continued to show evidence of impact of the social, biomedical and behavioral HIV prevention strategies [1], with new HIV infections dropping to 2.1 million in 2015 [2] from 5 million in 2001 [3]. In Nigeria, the number of new infections was reported to have reduced by about 24% in the same period [2]. Much of this progress however seems to have happened in the period prior to 2010 as between that year and 2015, only about 100,000 new HIV infections were reported [2]. Although there are several others, some of the important factors that could have affected the slowing of this progress include the stall in condom provision and use with an over 50% condom gap in sub-Saharan Africa [1]; persistent socio-cultural barriers including gender inequality, refusal to use in marriage, and vaginal douching [4,5], all which predate the gap in provision of condoms. Condom use has been severally demonstrated to contribute significantly to attenuating sexual transmission of HIV and is therefore an important factor in the control and eradication of the virus. Condom use was shown to reduce transmission risk 20 fold in a study that quantified per act risk of transmission on a basis of various risk factors [6] while in another study of 17, 450 sexually active individuals in Uganda; condom use significantly reduced the incidence of HIV infection [7].
Authors and Affiliations
Joseph E Enegela, Ochanya Iyaji Paul, Olanrewaju Olaiya, Edward Ugba, Patrick Okoh, Olufunmilayo Ogundeko, Ayodele Fagbemi, Oladipo Akinmade, Iko Ibanga, Amana Effiong
Keywords
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- EP ID EP622729
- DOI 10.26717/BJSTR.2019.18.003201
- Views 165
- Downloads 0
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