Consistent condom use and associated factors among HIV positive women of reproductive age on anti-retroviral treatment in Ogun state, Nigeria

Abstract

Introduction consistent condom use remains an integral and essential part of comprehensive Human Immunodeficiency Virus (HIV) prevention and care programme. This study assessed consistent use of condom among HIV-positive women of reproductive age on antiretroviral treatment and its associated factors. Methods a cross-sectional survey of 360 women living with HIV (WLHIV) receiving treatment in four APIN Public Health Initiatives, Nigeria supported President's Emergency Plan for AIDS Relief (PEPFAR) comprehensive Antiretroviral Therapy (ART) sites in Ogun State was conducted from October 2018 to March 2019. Information were collected on consistent condom use among respondents and their associated factors using a pre-tested questionnaire. Data were analysed using SPSS IBM version, with statistical significance set at 0.05. Results the mean age of the women was 38.1 ± 5.8 years. About two-fifth (39.4%) of the respondents reported consistent use of condom. Of the 142 respondents who reported inconsistent use of condom, 51.6% and 37.5% mentioned sexual displeasure and partner’s disagreement respectively as reasons for inconsistent use. Factors associated with consistent condom use were marital status (p < 0.001), respondent’s occupation (p = 0.040), partner’s occupation (p = 0.012) and partner’s HIV status (p = 0.045). Respondents with HIV negative partners were 1.8 times more likely to use condom consistently compared to those with HIV positive partners (AOR = 1.826, CI = 1.018 – 3.274). Conclusion this study concludes that there is poor consistent condom use among WLHIV in Ogun State. The rate is worse among the sero-concordant partners than the sero-discordant partners. More needs to be done through behaviour change communication aimed at improving consistent condom use among HIV clients.

The key role of the youth in ongoing HIV-transmission: a community-based survey in KwaZulu-Natal, South Africa

“…Similar ndings were found in the same area in 2013 (19). Moreover, condom use was low, as reported in other settings (22)(23)(24), particularly among participants reporting more than one partner. Reduced condom use with greater sexual frequency has been also reported in other studies (23,25).…”

Prevalence and predictors of HIV testing among young men in Papua New Guinea: a cross-sectional analysis of a nationally representative sample

“…This is consistent with evidence suggesting that increased knowledge of HIV and risk perceptions were associated with a positive attitude toward condom use [67,68]. It is also possible that discussion of HIV with a sexual partner, knowing the partner’s HIV status, and being in a steady relationship has been shown to influence the consistent use of condoms [70,71]. Regular health education and information dissemination on condom self-efficacy and risk reduction are crucial for preventing HIV infection among this priority group.…”