Asian Pacific Journal of Tropical Biomedicine (May 2014)

Pattern, challenges and correlates of condom use among Nigerians living with HIV infection.

  • Oladele David Ayoola,
  • Gab-Okafor Chidinma Victoria,
  • Oke Bamidele,
  • Kalejaiye Olufunto Olufela,
  • Somefun Esther Oluwatosin,
  • Ezeobi Paschal Mbaneifo,
  • Gbajabiamila Titilola,
  • Adu Rosemary Adagu,
  • Onwujekwe Dan Ifeanyi,
  • Ohwodo Harry,
  • Odubela Oluwatosin,
  • Odunukwe Nkiru Nonyelum,
  • David Nkiruka,
  • Ezechi Oliver Chukwujekwu

DOI
https://doi.org/10.12980/APJTB.4.2014C1003
Journal volume & issue
Vol. 4, no. S1
pp. S198 – S203

Abstract

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Objective: To determine the pattern, challenges and correlates of condom use among Nigerians living with HIV Infection. Methods: A cross sectional questionnaire study among HIV positive adults attending an HIV treatment centre in Lagos, Nigeria. Data entry and analysis were done with Epi-info version 3.5.1. Results: The mean age of respondents was 35 (SD=7.7; range: 17–58 years) and mean age at sexual debut was 20 years old (range: 7–37 years). Majority were women (66.6%), had at least secondary school education(91.1%), married (68.2%)), on ART (50.7%) and knew their partners HIV status(60.9%). The rate of condom use at last sex act was 65.9%, but only 48.8% used condom consistently. Factors associated with condom use were male gender (OR=2.43, CI=1.35–4.33, P=0.002), less than secondary school education (OR=3.12, CI=1.04–9.28, P=0.05) and Not knowing partner's HIV status (OR=1.90, CI=1.04–3.80, P=0.04). Refusal to use condom (28.4%) were as a result of pregnancy intention, undesirability of condom in marriage and decreased sexual pleasure. Conclusion: There is low consistent condom use rate of 48.8% among this cohort despite their exposure to behavioural change messages. A review of the present counselling strategy and combination prevention is therefore advocated.

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