Pattern of condom use among clients at a Nigerian HIV Counseling and Testing Centre

BMC Research Notes

Emmanuel A Abioye-Kuteyi²  Akinola A Fatiregun¹  Najeemdeen A Adeleke³  Samuel A Olowookere² 

[1]Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria

[2]Department of Community Health, Faculty of Clinical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

[3]Department of Obstetric and Gynaecology, Osun State University, Osogbo, Osun State, Nigeria

关键词: HIV/AIDS;    HCT Centre;    Condom use;    Sexual behaviour;   

Others  :  1142061
DOI  :  10.1186/1756-0500-6-289

 received in 2012-02-15, accepted in 2013-07-16,  发布年份 2013

【 摘 要 】

Background

Studies in Nigeria have shown that the main route of HIV transmission is sexual intercourse and that effective condom use protects people against infection. The objective of this study was to determine the pattern of condom use among clients of a friendly HIV Counseling and Testing (HCT) Centre in Osogbo southwestern Nigeria.

Methods

This was a review of the HCT Centre records from 2006 to 2010 retrieving socio-demographic information, sexual behaviour, condom use and result of HIV testing. Data obtained were analyzed using descriptive and inferential statistics.

Results

One thousand nine hundred and twenty-one client records were reviewed. The mean age of the study population was 35.4 (SD 10.5) years. The majority (53%) of the respondents were females, 232 (12%) were HIV positive, and 38.2% had multiple sexual partners. Only heterosexual vaginal sex was reported among the clients. Overall 45.2% of the clients did not use a condom in their last sexual act. Factors identified to be significantly associated with non-use of condoms were; younger age, having had higher education and positive HIV status.

Conclusion

Unprotected heterosexual intercourse was common among the study population, indicating a need to step up HIV preventive programme through behavioural change communication strategy.

【 授权许可】

   
2013 Olowookere et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]UNAIDS: Nigeria to accelerate universal access efforts in HIV response. http://www.unaids.org/en/resources/presscentre/featurestories/2010/february/20100223nigeria2/ webcite Accessed 23/2/2010
• [2]Federal Ministry of Health of Nigeria: 2010 national HIV seroprevalence sentinel survey among pregnant women attending antenatal clinics in Nigeria. Abuja, Nigeria: Department of Public Health; 2011.
• [3]United nations general assembly special session country progress report. Nigeria reporting period: January 2008 – December 2009. 2010, 16-100. http://data.unaids.org/pub/Report/2010/nigeria_2010_country_progress_report_en.pdf webcite. Accessed 30/8/2012
• [4]Federal Government of Nigeria. National Agency for Control of AIDS: National HIV/AIDS strategic plan 2010–2015. 2010.
• [5]Merrigan M, Azeez A, Afolabi B, Chabikuli ON, Onyekwena O, Eluwa G, Aiyenigba B, Kawu I, Ogungbemi K, Hamelmann C: HIV prevalence and risk behaviours among men having sex with men in Nigeria. Sex Transm Infect 2011, 87:65e70.
• [6]Federal Government of Nigeria. National Agency for Control of AIDS: National HIV/AIDS strategic framework 2010–2015. 2009.
• [7]Osun State Action Committee on AIDS: Osun state response review 2005–2009 and Osun state HIV/AIDS strategic plan 2010–2015. 2010.
• [8]Federal Government of Nigeria: National policy on HIV/AIDS. 2009.
• [9]Van Rossem R, Meekers D: Perceived social approval and condom use with casual partners among youth in urban Cameroon. BMC Publ Health 2011, 11:632. http://www.biomedcentral.com/1471-2458/11/632 webcite. Accessed 15/10/2012 BioMed Central Full Text
• [10]Weller SC, Davis-Beaty K: Condom effectiveness in reducing heterosexual HIV transmission (Review). 3rd edition. 2012. [The Cochrane Library] http://apps.who.int/rhl/reviews/langs/CD003255ru.pdf webcite. Accessed 20/10/2012
• [11]Kalichman SC, Ntseane D, Nthomang K, Segwabe M, Phorano O, Simbayi LC: Recent multiple sexual partners and HIV transmission risks among people living with HIV/AIDS in Botswana. Sex Transm Infect 2007, 83:371-375.
• [12]Smith DJ: Framing health matters: modern marriage, men’s extramarital sex and HIV risk in South Eastern Nigeria. Am J Public Health 2007, 97(6):997-1005.
• [13]Chakrapani V, Newman PA, Shunmugam M, Dubrow R: Prevalence and contexts of inconsistent condom use among heterosexual men and women living with HIV in India: implications for prevention. AIDS Patient Care STDS 2010, 24(1):49-58.
• [14]UNAIDS/WHO: AIDS epidemic update. 2006. http://data.unaids.org/pub/EpiReport/2006/2006_EpiUpdate_en.pdf webcite. Accessed 1/9/2007
• [15]UNAIDS/WHO: AIDS epidemic update: November 2009. UNAIDS/09.36E / JC1700E: 7–27; http://www.unaids.org webcite. Accessed 17/7/2010
• [16]Federal Ministry of Health of Nigeria: HIV/STI Integrated Biological and Behavioural Surveillance Survey (IBBSS). 2007, 9-110. http://www.unaids.org/en/dataanalysis/knowyourepidemic/epidemiologypublications/2009aidsepidemicupdate/ webcite. Accessed 23/12/2012
• [17]Akinyemi JO, Awolude OA, Adewole IF, Kanki PJ: Condom use among antiretroviral therapy patients in Ibadan. J Infect Dev Ctries 2010, 4(8):495-502.
• [18]Williamson NE, Liku J, McLoughlin K, Nyamongo IK, Nakayima F: A qualitative study of condom use among married couples in Kampala, Uganda. Reprod Health Matters 2006, 14(28):89-98.
• [19]Ali MM, Cleland J, Shah IH: Condom use within marriage: a neglected HIV intervention. Bull World Health Organ 2004, 82:180-186.
• [20]UNAIDS: Making condom work for HIV prevention. UNAIDS best practice collection. Cutting edge perspectives. 2004. UNAIDS/04.32E. http://www.unaids.org/en/media/unaids/contentassets/dataimport/publications/irc-pub06/jc941-cuttingedge_en.pdf webcite Accessed 20/10/2012
• [21]Olowookere SA, Adeleke NA, Abioye-Kuteyi EA, Adepoju EG: HIV prevalence and sociodemographic characteristics of clients of a friendly HIV counseling and testing centre at Osogbo Southwestern Nigeria. Niger J Health Sci 2011, 11(1):18-20.
• [22]Benagiano G, Rezza G, Vella S: Condom use for preventing the spread of HIV/AIDS: an ethical imperative. J R Soc Med 2000, 93:453-456.
• [23]Hendriksen ES, Pettifor A, Lee S, Coates TJ, Rees HV: Predictors of condom use among young adults in South Africa: The reproductive health and HIV research unit national youth survey. Am J Public Health 2007, 97(7):1241-1248.
• [24]Gollub EL: The female condom. Tool for women empowerment. Am J Public Health 2000, 90(9):1377-1381.