Determinants of social support among people living with HIV in Nigeria–a multicenter cross-sectional study

Frontiers in Public Health

Public Health

Oluwafemi Adeagbo¹  Oluwaseun A. Badru²  Luchuo E. Bain³  Oluwatobi E. Babalola⁴ 

[1] Department of Community and Behavioral Health, College of Public Health, The University of Iowa, Iowa City, IA, United States;Department of Sociology, University of Johannesburg, Johannesburg, South Africa;Institute of Human Virology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria;International Development Research Centre (IDRC), Ottawa, ON, Canada;Department of Psychology, Faculty of Humanities, University of Johannesburg, Johannesburg, South Africa;Lagos State Primary Healthcare, Lagos, Nigeria;

关键词: HIV;    ART;    social support;    family support;    friend support;    Nigeria;   

DOI  :  10.3389/fpubh.2023.1120192

 received in 2022-12-09, accepted in 2023-05-23,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundMore than 38.4 million people were living with HIV worldwide in 2021. Sub-Saharan Africa bears two-thirds of the burden, with Nigeria having nearly two million people living with HIV (PLWH). Social support from social networks such as family and friends improve the quality of life, and reduces enacted and perceived stigma, but social support for PLWH remains suboptimal in Nigeria. This study aimed to assess the prevalence of social support and associated factors among PLWH in Nigeria and to test whether stigma reduces types of social support.MethodsThis cross-sectional study was conducted in Lagos State, Nigeria, between the months of June and July 2021. A total of 400 PLWH were surveyed across six health facilities providing antiretroviral therapy. Social support (family, friends, and significant others) and stigma were measured with the Multidimensional Scale of Perceived Social Support and Berger’s HIV Stigma Scale, respectively. Binary logistic regression was used to identify determinants of social support.ResultsMore than half (50.3%) of the respondents had adequate social support overall. The prevalence of family, friends, and significant others support was 54.3, 50.5, and 54.8%, respectively. Stigma (Adjusted Odds Ratio [AOR]: 0.945; 95% Confidence Interval [CI]: 0.905–0.987) was negatively associated with adequate friend support. Female gender (AOR: 6.411; 95% CI: 1.089–37.742), higher income (AOR: 42.461; 95% CI: 1.452–1241.448), and seropositive disclosure (AOR: 0.028; 95% CI: 0.001–0.719) were associated with adequate significant others support. Stigma (AOR:0.932; 95% CI: 0.883–0.983) was negatively associated with adequate support overall. Our findings corroborate the social support theory, as stigma reduces the chance of receiving social support.ConclusionPLWH that enjoy support from families or friends were less likely to be affected by HIV-related stigma. More support is needed by PLWH from family, friends, and significant others to improve the quality of life and reduce stigma among PLWH in Lagos State.

【 授权许可】

Unknown   
Copyright © 2023 Babalola, Badru, Bain and Adeagbo.