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Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria

BACKGROUND: sub-Saharan Africa continue to bear the greatest burden of HIV/AIDS epidemic due to its large population, high fertility rate and unmet contraceptive need, most especially with poor uptake of dual methods (use of condom and another effective family planning method) which protects against...

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Autores principales: Lawani, Lucky O, Onyebuchi, Azubuike K, Iyoke, Chukwuemeka A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973850/
https://www.ncbi.nlm.nih.gov/pubmed/24602410
http://dx.doi.org/10.1186/1472-6874-14-39
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author Lawani, Lucky O
Onyebuchi, Azubuike K
Iyoke, Chukwuemeka A
author_facet Lawani, Lucky O
Onyebuchi, Azubuike K
Iyoke, Chukwuemeka A
author_sort Lawani, Lucky O
collection PubMed
description BACKGROUND: sub-Saharan Africa continue to bear the greatest burden of HIV/AIDS epidemic due to its large population, high fertility rate and unmet contraceptive need, most especially with poor uptake of dual methods (use of condom and another effective family planning method) which protects against STIs/HIV and unplanned pregnancy. The aim of this study was to assess the awareness, pattern and practice of dual methods by HIV infected women, and factors influencing its use in southeast Nigeria. METHODS: This was a cross sectional descriptive study of 658 HIV positive women attending the PMTCT/postnatal/family planning clinics in three health facilities in southeast Nigeria. An interviewer administered semi-structured questionnaire was used to abstract needed information. The data were analyzed with Epi-info™ version 7.0 (Centers for Disease Control and Prevention, Atlanta, GA, USA), Odd ratio was determined and the test of statistical significance was with Fisher exact test at 95% CI. RESULTS: The mean age of the participants was 29 ± 4.3 years. All the respondents were aware of their HIV status, 62.4% did not know their partners status; 23.1% were sero-concordant, while 14.5% were sero-discordant. Most (67.9%) of the respondents lack awareness on dual methods with only 179/658 (27.2%) practicing it. The commonest (141/179; 78.9%) dual method used was a combination of condom and injectable hormonal contraceptives. Lack of awareness (222/479; 46.3%) and non disclosure (133/479; 27.8%) were the main reasons for non use of dual method in the present study. STI’s was higher amongst non users with odd ratio of 1.74 (1.26-2.41), p-value < 0.0004. Unplanned pregnancy was higher in non users with odd ratio of 3.89 (2.52-6.00), p-value < 0.0000 at 95% CI. CONCLUSIONS: The awareness and uptake of dual methods amongst HIV infected women in southeast Nigeria is still low and thus associated with a higher risk of STIs and unplanned pregnancy. It is expected that increased awareness, uptake and consistent use will help prevention new infections of HIV/STIs and unplanned pregnancy.
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spelling pubmed-39738502014-04-04 Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria Lawani, Lucky O Onyebuchi, Azubuike K Iyoke, Chukwuemeka A BMC Womens Health Research Article BACKGROUND: sub-Saharan Africa continue to bear the greatest burden of HIV/AIDS epidemic due to its large population, high fertility rate and unmet contraceptive need, most especially with poor uptake of dual methods (use of condom and another effective family planning method) which protects against STIs/HIV and unplanned pregnancy. The aim of this study was to assess the awareness, pattern and practice of dual methods by HIV infected women, and factors influencing its use in southeast Nigeria. METHODS: This was a cross sectional descriptive study of 658 HIV positive women attending the PMTCT/postnatal/family planning clinics in three health facilities in southeast Nigeria. An interviewer administered semi-structured questionnaire was used to abstract needed information. The data were analyzed with Epi-info™ version 7.0 (Centers for Disease Control and Prevention, Atlanta, GA, USA), Odd ratio was determined and the test of statistical significance was with Fisher exact test at 95% CI. RESULTS: The mean age of the participants was 29 ± 4.3 years. All the respondents were aware of their HIV status, 62.4% did not know their partners status; 23.1% were sero-concordant, while 14.5% were sero-discordant. Most (67.9%) of the respondents lack awareness on dual methods with only 179/658 (27.2%) practicing it. The commonest (141/179; 78.9%) dual method used was a combination of condom and injectable hormonal contraceptives. Lack of awareness (222/479; 46.3%) and non disclosure (133/479; 27.8%) were the main reasons for non use of dual method in the present study. STI’s was higher amongst non users with odd ratio of 1.74 (1.26-2.41), p-value < 0.0004. Unplanned pregnancy was higher in non users with odd ratio of 3.89 (2.52-6.00), p-value < 0.0000 at 95% CI. CONCLUSIONS: The awareness and uptake of dual methods amongst HIV infected women in southeast Nigeria is still low and thus associated with a higher risk of STIs and unplanned pregnancy. It is expected that increased awareness, uptake and consistent use will help prevention new infections of HIV/STIs and unplanned pregnancy. BioMed Central 2014-03-07 /pmc/articles/PMC3973850/ /pubmed/24602410 http://dx.doi.org/10.1186/1472-6874-14-39 Text en Copyright © 2014 Lawani et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lawani, Lucky O
Onyebuchi, Azubuike K
Iyoke, Chukwuemeka A
Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria
title Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria
title_full Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria
title_fullStr Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria
title_full_unstemmed Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria
title_short Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria
title_sort dual method use for protection of pregnancy and disease prevention among hiv-infected women in south east nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973850/
https://www.ncbi.nlm.nih.gov/pubmed/24602410
http://dx.doi.org/10.1186/1472-6874-14-39
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