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Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria

INTRODUCTION: Condom use and disclosure of HIV status increase the safety of sexual activity. Its extent will determine the need for appropriate interventions. The objective of this study was to identify determinants of condom use and disclosure to sexual partners among individuals receiving Antiret...

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Autores principales: Adebayo, Ayodeji Matthew, Ilesanmi, Olayinka Stephen, Omotoso, Bridget Ama, Ayodeji, Oladele Olufemi, Kareem, Adesola Olawumi, Alele, Faith Osaretin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242051/
https://www.ncbi.nlm.nih.gov/pubmed/25426203
http://dx.doi.org/10.11604/pamj.2014.18.245.4371
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author Adebayo, Ayodeji Matthew
Ilesanmi, Olayinka Stephen
Omotoso, Bridget Ama
Ayodeji, Oladele Olufemi
Kareem, Adesola Olawumi
Alele, Faith Osaretin
author_facet Adebayo, Ayodeji Matthew
Ilesanmi, Olayinka Stephen
Omotoso, Bridget Ama
Ayodeji, Oladele Olufemi
Kareem, Adesola Olawumi
Alele, Faith Osaretin
author_sort Adebayo, Ayodeji Matthew
collection PubMed
description INTRODUCTION: Condom use and disclosure of HIV status increase the safety of sexual activity. Its extent will determine the need for appropriate interventions. The objective of this study was to identify determinants of condom use and disclosure to sexual partners among individuals receiving Antiretroviral Therapy at a tertiary health facility in South West Nigeria. METHODS: A cross-sectional study of 578 clients enrolled in the ART program of Federal Medical Centre Owo, Ondo State Nigeria, was conducted. RESULTS: The mean age of respondents was 38.6+9.6 years, more than half (66.6%) were females and 7% were currently married. Three-quarter were sexually active out of which 324(75.9%) used condom consistently and correctly and 323(75.6%) disclosed their status to their sexual partner. Use of condom was by 81% of those with tertiary education (p=0.002), and 84.5% of singles utilized condom (p<0.001). Determinant of condom use wwere, male (OR: 2; CI: 1.1- 3.3; p=0.013), secondary and tertiary education (OR: 3.69; CI: 1.48 - 9.19; p=0.005) and (OR: 4.79; CI: 1.84 - 12.44; p=0.001) respectively. Determinant of disclosure was being married (OR: 11.8; CI- 5.5-25.7; p<0.001). No significant association exist between disclosure and condom use. CONCLUSION: Most of the people living with HIV accessing ART were sexually active. A good proportion of them used condom consistently and correctly. Disclosure did not have significant effect on condom use. More health education intervention to increase disclosure rate and safe sexual behaviour among HIV positive clients is needed.
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spelling pubmed-42420512014-11-25 Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria Adebayo, Ayodeji Matthew Ilesanmi, Olayinka Stephen Omotoso, Bridget Ama Ayodeji, Oladele Olufemi Kareem, Adesola Olawumi Alele, Faith Osaretin Pan Afr Med J Research INTRODUCTION: Condom use and disclosure of HIV status increase the safety of sexual activity. Its extent will determine the need for appropriate interventions. The objective of this study was to identify determinants of condom use and disclosure to sexual partners among individuals receiving Antiretroviral Therapy at a tertiary health facility in South West Nigeria. METHODS: A cross-sectional study of 578 clients enrolled in the ART program of Federal Medical Centre Owo, Ondo State Nigeria, was conducted. RESULTS: The mean age of respondents was 38.6+9.6 years, more than half (66.6%) were females and 7% were currently married. Three-quarter were sexually active out of which 324(75.9%) used condom consistently and correctly and 323(75.6%) disclosed their status to their sexual partner. Use of condom was by 81% of those with tertiary education (p=0.002), and 84.5% of singles utilized condom (p<0.001). Determinant of condom use wwere, male (OR: 2; CI: 1.1- 3.3; p=0.013), secondary and tertiary education (OR: 3.69; CI: 1.48 - 9.19; p=0.005) and (OR: 4.79; CI: 1.84 - 12.44; p=0.001) respectively. Determinant of disclosure was being married (OR: 11.8; CI- 5.5-25.7; p<0.001). No significant association exist between disclosure and condom use. CONCLUSION: Most of the people living with HIV accessing ART were sexually active. A good proportion of them used condom consistently and correctly. Disclosure did not have significant effect on condom use. More health education intervention to increase disclosure rate and safe sexual behaviour among HIV positive clients is needed. The African Field Epidemiology Network 2014-07-25 /pmc/articles/PMC4242051/ /pubmed/25426203 http://dx.doi.org/10.11604/pamj.2014.18.245.4371 Text en © Ilesanmi Olayinka Stephen et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Adebayo, Ayodeji Matthew
Ilesanmi, Olayinka Stephen
Omotoso, Bridget Ama
Ayodeji, Oladele Olufemi
Kareem, Adesola Olawumi
Alele, Faith Osaretin
Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria
title Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria
title_full Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria
title_fullStr Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria
title_full_unstemmed Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria
title_short Disclosure to sexual partner and condom use among HIV positive clients attending ART clinic at a tertiary health facility in South West Nigeria
title_sort disclosure to sexual partner and condom use among hiv positive clients attending art clinic at a tertiary health facility in south west nigeria
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242051/
https://www.ncbi.nlm.nih.gov/pubmed/25426203
http://dx.doi.org/10.11604/pamj.2014.18.245.4371
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