Back
 WJA  Vol.4 No.2 , June 2014
Evaluation of Condom Use and Associated Factors among Adult HIV Clients in Maiduguri, North Eastern Nigeria: A Comparative Cross Sectional Study
Abstract: Objective: To assess the pattern of condom use among HAART naive and experienced patients in north eastern Nigeria. Methods: An interviewer-administered questionnaire was used to assess the pattern of condom use among 201 HIV clients. Participants included for this comparative cross sectional study were divided into two group: HAART experienced participants that had been on therapy for at least 12 months and HAART naive participants that had been registered at least 3 months before the beginning of the study. Results: Almost half of the HAART naive and substantial proportion of HAART experienced couples never used condom. Few (13.4%) HAART experienced and 16.5% naive participants always used condom. Inconsistent condom use among HAART naive and experienced partners was 38.8% and 41.8% respectively. Spouse notification of HIV was significantly associated with the use of condoms (p = 0.02; OR 1.32, 95% CI: 1.06 - 1.64). The stepwise logistic regression indicated that female (OR 2.40; CI: 1.09 - 3.82), partner notification of HIV sero-positive status (OR 1.32; CI: 1.06 - 1.64, yes versus none), occupation as a civil servant (OR 1.40; CI: 0.15 - 1.05), are factors independently associated with condom use in our studied participants. Conclusion: We report that condom use is uncommon among HIV clients in our environment. Condom is significantly influenced by partner notification of HIV seropositive status, occupation as a civil servant and female gender. This study supports an absence of association between condom uptake and HAART use. Intensive and regular condom counselling for every HIV-positive outpatient who attends the clinic in our environment is expedient. We recommend interventions directed at increasing condom use among HIV clients in our environment.
Keywords: Condom Use, HIV, AIDS
Cite this paper: Denue, B. , Kwayabura, S. , Bukbuk, D. , Inuwa, U. and Ajayi, B. (2014) Evaluation of Condom Use and Associated Factors among Adult HIV Clients in Maiduguri, North Eastern Nigeria: A Comparative Cross Sectional Study. World Journal of AIDS, 4, 169-177. doi: 10.4236/wja.2014.42022.
References

[1]   Herek, G.M. (1999) AIDS and Stigma. American Behavioural Scientist, 42, 1106-1116.
http://dx.doi.org/10.1177/00027649921954787

[2]   Shisana, O., et al. (2005) South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey. HSRC Press, Cape Town.

[3]   Simbayi, L.C., et al. (2007) International Stigma, Discrimination, and Depression among Men and Women Living with HIV/AIDS in Cape Town, South Africa. Social Science & Medicine, 64, 1823-1831. http://dx.doi.org/10.1016/j.socscimed.2007.01.006

[4]   Kanki, P.J. and Adeyi, O. (2006) The impact of the Epidemic in Nigeria. In: Adeyi, O., Kanki, P.J., Odutolu, O., Idoko, J.A., Eds., AIDS in Nigeria: A Nation on the Threshold. Cambridge Harvard Centre for Population and Development Studies, 7-8.

[5]   Federal Ministry of Health (2005) Technical Report on the 2005 National HIV/Syphilis Sentinel Survey among Pregnant Women Attending Antenatal Clinics in Nigeria. Federal Ministry of Health Abuja, Nigeria.

[6]   Federal Ministry of Health (2010) HIV/STI Integrated Biological and Behavioural Surveillance Survey 2010. Federal Ministry of Health Abuja, Nigeria.

[7]   Denue, B.A., Abja, A.U., Kida, I.M., Gabdo, A.H., Bukar, A.A. and Akawu, C.B. (2013) Evaluating Total Lymphocyte Counts and Other Hematological Parameters as a Substitute for CD4 Counts in the Management of HIV Patients in Northeastern Nigeria. Retrovirology: Research and Treatment, 5, 9-15. http://dx.doi.org/10.4137/RRT.S11562

[8]   Crepaz, N., Hart, T.A. and Marks, G. (2004) Highly Active Antiretroviral Therapy and Sexual Risk Behaviour: A Meta Analytic Review. JAMA, 292, 224-236. http://dx.doi.org/10.1001/jama.292.2.224

[9]   Wilson, T.E., Gore, M.E., Greenbatt, R., et al. (2004) Changes in Sexual Behaviour among HIV-Infected Women after Initiation of HAART. American Journal of Public Health, 94, 1141-1145. http://dx.doi.org/10.2105/AJPH.94.7.1141

[10]   WHO (2010) Antiretroviral Therapy for HIV Infection in Adult and Adolescent: Recommendation for Public Health Approach—2010 Revision.World Health Organization, Geneva.

[11]   Kennedy, C., O’ Relly, K., Medley, A. and Sweat, M. (2007) The Impact of HIV Treatment on Risk Behaviour in Developing Countries: A Systemic Review. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV, 19, 707-720. http://dx.doi.org/10.1080/09540120701203261

[12]   Venkatesh, K.K., Flanigan, T.P. and Mayer, K.H. (2011) Is Expanding HIV Treatment Preventing New Infections? Impact of Antiretroviral Therapy on Sexual Risk Behaviours in the Developing World. AIDS, 25, 1939-1946. http://dx.doi.org/10.1097/QAD.0b013e32834b4ced

[13]   Akinyemi, J.O., Awolude, O.A., Adewole, I.F. and Kanki, P.J. (2010) Condom Use among Antiretroviral Therapy Patients in Ibadan, Nigeria. Journal of Infection in Developing Countries, 4, 495-502.

[14]   Dukers, N.H., Goudsmit, J., de Wit, J.B., Prins, M., Weverling, G.J. and Coutinho, R.A. (2001) Sexual Risk Behaviour Relates to the Virological and Immunological Improvements during Highly Active Antiretroviral Therapy in HIV-1 Infection. AIDS, 15, 369-378. http://dx.doi.org/10.1097/00002030-200102160-00010

[15]   Amouzou. A. (2003) Regional Variation and Cross-Country Determinants of Condoms Use in Sub-Saharan Africa. Paper Presented at the Seminar on Taking Stock of the Condom in the Era of HIV/AIDS, Gaborone, July 2003.

[16]   Ukwuani, F.A., Tsui, A.O. and Suchindran, C.M. (2003) Condom Use for Preventing HIV Infection/AIDS in Sub-Saharan Africa. Journal of Acquired Immune Deficiency Syndromes, 34, 203-213. http://dx.doi.org/10.1097/00126334-200310010-00011

[17]   Volk, J.E. and Koopman, C. (2001) Factors Associated with Condom Use in Kenya: A Test of the Health Belief Model. AIDS Education and Prevention, 13, 495-508.
http://dx.doi.org/10.1521/aeap.13.6.495.21438

[18]   Benefo, K.D. (2010 Determinants of Condom Use in Zambia: A Multilevel Analysis. Studies in Family Planning, 41, 19-30. http://dx.doi.org/10.1111/j.1728-4465.2010.00221.x

[19]   Simbayi, L.C., Kalichman, S.C., Strebel, A., Cloete, A., Henda, N. and Mqeketo, A. (2007) Disclosure of HIV Status to Sex Partners and Sexual Risk Behaviors among HIV-Positive Men and Women, Cape Town, South Africa. Sexually Transmitted Infections, 83, 29-34.
http://dx.doi.org/10.1136/sti.2006.019893

[20]   Deribe, K., Woldemichael, K., Wondafrash, M., Haile, A. and Amberbir, A. (2008) High-Risk Behaviors and Associated Factors among HIV-Positive Individuals in Clinical Care in Southwest Ethiopia. Tropical Doctor, 38, 237-239.

[21]   King-Spooner, S. (1999) HIV Prevention and the Positive Population. International Journal of STD & AIDS, 10, 141-150. http://dx.doi.org/10.1258/0956462991913763

[22]   Kiene, M.S., Christie, S., Corman, D.H., et al. (2006) Sexual Risk Behavior among HIV-Positive Individuals in Clinical Care in Urban KwaZulu-Natal, South Africa. AIDS, 20, 1781-1784.
http://dx.doi.org/10.1097/01.aids.0000242827.05120.55

[23]   Dave, S.S., Stephenson, J., Mercey, D.E., Panahmand, N. and Jungmann, E. (2006) Sexual Behavior, Condom Use, and Disclosure of HIV Status in HIV Infected Heterosexual Individuals Attending as Inner London HIV Clinic. Sexually Transmitted Infections, 82, 117-120.
http://dx.doi.org/10.1136/sti.2005.015396

[24]   Clark, R.A., Kissinger, P., Bedimo, A.L., Dunn, P. and Albertin, H. (1997) Determination of Factors Associated with Condom Use among Women Infected with Human Immunodeficiency Virus. International Journal of STD & AIDS, 8, 229-233. http://dx.doi.org/10.1258/0956462971919976

 
 
Top