Research Article
Behavioral and Sexual Practices of HIV Infected Southwestern Nigerians: Implications for HIV Prevention and Control in the Country
Ezechi Oliver Chukwujekwu*, David Agatha Nkiruka, Idigbe Ifeoma Eugenia and Ohihoin Aigbe Greg
Correspondence Address :
Dr. Oliver C. Ezechi
Clinical Sciences Division
Nigerian Institute of Medical Research
Yaba Lagos
Nigeria
Email: oezechi@yahoo.co.uk
Received on: January 7,2017, Accepted on: January 19,2017, Published on: January 27,2017
Citation: Ezechi Oliver Chukwujekwu, David Nkiru David, Idigbe Ifeoma Eugenia, Ohihoin Aigbe Greg (2017). Behavioral and Sexual Practices of HIV Infected Southwestern Nigerians: Implications for HIV Prevention and Control in the Country
Copyright: 2017 Ezechi Oliver Chukwujekwu, et al. 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 author and source are credited.
Abstract
Background: The development of setting specific HIV prevention requires up to date information on the bavioural and sexual practices of the individuals infected with HIV in that setting. This study was conducted to determine the sexual behavior and practices of PLWHAswith the aim of generating essential information that is required to develop setting specific HIV prevention tools.
Methods: A cross sectional study of HIV infected adults receiving care, treatment and support services at a large HIV treatment center in, Lagos seen over a 6 month period. Analysis was with SPSS version 20.0
Results: Majority of respondents were females (56.5%), in the age group 25 , 35 years (50.3%) and desires to have children in future (81.9%). Heterosexual intercourse (68.5%) and blood transfusion (10.1%) were the commonest modes of HIV transmission, however anal sex (4.4%) and IVDU (1.4%) were other modes. While majority reported having at least one child (60.7%), 39.3% reported having no child. Over two thirds of the respondents (67.1%) were on highly active antiretroviral therapy, with only 31.2% achieving self-report adherence of at least 95%. The HIV serodiscordant rate was 25%. Approximately seventy percent (69.9%) of the respondents reported having had sex in the last 3 months. Condom use rate increased from 29.3% to 35.8% post HIV diagnosis, while multiple sexual partnerships decreased from 51.9% to 35.3%. The differences were however not significant (p > 0.05).
Conclusion: In the study, the low condom use rate and high multiple sexual partnership found seem to be driven by the respondents overwhelming desire for childbearing. HIV prevention efforts should target prevention tools such as Treatment as prevention (TasP) and Pre-Exposure Prophylaxis (PrEP) that prevent HIV infection but not pregnancy.