Pattern, challenges and correlates of condom use among Nigerians living with HIV infection
Authors: Oladele David Ayoola, Gab-Okafor Chidinma Victoria, Oke Bamidele, Kalejaiye Olufunto Olufela,Somefun Esther Oluwatosin, Ezeobi Paschal Mbaneifo, Gbajabiamila Titilola, Adu Rosemary Adagu, Onwujekwe Dan Ifeanyi, Ohwodo Harry,Odubela Oluwatosin, Odunukwe Nkiru Nonyelum, David Nkiruka, Ezechi Oliver Chukwujekwu
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Objective: To determine the pattern, challenges and correlates of condom use among Nigerians
living with HIV Infection.
Methods: A cross sectional questionnaire study among HIV positive adults attending an HIV
treatment centre in Lagos, Nigeria. Data entry and analysis were done with Epi-info version 3.5.1.
Results: The mean age of respondents was 35 (SD=7.7; range: 17-58 years) and mean age at sexual
debut was 20 years old (range: 7-37 years). Majority were women (66.6%), had at least secondary
school education(91.1%), married (68.2%)), on ART (50.7%) and knew their partners HIV status(60.9%).
The rate of condom use at last sex act was 65.9%, but only 48.8% used condom consistently.
Factors associated with condom use were male gender (OR=2.43, CI=1.35-4.33, P=0.002), less than
secondary school education (OR=3.12, CI=1.04-9.28, P=0.05) and Not knowing partner’s HIV status
(OR=1.90, CI=1.04-3.80, P=0.04). Refusal to use condom (28.4%) were as a result of pregnancy
intention, undesirability of condom in marriage and decreased sexual pleasure.
Conclusion: There is low consistent condom use rate of 48.8% among this cohort despite their
exposure to behavioural change messages. A review of the present counselling strategy and
combination prevention is therefore advocated.