Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria
Background: Access to combination antiretroviral therapy (ART) enables HIV-positive women to live longer in good health. Some of these women are sexually active having unintended pregnancies and unsafe abortions because of not using contraceptives. Objective: This study assessed pattern of contracep...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2020-01-01
|
| Series: | Libyan International Medical University Journal |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/LIUJ.LIUJ_21_19 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850045165567213568 |
|---|---|
| author | Samuel Olowookere Akindele Ajayi Ajibola Idowu Adeola Ajayi Babatunde Afolabi |
| author_facet | Samuel Olowookere Akindele Ajayi Ajibola Idowu Adeola Ajayi Babatunde Afolabi |
| author_sort | Samuel Olowookere |
| collection | DOAJ |
| description | Background: Access to combination antiretroviral therapy (ART) enables HIV-positive women to live longer in good health. Some of these women are sexually active having unintended pregnancies and unsafe abortions because of not using contraceptives. Objective: This study assessed pattern of contraceptive use by HIV-positive women of reproductive age group attending an HIV treatment center at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria. Materials and Methods: A descriptive cross-sectional study of 400 HIV-positive women that completed an interviewer-administered semi-structured questionnaire on awareness and use of contraceptives. Data collected were analyzed with SPSS version 17. Results: Majority, 217 (54.3%), had been pregnant since enrollment with 120 (55.3%) having an induced abortion. Majority, 378 (94.5%), were aware of contraception with health workers as the source of awareness being 204 (54%). Although 313 (82.8%) desire to use a contraceptive, 281 (74.3%) currently used a contraceptive with male condom, 130 (34.4%), being the most common type used. Selected factors significantly associated with contraceptive use included age 35 years and above (odds ratio [OR] =2.58, 95% confidence interval [CI] = 1.18–5.63, P = 0.018), higher education (OR = 4.48, 95% CI = 2.80–7.16, P = 0.0001), being unmarried (OR = 4.34, 95% CI = 2.74–6.88, P = 0.0001), skilled worker (OR = 4.64, 95% CI = 2.76–7.81, P = 0.0001), higher income (OR = 2.15, 95% CI = 1.20–3.82, P = 0.01), and increasing duration on highly active ART 6–12 months (OR = 8.88, 95% CI = 4.50–17.50, P = 0.0001) and >12 months (OR = 4.37, 95% CI = 2.27–8.43, P = 0.0001). Conclusions: Some sexually active HIV-positive women were not using contraceptives. It is necessary to increase contraceptive awareness and use among this vulnerable population. |
| format | Article |
| id | doaj-art-26faa916a8ff4b2487d8afeb8a9ed143 |
| institution | DOAJ |
| issn | 2519-139X |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Libyan International Medical University Journal |
| spelling | doaj-art-26faa916a8ff4b2487d8afeb8a9ed1432025-08-20T02:54:46ZengThieme Medical and Scientific Publishers Pvt. Ltd.Libyan International Medical University Journal2519-139X2020-01-01050181410.4103/LIUJ.LIUJ_21_19Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, NigeriaSamuel Olowookere0Akindele Ajayi1Ajibola Idowu2Adeola Ajayi3Babatunde Afolabi4Department of Community Health, Obafemi Awolowo University, Ile-IfeDepartment of Family Medicine, LAUTECH Teaching Hospital, OsogboDepartment of Community Medicine, Bowen University, Iwo, NigeriaDepartment of Psychiatry, LAUTECH Teaching Hospital, OsogboDepartment of Family Medicine, LAUTECH Teaching Hospital, OsogboBackground: Access to combination antiretroviral therapy (ART) enables HIV-positive women to live longer in good health. Some of these women are sexually active having unintended pregnancies and unsafe abortions because of not using contraceptives. Objective: This study assessed pattern of contraceptive use by HIV-positive women of reproductive age group attending an HIV treatment center at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria. Materials and Methods: A descriptive cross-sectional study of 400 HIV-positive women that completed an interviewer-administered semi-structured questionnaire on awareness and use of contraceptives. Data collected were analyzed with SPSS version 17. Results: Majority, 217 (54.3%), had been pregnant since enrollment with 120 (55.3%) having an induced abortion. Majority, 378 (94.5%), were aware of contraception with health workers as the source of awareness being 204 (54%). Although 313 (82.8%) desire to use a contraceptive, 281 (74.3%) currently used a contraceptive with male condom, 130 (34.4%), being the most common type used. Selected factors significantly associated with contraceptive use included age 35 years and above (odds ratio [OR] =2.58, 95% confidence interval [CI] = 1.18–5.63, P = 0.018), higher education (OR = 4.48, 95% CI = 2.80–7.16, P = 0.0001), being unmarried (OR = 4.34, 95% CI = 2.74–6.88, P = 0.0001), skilled worker (OR = 4.64, 95% CI = 2.76–7.81, P = 0.0001), higher income (OR = 2.15, 95% CI = 1.20–3.82, P = 0.01), and increasing duration on highly active ART 6–12 months (OR = 8.88, 95% CI = 4.50–17.50, P = 0.0001) and >12 months (OR = 4.37, 95% CI = 2.27–8.43, P = 0.0001). Conclusions: Some sexually active HIV-positive women were not using contraceptives. It is necessary to increase contraceptive awareness and use among this vulnerable population.http://www.thieme-connect.de/DOI/DOI?10.4103/LIUJ.LIUJ_21_19abortionawarenesscontraceptionunintended pregnancywomen living with hiv |
| spellingShingle | Samuel Olowookere Akindele Ajayi Ajibola Idowu Adeola Ajayi Babatunde Afolabi Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria Libyan International Medical University Journal abortion awareness contraception unintended pregnancy women living with hiv |
| title | Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria |
| title_full | Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria |
| title_fullStr | Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria |
| title_full_unstemmed | Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria |
| title_short | Contraceptive use of HIV-positive women attending an HIV treatment center in Osogbo, Nigeria |
| title_sort | contraceptive use of hiv positive women attending an hiv treatment center in osogbo nigeria |
| topic | abortion awareness contraception unintended pregnancy women living with hiv |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/LIUJ.LIUJ_21_19 |
| work_keys_str_mv | AT samuelolowookere contraceptiveuseofhivpositivewomenattendinganhivtreatmentcenterinosogbonigeria AT akindeleajayi contraceptiveuseofhivpositivewomenattendinganhivtreatmentcenterinosogbonigeria AT ajibolaidowu contraceptiveuseofhivpositivewomenattendinganhivtreatmentcenterinosogbonigeria AT adeolaajayi contraceptiveuseofhivpositivewomenattendinganhivtreatmentcenterinosogbonigeria AT babatundeafolabi contraceptiveuseofhivpositivewomenattendinganhivtreatmentcenterinosogbonigeria |