Blood and body fluids exposure, post-exposure prophylaxis, and HIV self-testing among healthcare workers in northern Nigeria
Introduction In high-HIV burden settings, such as Nigeria, HIV self-testing and post-exposure prophylaxis (PEP) are often recommended, but not widely practiced. This study aims to identify the predictors of PEP utilization and preferences for HIV self-testing among healthcare workers in Nigeria. Met...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | HIV Research & Clinical Practice |
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| Online Access: | http://dx.doi.org/10.1080/25787489.2023.2256063 |
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| author | Zubairu Iliyasu Musa Babashani Khadija Dantata Shaheed A. Zakariyyah Muktar A. Gadanya Humayra A. Bashir Auwalu U. Gajida Muktar H. Aliyu |
| author_facet | Zubairu Iliyasu Musa Babashani Khadija Dantata Shaheed A. Zakariyyah Muktar A. Gadanya Humayra A. Bashir Auwalu U. Gajida Muktar H. Aliyu |
| author_sort | Zubairu Iliyasu |
| collection | DOAJ |
| description | Introduction In high-HIV burden settings, such as Nigeria, HIV self-testing and post-exposure prophylaxis (PEP) are often recommended, but not widely practiced. This study aims to identify the predictors of PEP utilization and preferences for HIV self-testing among healthcare workers in Nigeria. Methods A total of 403 healthcare workers from a tertiary hospital in Nigeria completed questionnaires. Adjusted odds ratios were derived from logistic regression models. Results Among the respondents, 141 (35.0%) reported experiencing at least one workplace exposure incident, with 72 (51.1%) of them receiving PEP. The majority of healthcare workers (n = 354, 87.8%) expressed a preference for HIV self-testing over traditional HIV testing and counseling. The occurrence of exposure incidents was predicted by the respondent’s sex (adjusted odds ratio [aOR] = 1.25; 95% confidence interval [CI]: 1.15-3.08, female vs. male), age (aOR = 0. 16; 95% CI: 0.03-0.92, >40 vs. <30 years), profession (aOR = 1.88; 95% CI: 1.18-4.66, nurse/midwife vs. physician), work unit (aOR = 0.06; 95% CI: 0.02-0.23, obstetrics/gynecology vs. surgery), and previous HIV testing and counseling (aOR = 0.01; 95% Cl: 0.004-0.03, no vs. yes). Respondent’s profession, work unit, and previous HIV testing and counseling independently predicted a preference for HIV self-testing. Conclusion Further exploration of the feasibility of implementing HIV self-testing as an alternative to traditional HIV testing and counseling for workplace exposures is warranted. |
| format | Article |
| id | doaj-art-8c7f358e613f4e2bb963f718b2f692f2 |
| institution | Kabale University |
| issn | 2578-7470 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | HIV Research & Clinical Practice |
| spelling | doaj-art-8c7f358e613f4e2bb963f718b2f692f22025-01-20T14:37:59ZengTaylor & Francis GroupHIV Research & Clinical Practice2578-74702023-12-0124110.1080/25787489.2023.22560632256063Blood and body fluids exposure, post-exposure prophylaxis, and HIV self-testing among healthcare workers in northern NigeriaZubairu Iliyasu0Musa Babashani1Khadija Dantata2Shaheed A. Zakariyyah3Muktar A. Gadanya4Humayra A. Bashir5Auwalu U. Gajida6Muktar H. Aliyu7Department of Community Medicine, Bayero UniversityMedicine, Bayero UniversityVanderbilt Institute for Global Health, Vanderbilt University Medical CenterDepartment of Community Medicine, Bayero UniversityDepartment of Community Medicine, Bayero UniversityInternational Health and Tropical Medicine, University of OxfordDepartment of Community Medicine, Bayero UniversityVanderbilt Institute for Global Health, Vanderbilt University Medical CenterIntroduction In high-HIV burden settings, such as Nigeria, HIV self-testing and post-exposure prophylaxis (PEP) are often recommended, but not widely practiced. This study aims to identify the predictors of PEP utilization and preferences for HIV self-testing among healthcare workers in Nigeria. Methods A total of 403 healthcare workers from a tertiary hospital in Nigeria completed questionnaires. Adjusted odds ratios were derived from logistic regression models. Results Among the respondents, 141 (35.0%) reported experiencing at least one workplace exposure incident, with 72 (51.1%) of them receiving PEP. The majority of healthcare workers (n = 354, 87.8%) expressed a preference for HIV self-testing over traditional HIV testing and counseling. The occurrence of exposure incidents was predicted by the respondent’s sex (adjusted odds ratio [aOR] = 1.25; 95% confidence interval [CI]: 1.15-3.08, female vs. male), age (aOR = 0. 16; 95% CI: 0.03-0.92, >40 vs. <30 years), profession (aOR = 1.88; 95% CI: 1.18-4.66, nurse/midwife vs. physician), work unit (aOR = 0.06; 95% CI: 0.02-0.23, obstetrics/gynecology vs. surgery), and previous HIV testing and counseling (aOR = 0.01; 95% Cl: 0.004-0.03, no vs. yes). Respondent’s profession, work unit, and previous HIV testing and counseling independently predicted a preference for HIV self-testing. Conclusion Further exploration of the feasibility of implementing HIV self-testing as an alternative to traditional HIV testing and counseling for workplace exposures is warranted.http://dx.doi.org/10.1080/25787489.2023.2256063blood and body fluidspost-exposure prophylaxishiv self-testinghealthcare workersoccupational exposures |
| spellingShingle | Zubairu Iliyasu Musa Babashani Khadija Dantata Shaheed A. Zakariyyah Muktar A. Gadanya Humayra A. Bashir Auwalu U. Gajida Muktar H. Aliyu Blood and body fluids exposure, post-exposure prophylaxis, and HIV self-testing among healthcare workers in northern Nigeria HIV Research & Clinical Practice blood and body fluids post-exposure prophylaxis hiv self-testing healthcare workers occupational exposures |
| title | Blood and body fluids exposure, post-exposure prophylaxis, and HIV self-testing among healthcare workers in northern Nigeria |
| title_full | Blood and body fluids exposure, post-exposure prophylaxis, and HIV self-testing among healthcare workers in northern Nigeria |
| title_fullStr | Blood and body fluids exposure, post-exposure prophylaxis, and HIV self-testing among healthcare workers in northern Nigeria |
| title_full_unstemmed | Blood and body fluids exposure, post-exposure prophylaxis, and HIV self-testing among healthcare workers in northern Nigeria |
| title_short | Blood and body fluids exposure, post-exposure prophylaxis, and HIV self-testing among healthcare workers in northern Nigeria |
| title_sort | blood and body fluids exposure post exposure prophylaxis and hiv self testing among healthcare workers in northern nigeria |
| topic | blood and body fluids post-exposure prophylaxis hiv self-testing healthcare workers occupational exposures |
| url | http://dx.doi.org/10.1080/25787489.2023.2256063 |
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