Despite being on antiretroviral therapy, during unprotected sex, a HIV-infected pregnant woman can transmit HIV not only to a HIV-negative sexual partner but also pose a risk for reinfection with new or resistant viral strains between her and a HIV-positive sexual partner, and ultimately to her baby. Condom use is a recognized strategy to reduce this risk if practiced consistently. This study set out to determine condom use and associated factors among a cohort of women who attended PMTCT clinic in Jos University Teaching hospital. Methods: Ninety-six enrolled women provided information about themselves and their male partners via a questionnaire, and other relevant information was obtained from their hospital records. Data obtained was analyzed using Epi info version 7 (CDC Atlanta, GA). The mean age of the women was 36.4±4.5 years. They were predominantly married (90.6%), Christians (75.0%), and educated above primary school level (88.6%). The mean age of the male partners was 45.3±6.1 years and over half of them (57.3%) were HIV-positive. The prevalence of consistent condom use in the participants was low (26.0%). Only 4.2% of male partners had ever received counselling in the PMTCT clinic. Factors significantly associated with condom use were younger age of male partner (mean ± SD=43.0±4.7 years), younger age of pregnant women (mean ± SD=34.2±3.3 years), Christian faith of the women, male partners having ever accompanied their pregnant woman for counselling in the PMTCT clinic and viral load of < 1000 copies/ml (P value=0.0290, 0.0035, 0.0440, 0.0227 and 0.0045 respectively). The practice of consistent condom use among male partners of HIV-positive pregnant women attending PMTCT clinic in JUTH was low, suggesting the need for improved strategies to optimize its usage. Involvement of male partners in PMTCT counselling is significantly associated with consistent condom use and should therefore be advocated to augment efforts towards fighting sexual and perinatal HIV transmission.
Published in | European Journal of Preventive Medicine (Volume 10, Issue 1) |
DOI | 10.11648/j.ejpm.20221001.15 |
Page(s) | 22-29 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Condom, HIV, PMTCT, Male Partner, Nigeria
[1] | World Health Organization. Global Health Observatory (GHO) data. Summary of global HIV epidemic. 2018. Available at: https://www.who.int/gho/hiv/en/. [Accessed on March 7th, 2020]. |
[2] | UNAIDS. Global HIV & AIDS statistics-2019 fact sheet. 2019. Available at: https://www.unaids.org/en/resources/fact-sheet. [Accessed on March 7th, 2020]. |
[3] | Avert.org. HIV and AIDs in Nigeria. 2018. Available at: https://www.avert.org/professionals/hivaround-world/sub-saharan-africa/Nigeria [Accessed on October 12, 2019]. |
[4] | UNAIDS. Nigeria Overview. Available at: https://www.unaids.org/en/regionscountries/countries/nigeria [Accessed on March 7th, 2020]. |
[5] | Darrow WW, Jaffe HW, Curran JW. Passive anal intercourse as a risk factor for AIDS in homosexual men. Lancet. 1983; 2 (8342): 160. |
[6] | National Agency for the Control of AIDS. Global AIDS response, Country Progress Report 2015. Available at: https://naca.gov.ng/wp-content/uploads/2016/11/Nigeria_GARPR_2015_Report_0.pdf [Accessed on 22nd September 2020]. |
[7] | Martin F, Lee J, Thomson E, Tarrant N, Hale A, Lacey CJ. Two cases of possible transmitted drug-resistant HIV: likely HIV superinfection and unmasking of pre-existing resistance. Int J STD AIDS. 2016; 27 (1): 66-69. |
[8] | Gilroy AS, Faragon JJ. HIV infection and AIDS. Medscape. 2020. Available at: https://emedicine.medscape.com/article/211316-overview#a7 [Accessed on 22nd September 2020]. |
[9] | De cock KM, Fowler MG, Mercier E, de Vincenzi I, Saba J, Hoff E et al. Prevention of mother-to-child HIV transmission in resource-poor countries: translating research into policy and practice. JAMA. 2000; 283 (9): 1175-82. |
[10] | Mofenson LM, Lambert JS, Stiehm ER, Bethel J, Meyer 3rd WA, Whitehouse J et al. Risk factors for perinatal transmission of human immunodeficiency virus type 1 in women treated with zidovudine. Pediatric AIDS Clinical Trials Group Study 185 Team. New Engl J Med. 1999; 341 (6): 385-93. |
[11] | European Collaborative Study. Mother-to-child transmission of HIV infection in the era of highly active antiretroviral therapy. Clin Infect ds. 2005; 40 (3): 458 -465. |
[12] | Wilton J. STIs: What role do they play in HIV transmission? CATIE; 2012. Available from: http://www.catie.ca/en/pif/spring-2012/stis-what-role-do-they-play-hiv-transmission [accessed 2020 September 21]. |
[13] | Sexton J, Garnett G, Rottingen JA. Metaanalysis and metaregression in interpreting study variability in the impact of sexually transmitted diseases on susceptibility to HIV infection. STD. 2005; 32960351–7. |
[14] | Cohen MS, Council OD Jane Chen S. Sexually transmitted infections and HIV in the era of antiretroviral treatment and prevention: the biologic basis for epidemiologic synergy. Journal of the International AIDS Society 2019, 22 (S6): e25355. |
[15] | Avert – Avert.org. 2020. Prevention of Mother-to-child-transmission (PMTCT) of HIV. 2018. https://www.avert.org/professionals/hiv-programing/prevention/prevention-mother-child [Accessed September 22, 2020]. |
[16] | WHO. ‘Mother-to-child transmission of HIV’.2020. https://www.who.int/hiv/topics/mtct/about/en/ [Accessed on September 22, 2020]. |
[17] | WHO. 2012. Male involvement in the prevention of mother-to-child transmission of HIV. Available at: https://apps.who.int/iris/bitstream/handle/10665/70917/9789241503679_eng.pdf; sequence=3 [Accessed September 30, 2020]. |
[18] | Gursahaney PR, Cordes S, Ofotokun I, Wall KM, Jamieson DJ, Haddad LB. Factors associated with condom use among HIV-positive women living in Atlanta, Georgia. PLoS ONE. 2019; 14 (12): e0225406. |
[19] | Deuba K, Kohlbrenner V, Koirala S, Ekstrom AM for the CAT-S group. Condom use behaviour among people living with HIV: a seven-country community-based participatory research in the Asia-Pacific region. Sex Transm Infect 2018; 94: 200-205. |
[20] | Tao L, Liu M, Li S, LiuJ, Wang N. Condom use in combination with ART can reduce HIV incidence and mortality of PLWHA among MSM: a study in Beijing, China. BMC Infect Dis. 2018; 18: 124. |
[21] | Silva WS, Feitoza de Oliveira FJ, Oliveira Serra MA, Andrade Arraes Rosa CR, Ferreira AGN. Factors associated with condom use in people living with HIV/AIDS. Acta Paul Enferm. 2015; 28 (6): 587-92. |
[22] | Goncalves TR, Faria ER, Carvalho FT, Lopes RCS, Santos BR, Ramos MC, Shoveller JA et al. Condom use among pregnant women living with HIV in southern Brazil. Int J Adv Psychol. 2013; 2 (2): 103-11. |
[23] | Moazen B, Hajizadeh S, Nedjat S, Setayesh HR, MohrazM, Gouya MM, Dolan K. Determinants of consistent condom use among Iranians living with HIV/AIDS: implication for prevention. Int J High Risk Behav Addict. 2017; 6 (4): e63237. |
[24] | Lotfi R, Salehifar D, Jahromi AG. Predictors of condom use among people living with HIV in Karaj: a cross-sectional study. Shiraz E-Med J. 2020; 21 (1): e89407. |
[25] | Maenetje P, Lindan Christina, Makkan H, Chetty-Makkan CM, Latka MH, Charalambous S, Mlotshwa M et al. HIV incidenceand predictors of inconsistent condom use among adult men enrolled into an HIV vaccine preparedness study, Rustenburg, South Africa. PLoS ONE. 2019; 14 (4): e0214786. |
[26] | Haddad BL, Feldacker C, Jamieson DJ, Tweya H, Cwiak C, Chaweza T, Mlundira L et al. Pregnancy prevention and condom use practices among HIV-infected women on antiretroviral therapy seeking family planning in Lilongwe, Malawi. PLoS ONE. 2015; 10 (3): e0121039. |
[27] | Akinyemi JO, Awolude OA, Adewole IF, Kanki PJ. Condom use among antiretroviral therapy patients in Ibadan. J Infect Dev Ctries. 2010; 4 (8): 495-502. |
[28] | Oladele DA, Okafor CV, Oke B, Kalejaiye OO, Somefun EO, Ezeobi PM, Gbajabiamila T et al. Pattern, challenges and correlates of condom use among Nigerians living with HIV infection. Asian Pac J Trop Biomed. 2014; 4 (Suppl 1): S198-S203. |
[29] | WHO. 2009. Condoms for HIV prevention. WHO. Condoms for HIV prevention. Available at: https://www.who.int/hiv/topics/condom/en/ [Accessed on September 22, 2020]. |
[30] | Udigwe GO, Mbachu II, Onyegbule OA, Oguaka V. Use of condoms among Human Immunodeficiency Virus positive women attending antenatal clinic in Nnewi, southeast Nigeria. Ann Med Health Sci Res. 2014; 4 (5) 687-91. 42. |
[31] | Kalembo FW, Yukai D, Zgambo M, Jun Q. Male partner involvement in prevention of mother to child transmission of HIV in sub-Saharan Africa: successes, challenges and way forward. Open J Prev Med. 2012; 2 (1): 35-42. |
[32] | Shikwane ME, Villar-Loubet OM, Weiss SM, Peltzer K, Jones DL. HIV knowledge, disclosureand sexual riskamong pregnant women and their partners in rural South Africa. J Soc Aspects HIV/AIDS. 2013; 10 (2): 105-112. [32, 33, 34 –old 24, 25, 27]. |
[33] | Wilcher R, Cates W. Reproductive choices for women with HIV. Bull World Health Organ. 2009; 87: 833-9. |
[34] | Desgrees-du-Lou A, Brou H, Traore AT, Djohan G, Becquet R, Leroy V. From prenatal HIV testing of the mother to prevention of sexual HIV transmission within the couple. Soc Sci & Med. 2009; 69 (6): 892 -9. |
[35] | Ali MS, Tegegne ET, Tesemma MK, Tegegne KT. Consistent condom use and associated factors among HIV-positive clients on antiretroviral therapy in Northwest Ethiopian Health Centre, 2016 GC. AIDS Res Treat. 2019; 7134908. |
[36] | Enegela JE, Paul OI, Olaiya O, Ugba E, Okoh P, Ogundeko O et al. Rates of condom use among HIV positive patients on ART in Nasarawa Eggon north central Nigeria. Biomed J Sci Tech Res. 2019. 18 (5): 13842-7. |
[37] | Salaudeen AG, Musa OI, Ojotule A, Yusuf AS, Durowade KA, Omokanye LO. Condom use among people living with HIV/AIDS attending Abejukolo General Hospital in Kogi state, northcentral Nigeria. Ann Afr Med. 2014; 13 (3): 99-103. |
[38] | Salaudeen AG, Ojotule A, Durowade KA, Musa OI, Yusuf AS, Saka MJ. Condom use amonh HIV sero-discordant couples attending a secondary health facility in northcentral Nigeria. Niger J Bas Clin Sci. 2013; 10 (2) 51-6. |
[39] | Nsagha DS, Halle-Ekane GE, Nfor CS, Ngowe MN, Nasah BT. The role of the male partner in the prevention of mother to child transmission of HIV in Cameroon. Am J Epidemiol & Infect Dis. 2014; 2 (2) 52-9. |
[40] | Bilac ED. Work and family: possibilities for integration. Tempo Soc. 2014; 26 (1): 129-145. |
APA Style
Halima Mwuese Sule, Henrietta Chinenye Oyeocha, Mark Davou Gyang, Tinuade Abimbola Oyebode, Charles Ujunwa Anyaka, et al. (2022). Condom Use in Male Partners and Associated Factors Among HIV-positive Women Who Accessed PMTCT Services During Pregnancy in Jos, Nigeria. European Journal of Preventive Medicine, 10(1), 22-29. https://doi.org/10.11648/j.ejpm.20221001.15
ACS Style
Halima Mwuese Sule; Henrietta Chinenye Oyeocha; Mark Davou Gyang; Tinuade Abimbola Oyebode; Charles Ujunwa Anyaka, et al. Condom Use in Male Partners and Associated Factors Among HIV-positive Women Who Accessed PMTCT Services During Pregnancy in Jos, Nigeria. Eur. J. Prev. Med. 2022, 10(1), 22-29. doi: 10.11648/j.ejpm.20221001.15
AMA Style
Halima Mwuese Sule, Henrietta Chinenye Oyeocha, Mark Davou Gyang, Tinuade Abimbola Oyebode, Charles Ujunwa Anyaka, et al. Condom Use in Male Partners and Associated Factors Among HIV-positive Women Who Accessed PMTCT Services During Pregnancy in Jos, Nigeria. Eur J Prev Med. 2022;10(1):22-29. doi: 10.11648/j.ejpm.20221001.15
@article{10.11648/j.ejpm.20221001.15, author = {Halima Mwuese Sule and Henrietta Chinenye Oyeocha and Mark Davou Gyang and Tinuade Abimbola Oyebode and Charles Ujunwa Anyaka and Dinchi Olawumi and Lisa Lyop Patrick}, title = {Condom Use in Male Partners and Associated Factors Among HIV-positive Women Who Accessed PMTCT Services During Pregnancy in Jos, Nigeria}, journal = {European Journal of Preventive Medicine}, volume = {10}, number = {1}, pages = {22-29}, doi = {10.11648/j.ejpm.20221001.15}, url = {https://doi.org/10.11648/j.ejpm.20221001.15}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20221001.15}, abstract = {Despite being on antiretroviral therapy, during unprotected sex, a HIV-infected pregnant woman can transmit HIV not only to a HIV-negative sexual partner but also pose a risk for reinfection with new or resistant viral strains between her and a HIV-positive sexual partner, and ultimately to her baby. Condom use is a recognized strategy to reduce this risk if practiced consistently. This study set out to determine condom use and associated factors among a cohort of women who attended PMTCT clinic in Jos University Teaching hospital. Methods: Ninety-six enrolled women provided information about themselves and their male partners via a questionnaire, and other relevant information was obtained from their hospital records. Data obtained was analyzed using Epi info version 7 (CDC Atlanta, GA). The mean age of the women was 36.4±4.5 years. They were predominantly married (90.6%), Christians (75.0%), and educated above primary school level (88.6%). The mean age of the male partners was 45.3±6.1 years and over half of them (57.3%) were HIV-positive. The prevalence of consistent condom use in the participants was low (26.0%). Only 4.2% of male partners had ever received counselling in the PMTCT clinic. Factors significantly associated with condom use were younger age of male partner (mean ± SD=43.0±4.7 years), younger age of pregnant women (mean ± SD=34.2±3.3 years), Christian faith of the women, male partners having ever accompanied their pregnant woman for counselling in the PMTCT clinic and viral load of < 1000 copies/ml (P value=0.0290, 0.0035, 0.0440, 0.0227 and 0.0045 respectively). The practice of consistent condom use among male partners of HIV-positive pregnant women attending PMTCT clinic in JUTH was low, suggesting the need for improved strategies to optimize its usage. Involvement of male partners in PMTCT counselling is significantly associated with consistent condom use and should therefore be advocated to augment efforts towards fighting sexual and perinatal HIV transmission.}, year = {2022} }
TY - JOUR T1 - Condom Use in Male Partners and Associated Factors Among HIV-positive Women Who Accessed PMTCT Services During Pregnancy in Jos, Nigeria AU - Halima Mwuese Sule AU - Henrietta Chinenye Oyeocha AU - Mark Davou Gyang AU - Tinuade Abimbola Oyebode AU - Charles Ujunwa Anyaka AU - Dinchi Olawumi AU - Lisa Lyop Patrick Y1 - 2022/02/16 PY - 2022 N1 - https://doi.org/10.11648/j.ejpm.20221001.15 DO - 10.11648/j.ejpm.20221001.15 T2 - European Journal of Preventive Medicine JF - European Journal of Preventive Medicine JO - European Journal of Preventive Medicine SP - 22 EP - 29 PB - Science Publishing Group SN - 2330-8230 UR - https://doi.org/10.11648/j.ejpm.20221001.15 AB - Despite being on antiretroviral therapy, during unprotected sex, a HIV-infected pregnant woman can transmit HIV not only to a HIV-negative sexual partner but also pose a risk for reinfection with new or resistant viral strains between her and a HIV-positive sexual partner, and ultimately to her baby. Condom use is a recognized strategy to reduce this risk if practiced consistently. This study set out to determine condom use and associated factors among a cohort of women who attended PMTCT clinic in Jos University Teaching hospital. Methods: Ninety-six enrolled women provided information about themselves and their male partners via a questionnaire, and other relevant information was obtained from their hospital records. Data obtained was analyzed using Epi info version 7 (CDC Atlanta, GA). The mean age of the women was 36.4±4.5 years. They were predominantly married (90.6%), Christians (75.0%), and educated above primary school level (88.6%). The mean age of the male partners was 45.3±6.1 years and over half of them (57.3%) were HIV-positive. The prevalence of consistent condom use in the participants was low (26.0%). Only 4.2% of male partners had ever received counselling in the PMTCT clinic. Factors significantly associated with condom use were younger age of male partner (mean ± SD=43.0±4.7 years), younger age of pregnant women (mean ± SD=34.2±3.3 years), Christian faith of the women, male partners having ever accompanied their pregnant woman for counselling in the PMTCT clinic and viral load of < 1000 copies/ml (P value=0.0290, 0.0035, 0.0440, 0.0227 and 0.0045 respectively). The practice of consistent condom use among male partners of HIV-positive pregnant women attending PMTCT clinic in JUTH was low, suggesting the need for improved strategies to optimize its usage. Involvement of male partners in PMTCT counselling is significantly associated with consistent condom use and should therefore be advocated to augment efforts towards fighting sexual and perinatal HIV transmission. VL - 10 IS - 1 ER -