The authors declare that they have no competing interests.
SAO and DAA made substantial contributions to conception and design of the study and protocol development while SAO, DAA and NAA were involved in data collection, analysis and interpretation. SAO, DAA and NAA wrote the manuscript while EAA, ADA and MYI did an extensive review of the manuscript. All authors read and approved the final manuscript.
Worldwide heterosexual sex is the most common mode of HIV transmission, with the marital heterosexual route becoming a major contributor in sub-Sahara Africa. This study examined the role of inappropriate HIV status disclosure, after diagnosis, on marital sexual experiences of HIV positive women.
The study employed a descriptive cross-sectional design. An interviewer administered questionnaire that elicited information about HIV status disclosure to partners, sexual experiences, condom use and parity was administered to 122 married women living with HIV/AIDS. Participants were referred from peripheral health centres to receive comprehensive HIV care at the State Specialist Hospital, Osogbo, Nigeria.
Mean age (SD) of respondents was 33.8 (8.9) years. Only 23.8% of partners had HIV screening, with 3.3% being HIV positive. A majority (62%) of respondents reported experiencing marital sex deprivation since their partners became aware of their HIV status. There was a reported rejection (74.3%) of condom use by partners during sexual intercourse. Fear of becoming infected (85.7%) and blaming the women for their positive status (85.7%) were the main reasons the respondents gave for being sexually deprived by their partners.
Inappropriate status disclosure due to poor HIV counseling and testing (HCT) practices resulted in sexual deprivation of married HIV positive women. Adequate training and retraining of health care workers on HCT and HIV status disclosure will reduce experience of sexual deprivation among married HIV positive women.
UNAIDS/WHO 2009 AIDS epidemic update. Available: http://www.unaids.org/sites/default/files/.../jc1700_epi_update_2009_en_0.pdf. Accessed on September 1, 2010.
Federal Ministry of Health. National HIV strategic plan 2010-2015. National Agency for the Control of AIDS. Available: http://nigeria.unfpa.org/pdf/nsp.pdf. Accessed October 6, 2010
Federal Ministry of Health of Nigeria. 2010 national HIV seroprevalence sentinel survey among pregnant women attending antenatal clinics in Nigeria. Abuja, Nigeria: Department of Public Health 2011
Nigeria’s HIV/AIDS Information Website, “Current HIV/ AIDS Statistics in Nigeria.” http://www.nigeriahivinfo.com. Accessed on October 6, 2010
Ikpeazu A, Uba AS, Green K, Gwamna J, Uganden‐Okonkwo D. What does your epidemic look like? Nigeria. Nigeria.pdf. Accessed on October 6, 2010
Federal Ministry of Health of Nigeria: HIV/STI Integrated Biological and Behavioural Surveillance Survey (IBBSS) . 2007: 109–110. http://sbccvch.naca.gov.ng/sites/default/files/NIGERIA HIV-STI INTEGRATED BIOLOGICAL AND BEHAVIOURAL REPORT 2008 FINAL.pdf. Accessed on December 23, 2012
Liamputtong P, Haritavorn N, Kiatying-Angsulee N. HIV and AIDS, stigma and AIDS support groups: Perspectives from women living with HIV and AIDS in central Thailand. Social Science & Medicine. 2009. doi:10.1016/j.socscimed.2009.05.040 (article in press)
UNAIDS. HIV and AIDS-related stigmatization, discrimination and denial: forms, contexts and determinants Research studies from Uganda and India. June 2000.
Umar SA, Oche MO. Knowledge of HIV/AIDS and use of mandatory premarital HIV testing as a prerequisite for marriages among religious leaders in Sokoto, North Western Nigeria. Pan African Medical Journal. 2012; 11:27. http://www.panafrican-med-journal.com/content/article/11/27/full/
Ogunro PS, Adeneye AK, Akinwusi PO, Ogungbamigbe TO. Willingness to seek HIV voluntary counseling and testing among urban residents in Osogbo, southwest Nigeria. J Comm Med Prim Health Care. 2011;23(1&2):68–78.
Chimbiri AM. The Condom is an ‘Intruder’ in Marriage: Evidence from Rural Malawi”. Social Science & Medicine. 2007;64:1102–15. CrossRef
Olowookere SA, Abioye-Kuteyi EA, Bamiwuye SO. Fertility intentions of people living with HIV/AIDS at Osogbo, Southwest Nigeria. The Eur J Contracept and Reprod Health Care. 2013;18:61–7. CrossRef
de Walque D, Kline R. Comparing condom use with different types of partners. Evidence of national HIV surveys in Africa. The World Bank Development Research group. Human Development and Public Service Team. 2009: 3-37.
Weller SC, Davis-Beaty K. Condom effectiveness in reducing heterosexual HIV transmission. Cochrane Database of Systematic Reviews 2002, Issue 1. Art. No.: CD003255. doi: 10.1002/14651858.CD003255.
- Sexual experiences of married HIV positive women in Osogbo, southwest Nigeria: role of inappropriate status disclosure
Daniel Adebode Adekanle
Samuel Anu Olowookere
Ayobami David Adewole
Najemdeen Ajao Adeleke
Emmanuel Akintunde Abioye-Kuteyi
Macellina Yinyinade Ijadunola
- BioMed Central
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