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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Women's Health 1/2015

Sexual experiences of married HIV positive women in Osogbo, southwest Nigeria: role of inappropriate status disclosure

Zeitschrift:
BMC Women's Health > Ausgabe 1/2015
Autoren:
Daniel Adebode Adekanle, Samuel Anu Olowookere, Ayobami David Adewole, Najemdeen Ajao Adeleke, Emmanuel Akintunde Abioye-Kuteyi, Macellina Yinyinade Ijadunola
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

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.

Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

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.
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