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Determinants and Patterns of Contraceptive Use among Sexually Active Women living with HIV in Ibadan, Nigeria

Article scientifique 2023 Anglais

Résumé

Abstract Background Contraception is a strategy to meet the family planning goals of women living with human immunodeficiency virus (WLHIV) as well as to reduce the transmission of HIV. There is limited data from Nigeria, where HIV prevalent is the second-largest in the world. This study aimed to examine contraceptive use and identify factors influencing its use among sexually active WLHIV in Ibadan, Nigeria. Methods A facility-based cross-sectional study was conducted involving 443 sexually active WLHIV. The inclusion criteria were WLHIV, aged 18–49 years, who asserted being fecund and sexually active. An adopted questionnaire was used to collect data, and the data was analyzed using the Statistical Package for Social Sciences (SPSS) Windows version 25. Statistical significance was set at p < 0.05. Results Among sexually active WLHIV (n = 443), 73.1% used contraceptives, with 26.9% having unmet needs. The results revealed a significant association between employment status and the use of contraceptives (AOR] = 2.150; 95% CI 1.279–3.612 p=0.004); accessibility to contraceptive methods and the use of contraceptives (AOR = 21.483; 95% CI 7.279–63.402 p=0.00). Also, a significant association was found between payment for service and contraceptive use (AOR = 14.343; 95% CI 2.705-76.051; p = 0.003). Previous reactions towards contraceptive use were also significantly associated with contraceptive use (AOR = 14.343; 95% CI 2.705-76.051 p = 0.003). The dual contraceptives usage rate was 30.7%. Conclusions Although contraceptive use among sexually active WLHIV was high, the study highlighted the need for increased adoption of dual contraceptive methods to mitigate the risk of unintended pregnancy and HIV re-infection among this population. It emphasized the importance of continuous sensitization and counseling services healthcare providers provide to promote contraceptive use among WLHIV.

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Akinsolu, F., Adegbite, Z., Bankole, S., Lawale, A., Adewole, I., Abodunrin, O., Olagunju, M., Ola, O., Abel, C., Gambari, A., Njuguna, D., Nwogu-Attah, J., Salako, A., Lukwa, A., Herbertson, E., Eleje, G., Ezechi, O. (2023). Determinants and Patterns of Contraceptive Use among Sexually Active Women living with HIV in Ibadan, Nigeria. https://doi.org/10.1101/2023.09.17.23295687

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Auteur(s)

Folahanmi Tomiwa Akinsolu Zaniab O. Adegbite Samuel Bankole Abisola Lawale Ifeoluwa E. Adewole Olunike Rebecca Abodunrin Mobolaji Timothy Olagunju Oluwabukola Mary Ola Chukwuemeka Abel Aisha O. Gambari Diana Wangeshi Njuguna Jacinta N. Nwogu-Attah Abideen Salako Akim Tafadzwa Lukwa Ebiere Herbertson George Uchenna Eleje Oliver Ezechi

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