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Changes in attitude, sexual behaviour and the risk of HIV/AIDS transmission in southwest Nigeria.
East Afr Med J. 1997 Sep; 74(9):554-60.EA

Abstract

This pilot study was carried out in southwest Nigeria to determine the current trends in sexual behaviours known to be associated with HIV transmission in Nigeria. Knowledge of AIDS in general and as an incurable disease was high (91.4% and 79.4% respectively). Knowledge of the means of AIDS transmission was also very high among both men and women. Overall, condom use was consistent at 25%, inconsistent at 55% and non-existent at 20% for all sexually active respondents. Over 60 per cent of sexually active respondents had two or more sexual partners, with significantly more males than females having this number of sexual partners (p < 0.01). Eighteen per cent of sexually active respondents had a history of sex with commercial sex workers while 25% had a history of at least one sexually transmitted disease. Using multiple logistic regression, the significant determinants of condom use among the sexually active group were: being in a stable sexual relationship, history of sex with commercial sex workers, self-perception of testing positive for HIV and self-perception of HIV/AIDS risk in Nigeria. Prevalence of condom use in this study was much higher than those reported in previous studies, suggesting a probable decline in high risk sexual behaviours among inhabitants of urban Southwest Nigeria since the advent of AIDS. Most sexually active respondents aged 19 years or below (adolescents) who perceived themselves at a high risk of testing positive for HIV had never used condoms. The non usage of condoms among this group of adolescents is disturbing, since they are at greatest risk of spreading the disease. Health education and promotion of safe sex practices need to be extensively targeted at adolescents.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, Medical School, University of Zimbabwe, Lagos, Nigeria.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9487429

Citation

Olayinka, B A., and A A. Osho. "Changes in Attitude, Sexual Behaviour and the Risk of HIV/AIDS Transmission in Southwest Nigeria." East African Medical Journal, vol. 74, no. 9, 1997, pp. 554-60.
Olayinka BA, Osho AA. Changes in attitude, sexual behaviour and the risk of HIV/AIDS transmission in southwest Nigeria. East Afr Med J. 1997;74(9):554-60.
Olayinka, B. A., & Osho, A. A. (1997). Changes in attitude, sexual behaviour and the risk of HIV/AIDS transmission in southwest Nigeria. East African Medical Journal, 74(9), 554-60.
Olayinka BA, Osho AA. Changes in Attitude, Sexual Behaviour and the Risk of HIV/AIDS Transmission in Southwest Nigeria. East Afr Med J. 1997;74(9):554-60. PubMed PMID: 9487429.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Changes in attitude, sexual behaviour and the risk of HIV/AIDS transmission in southwest Nigeria. AU - Olayinka,B A, AU - Osho,A A, PY - 1998/3/6/pubmed PY - 1998/3/6/medline PY - 1998/3/6/entrez SP - 554 EP - 60 JF - East African medical journal JO - East Afr Med J VL - 74 IS - 9 N2 - This pilot study was carried out in southwest Nigeria to determine the current trends in sexual behaviours known to be associated with HIV transmission in Nigeria. Knowledge of AIDS in general and as an incurable disease was high (91.4% and 79.4% respectively). Knowledge of the means of AIDS transmission was also very high among both men and women. Overall, condom use was consistent at 25%, inconsistent at 55% and non-existent at 20% for all sexually active respondents. Over 60 per cent of sexually active respondents had two or more sexual partners, with significantly more males than females having this number of sexual partners (p < 0.01). Eighteen per cent of sexually active respondents had a history of sex with commercial sex workers while 25% had a history of at least one sexually transmitted disease. Using multiple logistic regression, the significant determinants of condom use among the sexually active group were: being in a stable sexual relationship, history of sex with commercial sex workers, self-perception of testing positive for HIV and self-perception of HIV/AIDS risk in Nigeria. Prevalence of condom use in this study was much higher than those reported in previous studies, suggesting a probable decline in high risk sexual behaviours among inhabitants of urban Southwest Nigeria since the advent of AIDS. Most sexually active respondents aged 19 years or below (adolescents) who perceived themselves at a high risk of testing positive for HIV had never used condoms. The non usage of condoms among this group of adolescents is disturbing, since they are at greatest risk of spreading the disease. Health education and promotion of safe sex practices need to be extensively targeted at adolescents. SN - 0012-835X UR - https://www.unboundmedicine.com/medline/citation/9487429/Changes_in_attitude_sexual_behaviour_and_the_risk_of_HIV/AIDS_transmission_in_southwest_Nigeria_ L2 - http://www.diseaseinfosearch.org/result/279 DB - PRIME DP - Unbound Medicine ER -