Evaluation of Condom Use and Associated Factors among Adult HIV Clients in Maiduguri, North Eastern Nigeria: A Comparative Cross Sectional Study

Ballah Akawu Denue, Salisu Aliyu Kwayabura, David Bukbuk, Umaru Inuwa, Babajide Babatunde Ajayi

Deparment of Medicine, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.
Deparment of Microbiology, University of Maiduguri, Maiduguri, Nigeria.
Department of Immunology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.
Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.

DOI: 10.4236/wja.2014.42022                

Abstract

Objective: To assess the pattern of condom use among HAART naive and experienced patients in north eastern Nigeria. Methods: An interviewer-administered questionnaire was used to assess the pattern of condom use among 201 HIV clients. Participants included for this comparative cross sectional study were divided into two group: HAART experienced participants that had been on therapy for at least 12 months and HAART naive participants that had been registered at least 3 months before the beginning of the study. Results: Almost half of the HAART naive and substantial proportion of HAART experienced couples never used condom. Few (13.4%) HAART experienced and 16.5% naive participants always used condom. Inconsistent condom use among HAART naive and experienced partners was 38.8% and 41.8% respectively. Spouse notification of HIV was significantly associated with the use of condoms (p = 0.02; OR 1.32, 95% CI: 1.06 - 1.64). The stepwise logistic regression indicated that female (OR 2.40; CI: 1.09 - 3.82), partner notification of HIV sero-positive status (OR 1.32; CI: 1.06 - 1.64, yes versus none), occupation as a civil servant (OR 1.40; CI: 0.15 - 1.05), are factors independently associated with condom use in our studied participants. Conclusion: We report that condom use is uncommon among HIV clients in our environment. Condom is significantly influenced by partner notification of HIV seropositive status, occupation as a civil servant and female gender. This study supports an absence of association between condom uptake and HAART use. Intensive and regular condom counselling for every HIV-positive outpatient who attends the clinic in our environment is expedient. We recommend interventions directed at increasing condom use among HIV clients in our environment.

Keywords

Condom Use, HIV, AIDS

Conflicts of Interest

The authors declare no conflicts of interest.

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