Background: People in discordant partnerships still deserve the right to enjoy sexual relations, and decide whether or not to have children while at the same time taking care not to infect the negative partner and the unborn child. Objective: To identify and compare factors influencing the sexual and reproductive health practices of HIV- concordant and discordant couples attending comprehensive health centers in Anambra state. Materials and methods: This was a cross-sectional comparative study of 289 (148 HIV-concordant and 141 HIV-discordant) couples, selected by a multistage sampling technique. Data were collected by interview using semi-structured questionnaire and analysed with statistical package for social sciences version 22.0. The models that met the criteria for significance, include: a statistically significant chi-square in the omnibus test (<0.05), a non-significant Hosmer Lemeshow test (> 0.05), Nagelkerke’s R square of at least 0.65. Results: Presence of support from religious circle and female age < 35 at couples' HIV diagnosis appear to encourage HIV couples to bear children (p=0.007 and p<0.000) respectively. Predictor variables that were significantly associated with satisfaction with sexual relationship (p<0.05), and contributed to model significance (p<0.05) consisted of female partner duration on HIV treatment, and safe sex practice method. Conclusions: This study revealed key determinants of the sexual and reproductive health practices of HIV- concordant and discordant couples. Such factors should form the basis for designing novel couple-targeted preventive strategies.
| Published in | Science Journal of Public Health (Volume 5, Issue 2) |
| DOI | 10.11648/j.sjph.20170502.18 |
| Page(s) | 110-116 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Sero-concordant, Couples, Sero-discordant, HIV, Sexual and Reproductive Health Practices, Determinants, Anambra State Nigeria
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APA Style
Adaeze Nnenna Anaekwe, Echendu Dolly Adinma, Chinomnso Chinanuekpere Nnebue, Chidebe Olisaegboka Anaekwe, Kamtochukwu Maduneme Obi, et al. (2017). Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria. Science Journal of Public Health, 5(2), 110-116. https://doi.org/10.11648/j.sjph.20170502.18
ACS Style
Adaeze Nnenna Anaekwe; Echendu Dolly Adinma; Chinomnso Chinanuekpere Nnebue; Chidebe Olisaegboka Anaekwe; Kamtochukwu Maduneme Obi, et al. Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria. Sci. J. Public Health 2017, 5(2), 110-116. doi: 10.11648/j.sjph.20170502.18
AMA Style
Adaeze Nnenna Anaekwe, Echendu Dolly Adinma, Chinomnso Chinanuekpere Nnebue, Chidebe Olisaegboka Anaekwe, Kamtochukwu Maduneme Obi, et al. Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria. Sci J Public Health. 2017;5(2):110-116. doi: 10.11648/j.sjph.20170502.18
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author = {Adaeze Nnenna Anaekwe and Echendu Dolly Adinma and Chinomnso Chinanuekpere Nnebue and Chidebe Olisaegboka Anaekwe and Kamtochukwu Maduneme Obi and Achunam Simeom Nwabueze and Christian Chibuzo Ibeh},
title = {Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria},
journal = {Science Journal of Public Health},
volume = {5},
number = {2},
pages = {110-116},
doi = {10.11648/j.sjph.20170502.18},
url = {https://doi.org/10.11648/j.sjph.20170502.18},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170502.18},
abstract = {Background: People in discordant partnerships still deserve the right to enjoy sexual relations, and decide whether or not to have children while at the same time taking care not to infect the negative partner and the unborn child. Objective: To identify and compare factors influencing the sexual and reproductive health practices of HIV- concordant and discordant couples attending comprehensive health centers in Anambra state. Materials and methods: This was a cross-sectional comparative study of 289 (148 HIV-concordant and 141 HIV-discordant) couples, selected by a multistage sampling technique. Data were collected by interview using semi-structured questionnaire and analysed with statistical package for social sciences version 22.0. The models that met the criteria for significance, include: a statistically significant chi-square in the omnibus test ( 0.05), Nagelkerke’s R square of at least 0.65. Results: Presence of support from religious circle and female age < 35 at couples' HIV diagnosis appear to encourage HIV couples to bear children (p=0.007 and p<0.000) respectively. Predictor variables that were significantly associated with satisfaction with sexual relationship (p<0.05), and contributed to model significance (p<0.05) consisted of female partner duration on HIV treatment, and safe sex practice method. Conclusions: This study revealed key determinants of the sexual and reproductive health practices of HIV- concordant and discordant couples. Such factors should form the basis for designing novel couple-targeted preventive strategies.},
year = {2017}
}
TY - JOUR T1 - Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria AU - Adaeze Nnenna Anaekwe AU - Echendu Dolly Adinma AU - Chinomnso Chinanuekpere Nnebue AU - Chidebe Olisaegboka Anaekwe AU - Kamtochukwu Maduneme Obi AU - Achunam Simeom Nwabueze AU - Christian Chibuzo Ibeh Y1 - 2017/02/21 PY - 2017 N1 - https://doi.org/10.11648/j.sjph.20170502.18 DO - 10.11648/j.sjph.20170502.18 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 110 EP - 116 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20170502.18 AB - Background: People in discordant partnerships still deserve the right to enjoy sexual relations, and decide whether or not to have children while at the same time taking care not to infect the negative partner and the unborn child. Objective: To identify and compare factors influencing the sexual and reproductive health practices of HIV- concordant and discordant couples attending comprehensive health centers in Anambra state. Materials and methods: This was a cross-sectional comparative study of 289 (148 HIV-concordant and 141 HIV-discordant) couples, selected by a multistage sampling technique. Data were collected by interview using semi-structured questionnaire and analysed with statistical package for social sciences version 22.0. The models that met the criteria for significance, include: a statistically significant chi-square in the omnibus test ( 0.05), Nagelkerke’s R square of at least 0.65. Results: Presence of support from religious circle and female age < 35 at couples' HIV diagnosis appear to encourage HIV couples to bear children (p=0.007 and p<0.000) respectively. Predictor variables that were significantly associated with satisfaction with sexual relationship (p<0.05), and contributed to model significance (p<0.05) consisted of female partner duration on HIV treatment, and safe sex practice method. Conclusions: This study revealed key determinants of the sexual and reproductive health practices of HIV- concordant and discordant couples. Such factors should form the basis for designing novel couple-targeted preventive strategies. VL - 5 IS - 2 ER -
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