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Predictors of unprotected sexual intercourse among HIV-infected patients receiving antiretroviral drugs in the Niger Delta Region of Nigeria

机译:在尼日利亚尼日尔三角洲地区接受抗逆转录病毒药物无保护性交的预测因素

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摘要

This study aims to evaluate the predictor of unprotected sexual intercourse among HIV-infected adults receiving antiretroviral therapy (ART) in a tertiary facility in the Niger Delta Region of Nigeria. A cross sectional study was undertaken in a 200 bed tertiary hospital in Bayelsa state, south-south Nigeria. A standardized pre-tested interviewer administered questionnaire was used to collect demographic, clinical and sexual history from consecutive HIV-1 infected adults receiving ART for at least 6 months. Independent predictors of unprotected sexual intercourse (defined as irregular condom use or unprotected sex in previous 6months) were determined using an unconditional logistic regression model. Out of 241 patients studied, 71.8% were females, 48.5% were married, and 20.7% had a sexual partner that is HIV-1 infected. Sixty (24.9%) patients engaged in unprotected sex, 86 (35.7%) used condom consistently and 95 (39.4%) abstained. Female sex, being currently married, age18-35years, partner being HIV-positive and living with sexual partner were significant associated with risky sex. Female sex, age18-35years and being currently married were the only independent predictors of unprotected sex. HIV-infected adults receiving ART in resource limited settings are potential sources of secondary transmission of HIV. Condom use in the prevention of secondary transmission of HIV in study area should target females, young adults and married couples.
机译:本研究旨在评估尼日利亚尼日尔三角洲地区的第三次设施中艾滋病毒感染的成年人无保护性交的预测因子。在南南南南南南南南南南部的200张床三级医院中进行了横断面研究。用于管理调查问卷的标准化预测试的面试官从连续的HIV-1感染者接受艺术至少6个月收集人口统计学,临床和性史。使用无条件逻辑回归模型确定无保护性交的独立预测因子(定义为先前的6个月内的不规则避孕套使用或未受到保护)。在学习241例患者中,71.8%是女性,48.5%已婚,20.7%有一个感染的性伴侣。六十(24.9%)患者从事未受保护的性别,86名(35.7%)持续使用避孕套,95(39.4%)弃权。女性性别,目前已婚,年龄18-35年,伴侣艾滋病毒阳性和性生活伴侣的伴侣与风险性有关。女性性别,年龄18-35年和目前已婚的是未受保护性别的唯一独立预测因素。艾滋病毒感染的成年人在资源有限的环境中接受艺术是艾滋病毒的二次传播潜在来源。避孕套用于预防研究区域的艾滋病毒的二次传播应该针对女性,年轻的成年人和已婚夫妇。

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