Fertility Desire and Sexual Behaviour of People Living with HIV/AIDS in South Western, Nigeria
The study assessed the knowledge of reproductive and sexual health of People Living with HIV/AIDS (PLWIIA) in South-Western Nigeria. It further assessed the fertility desire of PLWHA and its correlates, determined respondents' level of condom use, and ascertained the proportion of those that communicate their HIV serostatus with their sexual partners. The aim was to explore the reproductive and sexual life of PLWHA in South-Western Nigeria, which may inform evidence-based intervention. The study was descriptive in design and was carried out in Ibadan, Ilesa and Lagos. A purposive sampling procedure was employed in recruiting 373 PLWHAs from support groups and National Antiretroviral (ARV) treatment centers at the study sites between January and March 2005. Data were collected with the aid of self-administered questionnaires and focus group discussions. Data were analyzed using appropriate descriptive and inferential statistical techniques. Results showed that females constituted more than half (56%) of the population. Only 44% were currently married, 29% have never been married, while the rest were widowed, divorced or separated. Most (53%) respondents showed good knowledge of sexual and reproductive health. Sixty five percent had been sexually active in the six months preceding the study, but these exhibited a high prevalence of risky sexual behaviour. More than half (51.2%) were not using condom consistently in the six months prior to the study while 7.8% had more than one sexual partner. However, a statistically significant association was observed between use of anti-retroviral (ARV) drug and consistent condom use (X2 = 13.46, df =1, P = 0.01). Only 40% of the, PLWHA had disclosed their serostatus to their regular sexual partners. About two-thirds (65.8%) of respondents were desirous of having more children. Binary logistic regression analysis showed that age (odds ratio = 1.223; 95% confidence interval = 1.069-1.339) and number of living children (odds ratio = 1.983; 95% confidence interval = 1.185-3.319) were the independent determinants of fertility desires among PLWHAs. Findings from the FGD corroborated the findings from the quantitative approach in terms of knowledge, and showed that the major reasons why PLWHAM wanted to have children included pressure from family members and the need for an heir to inherit property and immortalize their names. The study concluded that majority of PLWHAs in South-Western Nigeria were sexually active and still had fertility desires but exhibited high risk sexual behaviours.