Knowledge of HIV and other sexually transmitted infections and place of delivery among urban women in South-West Nigeria
Keywords:HIV, Sexually Transmitted Infections (STIs), Knowledge, Urban women, South-west Nigeria
Background: HIV and other Sexually Transmitted Infections (STIs) pose serious risks to health security especially to women, therefore, knowledge of their complications and attitude toward sexual health is important in planning preventive and treatment strategies among women in Nigeria. This study aims to assess the knowledge of HIV and other STIs and its association with the choice of place of delivery among urban women in south west Nigeria.
Methods: Data for urban women in south-west Nigeria was collected from National Demographic Survey (DHS) 2018. It evaluated their knowledge of HIV and other STIs in relation to the location of most recent childbirth. Chi-square (χ2) test and binary logistic regression analysis were conducted to establish association between variables using SPSS.
Results: 4604 women were surveyed. Some (21.9%) of the respondents had poor knowledge of HIV and other STIs. Women who had secondary school education were 1.7 times and 2.6 times more likely to have knowledge of HIV and other STIs respectively (OR=1.737; p<0.001; CI=1.402 - 2.153; OR=2.604; p<0.001; CI=1.934 - 3.507). Women who delivered their first child in public healthcare facilities were 1.7 times more likely to have good knowledge of HIV and STIs (OR=1.674; p<0.001; CI=1.233 - 2.275).
Conclusion: Women education and choice of place of delivery are important factors for knowledge of HIV and other STIs among urban women. Therefore, it is essential to implement more educational programmes specifically targeted at less educated women in urban regions of Nigeria.
Upchurch DM, Mason WM, Kusunoki Y, Kriechbaum MJ. Social and behavioral determinants of self‐reported STD among adolescents. Perspectives on Sexual and Reproductive Health. 2004 Nov;36(6):276-87.
Ackerson LK, Ramanadhan S, Arya M, Viswanath K. Social disparities, communication inequalities, and HIV/AIDS-related knowledge and attitudes in India. AIDS and Behavior. 2012 Oct;16(7):2072-81.
Powell HL, Segrin C. The effect of family and peer communication on college students' communication with dating partners about HIV and AIDS. Health Communication. 2004 Oct 1;16(4):427-49.
Wolf RC, Pulerwitz J. The influence of peer versus adult communication on AIDS-protective behaviors among Ghanaian youth. Journal of health communication. 2003 Sep 1;8(5):463-74.
Anwar M, Syed Sulaiman SA, Ahmadi K, Kham TM. Awareness of school students on sexually transmitted diseases (STDs) and their sexual behaviour: a cross-sectional study conducted in Pulau Pinang, Malaysia. BMC Public Health. 2010 Jan 30;10(47).
Francis SC, Mthiyane TN, Baisley K, Mchunu SL, Ferguson JB, Smit T, Crucitti T, Gareta D, Dlamini S, Mutevedzi T, Seeley J. Prevalence of sexually transmitted infections among young people in South Africa: A nested survey in a health and demographic surveillance site. PLoS medicine. 2018 Feb 27;15(2):e1002512.
Ginsburg AS, Hoblitzelle CW, Sripipatana TL, Wilfert CM. Provision of care following prevention of mother-to-child HIV transmission services in resource-limited settings. Aids. 2007 Nov 30;21(18):2529-32.
Manzi M, Zachariah R, Teck R, Buhendwa L, Kazima J, Bakali E, Firmenich P, Humblet P. High acceptability of voluntary counselling and HIV‐testing but unacceptable loss to follow up in a prevention of mother‐to‐child HIV transmission programme in rural Malawi: scaling‐up requires a different way of acting. Tropical Medicine & International Health. 2005 Dec;10(12):1242-50.
Nyarko SH, Amu H. Self-reported effects of infertility on marital relationships among fertility clients at a public health facility in Accra, Ghana. Fertility research and practice. 2015 Dec;1(1):1-6.
Sialubanje C, Massar K, Hamer DH, Ruiter RA. Understanding the psychosocial and environmental factors and barriers affecting utilization of maternal healthcare services in Kalomo, Zambia: a qualitative study. Health education research. 2014 Mar 22;29(3):521-32.
Kifle MM, Kesete HF, Gaim HT, Angosom GS, Araya MB. Health facility or home delivery? Factors influencing the choice of delivery place among mothers living in rural communities of Eritrea. Journal of Health, Population and Nutrition. 2018 Dec;37(1):1-5.
Dickson KS, Adde KS, Amu H. What influences where they give birth? Determinants of place of delivery among women in rural Ghana. International journal of reproductive medicine. 2016 Oct;2016.
Hossain M, Mani KK, Sidik SM, Shahar HK, Islam R. Knowledge and awareness about STDs among women in Bangladesh. BMC public health. 2014 Dec;14(1):1-7.
Ikeako LC, Ekwueme OC, Ezegwui HU. Vulnerability and knowledge of sexually transmitted infections among female traders of reproductive age in Enugu, Nigeria. Annals of medical and health sciences research. 2014;4(1):118-22.
Ogbe JO. Knowledge, sources of information and practice of condom use in the prevention of sexually transmitted infections (STIs) among rural dwellers in Delta State, Nigeria. Studies on Ethno-Medicine. 2011 Aug 1;5(2):107-14.
Mayaud P, Mabey D. Approaches to the control of sexually transmitted infections in developing countries: old problems and modern challenges. Sexually transmitted infections. 2004 Jun 1;80(3):174-82.
Sano Y, Antabe R, Atuoye KN, Hussey LK, Bayne J, Galaa SZ, Mkandawire P, Luginaah I. Persistent misconceptions about HIV transmission among males and females in Malawi. BMC international health and human rights. 2016 Dec;16(1):1-0.
NARHS P. National HIV/AIDS and Reproductive Health Survey. Federal Republic of Nigeria Federal Ministry of Health, Abuja, Nigeria. 2012.
Nahar N, Akter J, Mahbub MS, Sultana R, Khan FI, Faruque M, Ara BR. Association of socio-demographic issues with level of knowledge of HIV/AIDS among injecting drug users in Dhaka City in Bangladesh. South East Asia Journal of Public Health. 2017 Dec 31;7(1):42-7.
Tenkorang EY. Myths and misconceptions about HIV transmission in Ghana: what are the drivers? Culture, health & sexuality. 2013 Mar 1;15(3):296-310.
Bogart LM, Skinner D, Weinhardt LS, Glasman L, Sitzler C, Toefy Y, Kalichman SC. HIV/AIDS misconceptions may be associated with condom use among black South Africans: an exploratory analysis. African Journal of AIDS Research. 2011 Jun 1;10(2):181-7.
Ross MW, Essien EJ, Torres I. Conspiracy beliefs about the origin of HIV/AIDS in four racial/ethnic groups. Journal of acquired immune deficiency syndromes (1999). 2006 Mar;41(3):342.
Morhason-Bello IO, Fagbamigbe AF. Association between Knowledge of Sexually Transmitted Infections and Sources of the Previous Point of Care among Nigerians: Findings from Three National HIV and AIDS Reproductive Health Surveys. International Journal of Reproductive Medicine. 2020 Jan 2;2020.
Lan PT, Lundborg CS, Mogren I, Phuc HD, Chuc NT. Lack of knowledge about sexually transmitted infections among women in North rural Vietnam. BMC infectious diseases. 2009 Dec;9(1):1-9.
The Determinants of Health [Internet]. World Health Organization. 2016 [cited 17 August 2022] . Available from: http://www.who.int/hia/evidence/doh/en/
Harling G, Bärnighausen T. The role of partners’ educational attainment in the association between HIV and education amongst women in seven Sub‐Saharan African countries. Journal of the International AIDS Society. 2016 Jan;19(1):20038.
Fagbamigbe AF, Adebayo SB, Idemudia E. Marital status and HIV prevalence among women in Nigeria: Ingredients for evidence-based programming. International journal of infectious diseases. 2016 Jul 1;48:57-63.
Pollack H. Making Americans healthier: Social and economic policy as health policy. Russell Sage Foundation; 2008 Jan 25.
How to Cite
Copyright (c) 2022 Razi International Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.