Utilization and Factors Affecting Utilization of Contraception among HIV‑Positive Male Patients in Saye, Zaria

Abstract

Introduction: Sub‑Saharan Africa continues to carry the full consequences of health and socioeconomic impact of HIV, with about 25.8 million and 66% of people with HIV infection living in the region. The overall prevalence of contraceptive use in Nigeria is low, especially among men; the uptake of contraception and the type of contraceptive use are heavily influenced by the male/husband dominance in the society/family.

Methodology: The study was carried out among HIV‑positive male patients in Saye, Zaria, using a descriptive cross‑sectional study among 265 respondents. Chi‑square and multivariate logistic regression were used to determine factors influencing contraceptive usage.

Results: The mean age of respondents was 45.6 ± 11.7 years. Only 61.9% of the respondents have ever used contraception, out of which 56.7% are currently using contraception. The identified reason for not using contraception was because they both were HIV positive (29%). There was a significant association between age, marital status, and level of education of respondents and current use of contraception with a P value of 0.001, <0.001, and 0.004, respectively.

Conclusion: There were low usage of contraception and poor acceptance of vasectomy. There should be adequate policies in place by the government to encourage male involvement in the utilization of contraception.

Keywords: Condom, contraception, HIV, National Tuberculosis and Leprosy Training Centre, tuberculosis, uptake