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Ezechi OC, Akinsolu FT, Gbajabiamila TA, Idigbe IE, Ezeobi PM, Musa AZ, Wapmuk AE. Sexual dysfunction among Nigerian women living with HIV infection. PLoS One 2024; 19:e0292294. [PMID: 38635555 PMCID: PMC11025868 DOI: 10.1371/journal.pone.0292294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 03/20/2024] [Indexed: 04/20/2024] Open
Abstract
INTRODUCTION Sexual dysfunction in women with HIV is a necessary but understudied aspect of HIV complications in women living with HIV. This study reports the prevalence, pattern, and risk factors for sexual dysfunction in women living with HIV in southwest Nigeria. METHODS A validated Female Sexual Function Index was used to determine sexual dysfunction in a cross-sectional study design involving 2926 adult women living with HIV in a large, publicly funded tertiary HIV treatment centre in Lagos, Nigeria. A score of less than 26.5 indicated sexual dysfunction. Multivariate logistic regression analysis was performed to identify risk factors for sexual dysfunction. P<0.05 was considered statistically significant at a 95% confidence interval (CI). RESULTS The prevalence of sexual dysfunction was 71.4%. The types of dysfunctions detected included disorder of desire (76.8%), sexual arousal (66.0%), orgasm (50.0%), pain (47.2%), lubrication (47.2%), and satisfaction (38.8%). Multivariate analysis showed that menopause (aOR: 2.0; 1.4-4.1), PHQ score of 10 and above (aOR: 2.3; 1.7-3.2), co-morbid medical conditions (aOR: 1.8; 1.4-2.7), use of protease inhibitor-based antiretroviral therapy (aOR: 1.3; 1.2-2.1) and non-disclosure of HIV status (aOR: 0.7; 0.6-0.8) were factors associated with sexual dysfunction. CONCLUSIONS Sexual dysfunction is common among Nigerian women living with HIV. Menopause, use of protease inhibitor-based regimens, PHQ score of at least 10, co-morbid medical condition, and non-disclosure of HIV status were associated with sexual dysfunction. National HIV programmes, in addition to incorporating screening and management of sexual dysfunction in the guidelines, should sensitise and train health workers on the detection and treatment of sexual dysfunction.
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Affiliation(s)
- Oliver Chukwujekwu Ezechi
- Center for Reproduction and Population Health Studies, Clinical Sciences Department, Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
- Department of Public Health, Faculty of Basic Medical and Health Sciences, Lead City University, Ibadan, Oyo State, Nigeria
| | - Folahanmi Tomiwa Akinsolu
- Center for Reproduction and Population Health Studies, Clinical Sciences Department, Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
- Department of Public Health, Faculty of Basic Medical and Health Sciences, Lead City University, Ibadan, Oyo State, Nigeria
| | - Tititola Abike Gbajabiamila
- Center for Reproduction and Population Health Studies, Clinical Sciences Department, Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Ifeoma Eugenia Idigbe
- Center for Reproduction and Population Health Studies, Clinical Sciences Department, Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
| | - Paschal Mbanefo Ezeobi
- Center for Reproduction and Population Health Studies, Clinical Sciences Department, Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
- Department of Public Health, Faculty of Basic Medical and Health Sciences, Lead City University, Ibadan, Oyo State, Nigeria
| | - Adesola Zadiat Musa
- Center for Reproduction and Population Health Studies, Clinical Sciences Department, Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
- Department of Public Health, Faculty of Basic Medical and Health Sciences, Lead City University, Ibadan, Oyo State, Nigeria
| | - Agatha Eileen Wapmuk
- Center for Reproduction and Population Health Studies, Clinical Sciences Department, Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria
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Oleribe OO, Idigbe IE, Osita-Oleribe P, Olawepo O, Musa ZA, Aikhuomogbe S, Ezechi OC, Fertleman M, Salako B, Taylor-Robinson SD. Perceptions and opinions of Nigerians to the management and response to COVID-19 in Nigeria. Pan Afr Med J 2022; 40:185. [PMID: 35059105 PMCID: PMC8728801 DOI: 10.11604/pamj.2021.40.185.31824] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 11/13/2021] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION we present a qualitative analysis of opinions of the Nigerian general public as to how successful healthcare strategies have been in containing the COVID-19 outbreak. METHODS an online qualitative survey was conducted, consisting of 30 semi-structured questions. RESULTS four hundred and ninety-five (495) respondents participated, ranging in age from 18 to 59 years. Over 40% of all respondents were critical of public health information. Participants saw provision of social support measures (n = 83), lack of economic, financial and social support (n = 65), enforcement of restrictions on movement outside the home, availability of face-masks and social distancing (n = 53) and provision of COVID-19 testing (n = 48) as the major things that were handled poorly by the government and health authorities. CONCLUSION we advocate coordinated forward planning for public safety until vaccines are widely available; while social distancing should continue. Policymakers need to be adaptable to changing conditions, given fluctuating case numbers and fatality rates.
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Affiliation(s)
- Obinna Ositadimma Oleribe
- Family Services Department, Klamath Tribal Health and Family Services, Klamath Falls, Oregon, United States of America
| | - Ifeoma Eugenia Idigbe
- Department of Public Health, Nigeria Institute for Medical Research, PMB 2013, Yaba, Lagos, Nigeria
| | | | - Olatayo Olawepo
- Office of the Central Secretariat, Georgetown Global Health, Abuja, Nigeria
| | - Zaidat Adesola Musa
- Department of Public Health, Nigeria Institute for Medical Research, PMB 2013, Yaba, Lagos, Nigeria
| | | | | | - Michael Fertleman
- Cutrale Perioperative and Ageing Group, Department of Bioengineering, Imperial College London, White City Campus, 86 Wood Lane, London W120BZ, United Kingdom
| | - Babatunde Salako
- Office of the Director General, Nigeria Institute for Medical Research, PMB 2013, Yaba, Lagos, Nigeria
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Chukwujekwu Ezechi O, Odberg Petterson K, Gbajabiamila T, Eugenia Idigbe I, Vivian Gab-Okafor C, Abu Okolo C, Otobo Ujah IA, Ostergren PO. Evaluation of Direct Visual Inspection of the Cervix in Detecting Cytology Diagnosed Squamous Intraepithelial Lesion in Women of known HIV Status. A Randomized Trial (CANHIV Study). Afr J Reprod Health 2016; 20:77-88. [PMID: 29566322 DOI: 10.29063/ajrh2016/v20i4.8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
A two-arm, open label, randomized study, evaluated the test characteristics of visual inspection of cervix with Acetic acid(VIA) and Lugol‟s Iodine(VILI) in detecting cytology diagnosed squamous intraepithelial lesion(SIL) in 1160 women of known HIV status in southwestern Nigerian. Using SIL as reference standard and the HIV status masked, VIA and VILI had similar test characteristics except for the positive predictive value in which VIA value of 91.5% was significantly higher than 77.7% for VILI ( p=0.01). Among HIV positive women, VILI performed poorly across all the 4 test characteristics compared to VIA. Among severely immuno-compromised HIV positive participants VILI performance was consistently below 80% across all test characteristics (sensitivity-70.0%; specificity-66.9%; positive predictive value-46.7%; negative predictive value(NPV)-50.0%) compared to VIA (Senstivity-71.3%; specificity-88.2%; positive predictive value-83.3%; negative predictive value -88.2). Our study shows that VILI is insufficiently sensitive and specific in the presence of HIV infection especially in those with severe immunosuppression. Based on VIA‟s acceptable sensitivity and NPV in all situations, it is recommended for cervical cancer screening in HIV positive women and in settings of high HIV burden.
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Ezechi OC, Petterson KO, Gbajabiamila TA, Idigbe IE, Kuyoro O, Ujah IAO, Ostergren PO. Predictors of default from follow-up care in a cervical cancer screening program using direct visual inspection in south-western Nigeria. BMC Health Serv Res 2014; 14:143. [PMID: 24678898 PMCID: PMC3986612 DOI: 10.1186/1472-6963-14-143] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2013] [Accepted: 03/27/2014] [Indexed: 11/24/2022] Open
Abstract
Background Increasingly evidence is emerging from south East Asia, southern and east Africa on the burden of default to follow up care after a positive cervical cancer screening/diagnosis, which impacts negatively on cervical cancer prevention and control. Unfortunately little or no information exists on the subject in the West Africa sub region. This study was designed to determine the proportion of and predictors and reasons for default from follow up care after positive cervical cancer screen. Method Women who screen positive at community cervical cancer screening using direct visual inspection were followed up to determine the proportion of default and associated factors. Multivariate logistic regression was used to determine independent predictors of default. Results One hundred and eight (16.1%) women who screened positive to direct visual inspection out of 673 were enrolled into the study. Fifty one (47.2%) out of the 108 women that screened positive defaulted from follow-up appointment. Women who were poorly educated (OR: 3.1, CI: 2.0 – 5.2), or lived more than 10 km from the clinic (OR: 2.0, CI: 1.0 – 4.1), or never screened for cervical cancer before (OR: 3.5, CI:3:1–8.4) were more likely to default from follow-up after screening positive for precancerous lesion of cervix . The main reasons for default were cost of transportation (48.6%) and time constraints (25.7%). Conclusion The rate of default was high (47.2%) as a result of unaffordable transportation cost and limited time to keep the scheduled appointment. A change from the present strategy that involves multiple visits to a “see and treat” strategy in which both testing and treatment are performed at a single visit is recommended.
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Idigbe IE, Nyatanga B, Nicol J. Touching lives': making a difference through matchmaking in an HIV clinic. Int J Palliat Nurs 2012; 18:56-8, 60. [PMID: 22399042 DOI: 10.12968/ijpn.2012.18.2.56] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Ifeoma Eugenia Idigbe
- Clinical Science Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria
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