Prevalence of Risky Sexual Behaviors of the Wealth Quintile among People Living With HIV in Lagos State
Keywords:
HIV Infection, Highest Quintile, Lowest Quintile, People Living with HIV/AIDSAbstract
This study investigates the prevalence of risky sexual behaviour among individuals from the highest and lowest wealth quintiles in Lagos State. A cross-sectional design of 1255 people living with HIV/AIDS (PLWHA) on ante-retro viral therapy (ART) at the Nigerian Institute of Medical Research, Yaba, Lagos State was conducted. Data on demographics, risky sexual behaviours (RSB) and substance use were collected through a structured questionnaire. Participants were quintiles based on principal component analysis of predefined indicators. The study focused on 258 respondents in the highest and 258 in the lowest wealth quintiles. RSB involves multiple sexual partners, unprotected sexual intercourse, and inconsistent use of condoms. The mean age of PLWHA was 34.2 years (SD: 12.9), 34.7% were males. RSB prevalence in these groups included multiple partners (10.2%) and injectable drug use (3.5%). The highest wealth quintiles had three times higher odds of risky behaviour (AOR 2.556) than the lowest quintile. Prevention for the lowest quintile should prioritize awareness, safer practices, and healthcare access. Interventions for the highest quintile should focus on stigma reduction, testing, counseling access, and comprehensive healthcare.
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