Sexual behaviour and condom use of older adults living with HIV/AIDS in a treatment centre at Osogbo, south-west Nigeria

Abstract

Objective: This study assessed the condom use and sexual behaviour of older adults living with HIV/AIDS at Osogbo, Osun State, Nigeria. Methods: A descriptive cross-sectional study involving all adults receiving care at an HIV treatment centre that completed an interviewer administered questionnaire on their sexual behaviour and condom use. Data were analyzed using descriptive and inferential statistics. Results: A total of 186 older adults completed the study. Their mean age (SD) was 54.5 (5.6) years. There are 114 (61.3%) females and 72 (38.7%) males. Two fifth 87 (46.8%) were sexually active with over half using condom (45, 51.7%) at last sexual intercourse. The determinants of condom use at last sexual intercourse included age 50-59 years (OR=3.34, 95% CI=1.21-9.25, p=0.020), lower education (OR=3.00, 95%CI=1.04-8.69, p=0.043), being married or have a partner (OR=3.25, 95%CI=1.11-9.52, p=0.031), partner's awareness of respondents' HIV status (OR=13.00, 95%CI=4.25-39.80, p<0.0001) and stigma experience from partner (OR=11.70, 95%CI=4.03-33.99, p=0.0001). Conclusion: Older adults engage in high-risk sexual behaviour. It is necessary to encourage safer sex practices, stigma reduction and couple HIV counseling and testing.