title: Pattern, challenges and correlates of condom use among Nigerians living with HIV infection.
abstract: OBJECTIVE
  To determine the pattern, challenges and correlates of condom use among Nigerians living with HIV Infection.
  
  
  METHODS
  A cross sectional questionnaire study among HIV positive adults attending an HIV treatment centre in Lagos, Nigeria. Data entry and analysis were done with Epi-info version 3.5.1.
  
  
  RESULTS
  The mean age of respondents was 35 (SD=7.7; range: 17-58 years) and mean age at sexual debut was 20 years old (range: 7-37 years). Majority were women (66.6%), had at least secondary school education(91.1%), married (68.2%)), on ART (50.7%) and knew their partners HIV status(60.9%). The rate of condom use at last sex act was 65.9%, but only 48.8% used condom consistently. Factors associated with condom use were male gender (OR=2.43, CI=1.35-4.33, P=0.002), less than secondary school education (OR=3.12, CI=1.04-9.28, P=0.05) and Not knowing partner's HIV status (OR=1.90, CI=1.04-3.80, P=0.04). Refusal to use condom (28.4%) were as a result of pregnancy intention, undesirability of condom in marriage and decreased sexual pleasure.
  
  
  CONCLUSIONS
  There is low consistent condom use rate of 48.8% among this cohort despite their exposure to behavioural change messages. A review of the present counselling strategy and combination prevention is therefore advocated.
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Oladele David
authors.initials: OD
authors.lastname: Ayoola
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Gab-Okafor Chidinma
authors.initials: GO
authors.lastname: Victoria
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Oke
authors.initials: O
authors.lastname: Bamidele
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Kalejaiye Olufunto
authors.initials: KO
authors.lastname: Olufela
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Somefun Esther
authors.initials: SE
authors.lastname: Oluwatosin
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Ezeobi Paschal
authors.initials: EP
authors.lastname: Mbaneifo
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Gbajabiamila
authors.initials: G
authors.lastname: Titilola
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Adu Rosemary
authors.initials: AR
authors.lastname: Adagu
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Onwujekwe Dan
authors.initials: OD
authors.lastname: Ifeanyi
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Ohwodo
authors.initials: O
authors.lastname: Harry
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Odubela
authors.initials: O
authors.lastname: Oluwatosin
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Odunukwe Nkiru
authors.initials: ON
authors.lastname: Nonyelum
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: David
authors.initials: D
authors.lastname: Nkiruka
authors.affiliation: Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
authors.forename: Ezechi Oliver
authors.initials: EO
authors.lastname: Chukwujekwu
keywords: Condom use; HIV; Nigeria; Positive prevention