Should They Also Have Babies? Community Attitudes Toward Sexual and Reproductive Rights of People Living With HIV/AIDS in Nigeria

Background: People living with HIV have the right to healthy, satisfying sex lives and to appropriate services to ensure their sexual and reproductive health, including having healthy children. The reproductive rights of people living with HIV/AIDS are, however, often met with skepticism and discrim...

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Autores principales:	Zubairu Iliyasu, Hadiza S. Galadanci, Yusuf A. Ibrahim, Musa Babashani, Mohammed S. Mijinyawa, Melynda Simmons, Muktar H. Aliyu
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	HIV/AIDS Nigeria sexual and reproductive rights community attitudes biological children Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f4afaff0cd354f7b9866685c606e08cf
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spelling	oai:doaj.org-article:f4afaff0cd354f7b9866685c606e08cf2021-12-02T03:35:38ZShould They Also Have Babies? Community Attitudes Toward Sexual and Reproductive Rights of People Living With HIV/AIDS in Nigeria2214-999610.1016/j.aogh.2017.05.001https://doaj.org/article/f4afaff0cd354f7b9866685c606e08cf2017-05-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/198https://doaj.org/toc/2214-9996Background: People living with HIV have the right to healthy, satisfying sex lives and to appropriate services to ensure their sexual and reproductive health, including having healthy children. The reproductive rights of people living with HIV/AIDS are, however, often met with skepticism and discrimination, despite recent advances in HIV treatment. Objective: To assess the attitudes of community members in Kano, Nigeria, toward the right of persons living with HIV/AIDS to have healthy sexual relationships and bear children. Methods: A cross-section of 399 adults was interviewed using pretested structured questionnaires. Logistic regression analysis was used to obtain adjusted estimates for predictors of agreement with the rights of persons with HIV/AIDS to bear children. Findings: A substantial proportion of respondents (28.6%) strongly agreed and agreed (10.5%) that persons with HIV/AIDS should not be allowed to marry. More than a fifth of the respondents disagreed (16.0%) and strongly disagreed (8.0%) with the rights of HIV-infected persons to bear children. Agreement with the statement “HIV-infected persons should have biological children” was independently associated with higher educational status (adjusted odds ratio: 2.26, 95% confidence interval: 1.82-6.73) and awareness of prevention of mother-to-child HIV transmission effectiveness (adjusted odds ratio: 2.53, 95% confidence interval: 1.92-5.37). Of those who agreed that HIV-infected persons should have children (n = 253), 17.8% and 26.1% strongly agreed and agreed, respectively, that persons living with HIV/AIDS should be restricted to having fewer children. Further, 11.5% and 4.8% of respondents disagreed and strongly disagreed, respectively, that infertile HIV-infected couples should receive fertility treatment. Conclusions: People living with HIV/AIDS face discriminatory attitudes to their reproductive rights in northern Nigeria. There is a need for effective, culturally appropriate information, education, and communication approaches to improving community perceptions of sexual and reproductive rights of people living with HIV/AIDS.Zubairu IliyasuHadiza S. GaladanciYusuf A. IbrahimMusa BabashaniMohammed S. MijinyawaMelynda SimmonsMuktar H. AliyuUbiquity PressarticleHIV/AIDSNigeriasexual and reproductive rightscommunity attitudesbiological childrenInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 2, Pp 320-327 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	HIV/AIDS Nigeria sexual and reproductive rights community attitudes biological children Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	HIV/AIDS Nigeria sexual and reproductive rights community attitudes biological children Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Zubairu Iliyasu Hadiza S. Galadanci Yusuf A. Ibrahim Musa Babashani Mohammed S. Mijinyawa Melynda Simmons Muktar H. Aliyu Should They Also Have Babies? Community Attitudes Toward Sexual and Reproductive Rights of People Living With HIV/AIDS in Nigeria
description	Background: People living with HIV have the right to healthy, satisfying sex lives and to appropriate services to ensure their sexual and reproductive health, including having healthy children. The reproductive rights of people living with HIV/AIDS are, however, often met with skepticism and discrimination, despite recent advances in HIV treatment. Objective: To assess the attitudes of community members in Kano, Nigeria, toward the right of persons living with HIV/AIDS to have healthy sexual relationships and bear children. Methods: A cross-section of 399 adults was interviewed using pretested structured questionnaires. Logistic regression analysis was used to obtain adjusted estimates for predictors of agreement with the rights of persons with HIV/AIDS to bear children. Findings: A substantial proportion of respondents (28.6%) strongly agreed and agreed (10.5%) that persons with HIV/AIDS should not be allowed to marry. More than a fifth of the respondents disagreed (16.0%) and strongly disagreed (8.0%) with the rights of HIV-infected persons to bear children. Agreement with the statement “HIV-infected persons should have biological children” was independently associated with higher educational status (adjusted odds ratio: 2.26, 95% confidence interval: 1.82-6.73) and awareness of prevention of mother-to-child HIV transmission effectiveness (adjusted odds ratio: 2.53, 95% confidence interval: 1.92-5.37). Of those who agreed that HIV-infected persons should have children (n = 253), 17.8% and 26.1% strongly agreed and agreed, respectively, that persons living with HIV/AIDS should be restricted to having fewer children. Further, 11.5% and 4.8% of respondents disagreed and strongly disagreed, respectively, that infertile HIV-infected couples should receive fertility treatment. Conclusions: People living with HIV/AIDS face discriminatory attitudes to their reproductive rights in northern Nigeria. There is a need for effective, culturally appropriate information, education, and communication approaches to improving community perceptions of sexual and reproductive rights of people living with HIV/AIDS.
format	article
author	Zubairu Iliyasu Hadiza S. Galadanci Yusuf A. Ibrahim Musa Babashani Mohammed S. Mijinyawa Melynda Simmons Muktar H. Aliyu
author_facet	Zubairu Iliyasu Hadiza S. Galadanci Yusuf A. Ibrahim Musa Babashani Mohammed S. Mijinyawa Melynda Simmons Muktar H. Aliyu
author_sort	Zubairu Iliyasu
title	Should They Also Have Babies? Community Attitudes Toward Sexual and Reproductive Rights of People Living With HIV/AIDS in Nigeria
title_short	Should They Also Have Babies? Community Attitudes Toward Sexual and Reproductive Rights of People Living With HIV/AIDS in Nigeria
title_full	Should They Also Have Babies? Community Attitudes Toward Sexual and Reproductive Rights of People Living With HIV/AIDS in Nigeria
title_fullStr	Should They Also Have Babies? Community Attitudes Toward Sexual and Reproductive Rights of People Living With HIV/AIDS in Nigeria
title_full_unstemmed	Should They Also Have Babies? Community Attitudes Toward Sexual and Reproductive Rights of People Living With HIV/AIDS in Nigeria
title_sort	should they also have babies? community attitudes toward sexual and reproductive rights of people living with hiv/aids in nigeria
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/f4afaff0cd354f7b9866685c606e08cf
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Should They Also Have Babies? Community Attitudes Toward Sexual and Reproductive Rights of People Living With HIV/AIDS in Nigeria

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