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Sexual and reproductive health needs and barriers among youth living with HIV/AIDS in Lagos State, Nigeria | <hr /> (mysql): SELECT * FROM authors WHERE submission_id = 5267 ORDER BY seq   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15479'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15480'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15481'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15482'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15483'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15484'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15485'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15486'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15487'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15488'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15489'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15490'   <hr /> <hr /> (mysql): SELECT * FROM author_settings WHERE author_id = '15491'   <hr /> Adelekan | African Journal of Reproductive Health
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Sexual and reproductive health needs and barriers among youth living with HIV/AIDS in Lagos State, Nigeria

(mysql): SELECT * FROM authors WHERE submission_id = 5267 ORDER BY seq  
(mysql): SELECT * FROM author_settings WHERE author_id = '15479'  
(mysql): SELECT * FROM author_settings WHERE author_id = '15480'  
(mysql): SELECT * FROM author_settings WHERE author_id = '15481'  
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Babatunde A. Adelekan, Toriola Femi-Adebayo, Bisola I. Adebayo, Esther O. Somefun, Amaka Haruna, Bukola F. Popoola, Funmilade O. Adepoju, Maureen U. Samuel, Olufunsho T. Akinyemi, Oladipupo Fisher, Monsurat Adeleke, Erika Goldson, Ulla Mueller

Abstract

This study assesses the sexual and reproductive health (SRH) needs and barriers faced by youth living with HIV/AIDS in Lagos State, Nigeria. Conducted between September and December 2022, the cross-sectional survey involved 117 participants from HIV support groups, with a mean age of 18.6±2.6 years. Most participants were female (57.3%), and 47% had lost one or both parents. While 78.6% were aware of male condoms, only 33.3% reported being sexually active, and just 41% demonstrated good SRH knowledge. Key SRH needs included access to youth-friendly services, comprehensive education, diverse contraceptive options, support for HIV status confidentiality, as well as transportation assistance. Barriers to service utilisation were fear of HIV disclosure (66.7%) and transportation costs (59.8%). Sexual activity was significantly associated with contraceptive use (p=0.001) and being in a relationship (p<0.001). Regression analysis revealed that contraceptive use increased the odds of sexual activity 3.3 times (aOR 3.32, 95% CI 1.134–9.744, p=0.029), while being in a relationship raised it by 5.9 times (aOR 5.96, 95% CI 2.126–16.747, p=0.001). The findings underscore the need for targeted policies and programs to enhance access to SRH services and address the unique needs of youth living with HIV/AIDS in Lagos State.

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Reproductive Health Programming for Adolescents

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Living with HIV in Uganda. Popul Res Policy Rev.

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scoping review. Reprod Health [Internet]. 2021 Dec

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Chambers L, et al. Examining the associations

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between HIV-related stigma and health outcomes in

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people living with HIV/AIDS: a series of metaanalyses. BMJ Open [Internet]. 2016 Jul 13 [cited

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HIV-positive adolescents. Curr Opin HIV AIDS.

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Folayan MO, Haire B, Harrison A, Odetoyingbo M, Fatusi

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O, Brown B. Ethical Issues in Adolescents’ Sexual

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and Reproductive Health Research in Nigeria. Dev

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World Bioeth. 2015 Dec 1;15(3):191–8.

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National Bureau of Statistics (NBS), FMOYD. National

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Baseline Youth Survey [Internet]. FCT; 2012 [cited

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Oct 22]. Available from:https://www.nigerianstat.gov.ng/pdfuploads/2102%

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Report_1.pdf

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Cleland J, Ingham R, Stone N. Asking young people about

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sexual and reproductive behaviours: Illustrative Core

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Instruments [Internet]. Special Programme of

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Research, Development and Research Training in

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Human Reproduction. Human Reproduction

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Programme; 2001 [cited 2022 Oct 22]. Available

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from: https://cdn.who.int/media/docs/defaultsource/hrp/adolescents/sample-coreinstruments.pdf?sfvrsn=451ebf9e_9

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Bakeera-Kitaka S, Nabukeera-Barungi N, Nöstlinger C,

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Addy K, Colebunders R. Sexual risk reduction needs

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of adolescents living with HIV in a clinical care

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setting. AIDS Care - Psychological and SocioMedical Aspects of AIDS/HIV [Internet]. 2008 Apr

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https://www.tandfonline.com/doi/abs/10.1080/0954

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Birungi H, Obare F, Namwebya HJ, Mohammed M, Gitau

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M, Makumi M, et al. Sexual and reproductive health

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needs of adolescents living with HIV in Kenya

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[Internet]. 2011 [cited 2022 Sep 13]. Available from:

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https://knowledgecommons.popcouncil.org/departm

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ents_sbsr-rh/178/

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Milanzi A, Wekwete NN. Sexual and Reproductive Health

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Issues among HIV Positive Adolescents in Gweru

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Rural District in Zimbabwe: A cross-sectional study.

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Med Res Arch [Internet]. 2024 Jan 30 [cited 2024 Jun

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https://esmed.org/MRA/mra/article/view/4536

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Patel VL, Yoskowitz NA, Arocha JF, Shortliffe EH.

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Cognitive and learning sciences in biomedical and

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health instructional design: A review with lessons for

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biomedical informatics education. J Biomed Inform

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[Internet]. 2009;42(1):176–97. Available from:

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http://dx.doi.org/10.1016/j.jbi.2008.12.002

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Ng'eno BN, Kellogg TA, Kim AA, Mwangi A, Mwangi M,

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Wamicwe J and Rutherford GW. Modes of HIV

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transmission among adolescents and young adults

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aged 10–24 years in Kenya. Int J STD AIDS

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[Internet]. 2018 Jul 1 [cited 2022 Oct 17];29(8):800–

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Joseph RS, Mahiti GR, Frumence G, Ulrich CM.

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Qualitative inquiry into adolescents’ experience of

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ethical challenges during enrollment and adherence

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to antiretroviral therapy (ART) in Temeke Regional

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Referral Hospital, Tanzania. BMC Med Ethics. 2022

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Dec 1;23(1).

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Denison JA, Packer C, Nyambe N, Hershow RB, Caldas S,

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Miti S, Sudarsan S, Chen M, Bernholc A, Mwansa

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JK and McCarraher DR. Family Connections

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randomized controlled trial: assessing the feasibility

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and acceptability of an intervention with adolescents

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living with HIV and their caregivers in Ndola,

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Zambia. AIDS Care - Psychological and SocioMedical Aspects of AIDS/HIV. 2022;34(4):459–68.

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FHI 360 (2013) Adolescents Living with HIV in Zambia:

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An Examination of HIV Care and Treatment and

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Family Planning. Lusaka. Zambia - Google Search

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[Internet]. [cited 2022 Oct 25]. Available from:

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Tanzania Commission for AIDS & UNICEF (2014) A

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Situational Analysis of Adolescents Living with HIV

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and Available Services in Tanzania. Dar es Salaam,

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Tanzania. - Google Search [Internet]. [cited 2022 Oct

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Adeniyi OV, Nwogwugwu C, Ajayi AI, Lambert J. Barriers

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sexual partners among postpartum women living

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with HIV in South Africa. BMC Public Health. 2021

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Ajayi AI, Okeke SR. Protective sexual behaviours among

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young adults in Nigeria: Influence of family support

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and living with both parents. BMC Public Health

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[Internet]. 2019 Jul 23 [cited 2022 Oct 22];19(1):1–

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Africa – History in context. South African Medical

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AIDS Care - Psychological and Socio-Medical

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A Second Chance in the Second Decade. Journal of

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Perinatally Infected with Human Immunodeficiency

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Mmari K, Blum R, Sonenstein F, Marshall B, Brahmbhatt

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Findings from the WAVE study. Social Science

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Attending Sexually Transmitted Disease Clinics. Sex

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interpretation, and prevention. Am Psychol

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Seyfu H, Yohannes T. Risky Sexual Behavior and

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School Students. The Journal of Korean Academic

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Society of Nursing Education. 2015 Aug

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Puente D, Zabaleta E, Rodríguez-Blanco T, Cabanas M,

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género en conductas sexuales de riesgo en

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adolescentes en Cataluña. Gac Sanit. 2011

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Behaviors and Their Relevance to Mental Health

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Experience in South Korea. Int J Environ Res Public

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