Sexual and reproductive health needs and barriers among youth living with HIV/AIDS in Lagos State, Nigeria

被引：0
作者：
Adelekan, Babatunde A. [1 ]
Femi-Adebayo, Toriola [2 ]
Adebayo, Bisola I. [3 ]
Somefun, Esther O. [1 ]
Haruna, Amaka [1 ]
Popoola, Bukola F. [2 ]
Adepoju, Funmilade O. [2 ]
Samuel, Maureen U. [2 ]
Akinyemi, Olufunsho T. [2 ]
Fisher, Oladipupo [4 ]
Adeleke, Monsurat [4 ]
Goldson, Erika [1 ]
Mueller, Ulla [1 ]
机构：
[1] United Nations Populat Fund Nigeria, Lagos, Nigeria
[2] Lagos State Univ, Dept Community Hlth & Primary Hlth Care, Teaching Hosp, Lagos, Nigeria
[3] Lagos State Univ, Coll Med, Dept Community Hlth & Primary Hlth Care, Lagos, Nigeria
[4] Lagos State AIDS Control Agcy, Lagos, Nigeria
来源：
AFRICAN JOURNAL OF REPRODUCTIVE HEALTH | 2025年 / 29卷 / 02期
关键词：
HIV/AIDS; Sexual and Reproductive Health; Youths; Youth-friendly services; Nigeria; DRUG-USE; HIV; ADOLESCENTS; BEHAVIOR; SERVICES; ALCOHOL; CARE;
D O I：
10.29063/ajrh2025/v29i2.14
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
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. (Afr J Reprod Health 2025; 29 [2]: 122-132).
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页码：122 / 132
页数：11
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