Associations between sexual identity, living with disability, bully victimisation, and HIV status and intimate partner violence among residents in Nigeria

Foláyan, Morẹ́nikẹ́ Oluwátóyìn; Oloniniyi, Ibidunni Olapeju; Nwakamma, Ikenna; Stevens-Murphy, Erva-Jean; Undelikwo, None Gabriel; Lusher, Joanne

doi:10.1186/s12889-022-14186-6

Cited by 2 publications

(1 citation statement)

References 67 publications

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“…The details of the study participants' recruitment procedure had earlier been described by Folayan et al [39]. Community representatives were drawn from the community of women, adolescents and young people, and key populations (female sex workers, transgender individuals, injecting drug users and men who have sex with other men) and members of the general population irrespective of their HIV status.…”

Section: Study Participants' Recruitmentmentioning

confidence: 99%

Whose rights are being violated when receiving HIV and sexual and reproductive health services in Nigeria?

Foláyan

Stevens-Murphy²,

Nwakamma³

et al. 2022

BMC Health Serv Res

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Background In Nigeria, vulnerability status may increase the risk for the violation of human rights while receiving health care. The present study determined the proportion and profile of people who reported rights violation while accessing HIV and sexual and reproductive health (SRH) services. Methods This was a cross sectional study with data collected between February and March 2021. The dependent variables were patients’ rights to autonomy: right to privacy and confidentiality of medical records; right to be treated with respect, regardless of gender, race, religion, ethnicity, allegations of crime, disability or economic circumstances; right to decline or consent to participation in medical research, experimental procedures or clinical trials; right to quality care in accordance to prevailing standards; and right to complain and express dissatisfaction regarding services received. The independent variables were sexual identity (heterosexual/straight, gay, lesbian, bisexual, queer), HIV status (positive, negative, do not know), living with disability (yes/no), and access point to HIV services (public or donor funded/private). Five multivariate regression models were developed to determine associations between the dependent and independent variable after adjusting for age, education level (no formal education, primary, secondary, tertiary), sex (male, female, intersex), marital status (single, married, separated/divorced, cohabiting) and gender identity (male, female, transgender). Results Complete data from 2119 study participants were analysed. Transgender individuals had significantly higher odds of experiencing violation of their rights to privacy and confidentiality of medical records (AOR:1.70), right to be treated with respect (AOR:1.71), right to complain and express dissatisfaction regarding services received (AOR:1.57) and right to decline consent to participate in medical research, experimental research, experimental procedures or clinical trials (AOR:1.81) compared to individuals who were males. Conclusion A high proportion of recipients of HIV and SRH services in Nigeria reported rights violations. Transgender individuals appear to have higher risk and those in spousal relationships have lower risk for rights violations. Studies are needed to learn how to improve rights-based HIV and SRH service delivery in Nigeria especially for transgender individuals.

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Section: Study Participants' Recruitmentmentioning

confidence: 99%

Whose rights are being violated when receiving HIV and sexual and reproductive health services in Nigeria?

Foláyan

Stevens-Murphy²,

Nwakamma³

et al. 2022

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

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HIV Private Care Services in Nigeria Expose Constraints on Healthcare Systems during the Pandemic

Lusher

Stevens-Murphy²,

Undelikwo³

et al. 2023

IJSRST

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Access to and satisfaction with healthcare services impacts overall quality of life. This paper presents data on sexual identity, gender identity, HIV status, disability status and access points for services as determinants for ease of access to and satisfaction with HIV prevention and ancillary care services in Nigeria. This cross-sectional study collected data between February 7th and 19th 2021 using an online platform. Study participants were 13-years+ and were recruited from nine states. Data were collected on ease of access to HIV prevention ancillary care, and satisfaction with HIV prevention services and ancillary care. Four multivariate regression analyses were conducted to determine associations between the dependent and independent variables after adjusting for confounders. Of 1995 participants, 1600 (80.2%) reported easy access to HIV prevention services and 1468 (73.6%) experienced easy access to ancillary care services. In addition, 1672 (83.8%) reported feeling satisfied with the HIV prevention services they had received and 1561 (78.2%) were satisfied with ancillary care services. People living with disability had significantly lower odds of accessing HIV prevention services with ease (AOR:0.56). Participants who utilized private healthcare facilities were more likely to report easy access to HIV prevention (AOR:1.58) and ancillary (AOR:1.37) care services, as well as satisfaction with HIV prevention (AOR:1.37) and ancillary (AOR:1.38) care. This study provides evidence that improved access to and satisfaction with HIV prevention and ancillary care services provided by private health institutions in Nigeria may reflect the environmental constraints associated with poor healthcare systems governance.

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Associations between sexual identity, living with disability, bully victimisation, and HIV status and intimate partner violence among residents in Nigeria

Cited by 2 publications

References 67 publications

Whose rights are being violated when receiving HIV and sexual and reproductive health services in Nigeria?

Whose rights are being violated when receiving HIV and sexual and reproductive health services in Nigeria?

HIV Private Care Services in Nigeria Expose Constraints on Healthcare Systems during the Pandemic

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