Browsing by Author "Ajuwon, J. A."

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HIV risk-related behavior, sexual coercion, and implications for prevention strategies among female fpprentice failors, Ibadan, Nigeria
(2002-09) Ajuwon, J. A.; McFarland, W.; Hudes, E. S.; Adedapo, S.; Okikiolu, T.; Lurie, P.
We describe a survey of 300 young female apprentice tailors in a periurban community in Ibadan, Nigeria. The objectives were to assess HIV risk-related behavior in order to plan appropriate prevention interventions. Most apprentice tailors were 18-21 years old (68%), single (95%), and had not completed secondary school (98%). History of sexual intercourse was reported by 53 %; 42% had ever experienced unwanted touching of the breast, backside, shoulder, or waist; 4% reported being raped in the last 6 months. Of sexually active women, 57% reported sexual debut with an instructor; 21% had exchanged sex for money or gifts and only 27% had used a condom during their most recent sexual intercourse. Instability of employment and lack of instructor support were primary barriers to implementing a pilot peer education HIV prevention project. The poor social and economic conditions of apprentice tailors make them vulnerable to sexual exploitation and, in turn, to HIV infection. A peer education intervention within the context of a microcredit economic development program may reduce risk for HIV among women in Nigeria's informal economy.
HIV risk-related behavior, sexual coercion, and implications for prevention strategies among female fpprentice failors, Ibadan, Nigeria
(2002-09) Ajuwon, J. A.; McFarland, W.; Hudes, E. S.; Adedapo, S.; Okikiolu, T.; Lurie, P.
We describe a survey of 300 young female apprentice tailors in a periurban community in Ibadan, Nigeria. The objectives were to assess HIV risk-related behavior in order to plan appropriate prevention interventions. Most apprentice tailors were 18-21 years old (68%), single (95%), and had not completed secondary school (98%). History of sexual intercourse was reported by 53 %; 42% had ever experienced unwanted touching of the breast, backside, shoulder, or waist; 4% reported being raped in the last 6 months. Of sexually active women, 57% reported sexual debut with an instructor; 21% had exchanged sex for money or gifts and only 27% had used a condom during their most recent sexual intercourse. Instability of employment and lack of instructor support were primary barriers to implementing a pilot peer education HIV prevention project. The poor social and economic conditions of apprentice tailors make them vulnerable to sexual exploitation and, in turn, to HIV infection. A peer education intervention within the context of a microcredit economic development program may reduce risk for HIV among women in Nigeria's informal economy.
Survey of the knowledge, attitude and practice of Nigerian surgery trainees to HIV-infected persons and AIDS patients
(2002) Adebamowo, C. A.; Ezeome, E. R.; Ajuwon, J. A.; Ogundiran, T. O.
Background: The incidence of HIV infection and AIDS is rising in Nigeria. Surgeons are at risk of occupationally acquired infection as a result of intimate contact with the blood and body fluids of patients. This study set out to determine the knowledge, attitude and risk perception of Nigerian surgery residents to HIV infection and AIDS. Methods: A self-administered postal questionnaire was sent to all surgery trainees in Nigeria in 1997. Results: Parenteral exposure to patients' blood was reported as occurring 92.5% times, and most respondents assessed their risk of becoming infected with HIV as being moderate at 1-5%. The majority of the respondents were not aware of the CDC guidelines on universal precautions against blood-borne pathogens. Most support a policy of routinely testing all surgical patients for HIV infection but 76.8% work in centers where there is no policy on parenteral exposure to patients' blood and body fluids. Most (85.6%) do not routinely use all the protective measures advocated for the reduction of transmission of blood borne pathogens during surgery, with the majority ascribing this to non-availability. Most want surgeons to be the primary formulators of policy on HIV and surgery while not completely excluding other stakeholders. Conclusions: The study demonstrates the level of knowledge, attitude and practice of Nigerian surgery trainees in 1997 and the need for policy guidelines to manage all aspects of the healthcare worker (HCW), patients, and HIV/AIDS interaction.