Premarital HIV Testing on Prospective Couples in A Teaching Hospital in Sub Saharan Africa

Nnaji G. A, MBBS, FWACP (FM), FMCGP Ezeagwuna D. A, BSc, MSc, (Parasitology), MSc (Microbiology) Osakwe O. J, MBBS Nwigwe A. C, MBBS Ofiaeli, N. G, B. Ed, PGD (Sociology) Nnaji I.J-F, MBBS (intern

Available online Jul 18, 2018.

[ Original ] Volume 23, Issue 1, 2014, Pages 13-19


Background: Most religious bodies insist on premarital screening for prospective couples.
Aim: To determine the level of voluntary screening, prevalence and risk factors of HIV among premarital
Material and methods: A cross-sectional descriptive study using interviewer administered
questionnaire and HIV screening to collect data. Systematic sampling of every third premarital couples
attending the General outpatient Clinic between November 2010 and October 2011. SPSS version 17
was used for data analysis of 386 subjects.
Results: A majority of respondents (83.4% or 322); X2 = 172.446, df = 1, p< .05) had knowledge of
2 transmission of HIV. Mandatory HIV screening was 5.7% (22); X = 303.018, df = 1, p< .05), while voluntary
testing was 30% (113). The sero-prevalence of HIV was 2.6%, which was statistically and significantly
2 associated with cohabitation and upper social class. A majority (68.4% or 266); X = 272.166, df = 3, p< .05)
would call off marriage plans if their spouses tested positive to HIV.
The knowledge of transmission of HIV was very high with low sero-prevalence(2. 6%) among premarital
couples. Voluntary HIV testing was higher than mandatory request, while cohabitation and upper social
class are risk factors for HIV transmission.


Premarital screening, HIV, voluntary, risk factors, sero-prevalence,

January - March 2014

Volume 23 | Issue 1

Page Nos. 13-19

Online since Jul 13, 2018

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