Abstract
The military community is considered a high-risk environment for HIV transmission. In this study, a total of One hundred and fifty military personnel aged between 20 and 55 years attending the Nigerian army Hospital, Air Force Clinic and Police Clinic in the Niger Delta of Nigeria were randomly recruited for the study. Samples were tested for HIV using an immunochromatographic assay. The CD4 cell count was estimated using the Partec Cyflow Counter (Partec, Germany). Results of the study showed an overall HIV prevalence rate of 14.67%. The prevalence of HIV was significantly higher among subjects in the ≥40 years age group (P = 0.03). The HIV prevalence was higher among female subjects compared to male military personnel (P = 0.05). Also, there was a significant negative correlation between the CD4 count and HIV positivity (r = −0.443, P<0.01). Out of the 22 subjects positive for HIV, 9.1% were severely immune compromised with CD4 count below<200 cells/μL while 72.7 and 18.2% had CD4 count of 200–350 and 350–500 cells/μL respectively. There is need for the development of a strategic plan that integrates HIV/AIDS and other STIs programs into existing systems and structures to foster behavior change through information dissemination. Policies should be instituted to make condoms regularly available and freely distributed, with the goal of achieving a 100%-condom-use rate. There is the need for an effective voluntary counseling and testing (VCT) and sentinel surveillance survey in the Nigerian military. Also critical is the establishment of a fully integrated and comprehensive care and support system including universal access of antiretroviral treatment for infected people.
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References
UNAIDS. (1998). AIDS and the military. Best practice collection. Geneva: UNAIDS
US Bureau of the Census, Population Division. (1998) . International programs center HIV/AIDS surveillance data. Washington, DC: US Bureau of the Census
Sarin, R. (2003). A new security threat: HIV/AIDS in the military. Washington: World watch Institute.
Adebajo, S. B., Mafeni, J., Moreland, S., & Murray, N. (2002). Knowledge, attitudes and sexual behavior among Nigerian military concerning HIV/AIDS and STD: Final technical report. Nigeria: Policy Project.
Lovgren, S. (2001). African army hastening HIV/AIDS spread. Jenda: A Journal of Culture and African Women Studies, 1, 2.
UNAIDS. (2005). Engaging uniformed services in the fight against HIV/AIDS. Accessed at https://uniformedservices.unaids.org on July 8
Federal Ministry of Health, Nigeria. (2009). Report on the 2008 national HIV seroprevalence sentinel survey among pregnant women attending antenatal clinics in Nigeria, pp. 1–46.
Noah, D., & Fidas, G. (2000). The global infectious disease threat and its implications for the united states. Washington: National Intelligence Council.
Biague, A., Mansson, F., da Silva, Z., Dias, F., Nantote, Q., Costa, J., et al. (2010). High sexual risk taking and diverging trends of HIV-1 and HIV-2 in the military of Guinea Bissau. Journal of Infection in Developing Countries, 4(5), 301–308.
United Nations. (2000). Press release: Security council holds debate on impact of AIDS on peace and security in Africa. SC/6781. January 10
UNAIDS. (2005). Engaging uniformed services in the fight against HIV/AIDS. Accessed at https://uniformedservices.unaids.org on July 8
Essien, J., Meshack, A., Ekong, E., Williams, M., Amos, C., James, T., et al. (2005). Effectiveness of a situational-based HIV risk-reduction intervention for the Nigerian Uniformed Services on readiness to adopt condom use with casual partners. Counseling, Psychotherapy and Health, 1(1), 19–30.
Sahr, F., Jalloh,MI., Kargbo, B., & Gbakima, AA. (2007). Prevalence of HIV and other sexually transmitted infections in the republic of sierra leone armed forces. African Journal of Science and Technology (AJST) Science and Engineering Series, 9(2): 101–104.
Abebe, Y., Schaap, A., Mamo, G., Negussie, A., Darimo, B., Wolday, D., et al. (2003). HIV prevalence in 72, 000 urban and rural male army recruits, Ethiopia. AIDS, 17(12), 1835–1840.
Joint United Nations Programme for HIV/AIDS. (2006). On the front line. A review of policies and programmes to address AIDS among peacekeepers and uniformed services
Elbe, S. (2003). Strategic implication of HIV/AIDS. Institute for International Strategic Studies, Adelphi paper 357 (Vol. 78, pp. 17–39). Oxford: Oxford University Press.
Gordon, P., Jacobson, R., Porteous, T. (2004). A study to establish the connections between HIV/AIDS & conflict, John Snow International, 1–68.
Heinecken, L. (2001). HIV/AIDS, the military and the impact on national and international security. Society in Transition, 32(1), 120–127.
National Intelligence Council. (2000). The global infectious disease threat and its implications for the United States, Report to the National Intelligence Council, NIE 99-17D, Washington DC, January
Carballo, M., Mansfield, C., Prokop, M. (2000). Demobilization and its implications for HIV/AIDS, International Centre for Migration and Health, October
Tripodi, P., & Patel, P. (2002). The global impact of HIV/AIDS on peace support operations. International Peacekeeping, 9(3), 51–66.
Larsen, M. M., Sartie, M. T., Musa, T., Casey, S. E., Tommy, J., & Saldinger, M. (2004). Changes in HIV/AIDS/STI knowledge attitudes and practices among commercial sex workers and military forces in Port Loko, Sierra Leone. Disasters, 3, 239–254.
International Crisis Group. (2004). HIV/AIDS as a security issue: Lessons learnt from Uganda’, Kampala, April
Singer, P. (2002). AIDS and international security Survival. Spring, 44(1), 146.
Withers, B. G., Kelley, P. W., McNeil, J. G., Cowan, D. N., & Brundage, J. F. (1992). A brief review of the epidemiology of HIV in the US army. Military Medicine, 157(2), 80–84.
Renzullo, P. O., Sateren, W. B., Garner, R. P., Milazzo, M. J., Birx, D. L., & McNeil, J. G. (2001). HIV seroconversion in United States Army active duty personnel, 1985-1999. AIDS, 15(12), 1569–1574.
Geeta, R. G. (2002). How men’s power over women fuels the HIV epidemic. B Med J, 324(7331), 183–184.
Royce, R. A., Sena, A., Cates, W., & Cohen, M. (1997). Sexual transmission of HIV. New England Journal of Medicine, 15, 1072–1078.
Peter, K. L., Kristen, R., & Willard, C. (2002). HIV/AIDS evolving impact on global wealth. In R. Valdisern (Ed.), Dawning for answers: How the HIV/AIDS epidemic has strengthened public health. NewYork: Oxford press.
UNAIDS. (1997). Women and AIDS. UNAIDS point of view. Geneva: UNAIDS.
Cynthia, A. G., & Barbara, V. M. (1996). Gender, culture and power: Barriers to HIV prevention strategies for women. Journal of Sex Research, 33(4), 355–362.
Palella, F., Dalaney, K., Moorman, A., Loveless, M. O., Fuhrer, J., Satten, G. A., et al. (1998). Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. New England Journal of Medicine, 338, 853–960.
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We sincerely thank all the military personnel and laboratory staff at the research laboratory of the Department of Medical Laboratory Science and Braithwaite Memorial Hospital for their collaboration.
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Azuonwu, O., Erhabor, O. & Obire, O. HIV Among Military Personnel in the Niger Delta of Nigeria. J Community Health 37, 25–31 (2012). https://doi.org/10.1007/s10900-011-9411-5
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DOI: https://doi.org/10.1007/s10900-011-9411-5