000123973 001__ 123973
000123973 005__ 20240319081028.0
000123973 0247_ $$2doi$$a10.1186/s12913-022-08624-9
000123973 0248_ $$2sideral$$a132551
000123973 037__ $$aART-2022-132551
000123973 041__ $$aeng
000123973 100__ $$aUkpong, M.
000123973 245__ $$aWhose rights are being violated when receiving HIV and sexual and reproductive health services in Nigeria?
000123973 260__ $$c2022
000123973 5060_ $$aAccess copy available to the general public$$fUnrestricted
000123973 5203_ $$aBackground: 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.
000123973 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000123973 590__ $$a2.8$$b2022
000123973 592__ $$a0.964$$b2022
000123973 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b57 / 106 = 0.538$$c2022$$dQ3$$eT2
000123973 593__ $$aHealth Policy$$c2022$$dQ1
000123973 594__ $$a4.0$$b2022
000123973 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000123973 700__ $$aStevens-Murphy, E.-J.
000123973 700__ $$aNwakamma, I.
000123973 700__ $$aLusher, J.
000123973 700__ $$aOloniniyi, I. O.
000123973 773__ $$g22 (2022), 1444[12 pp.]$$pBMC HEALTH SERV RES$$tBMC HEALTH SERVICES RESEARCH$$x1472-6963
000123973 8564_ $$s1153917$$uhttps://zaguan.unizar.es/record/123973/files/texto_completo.pdf$$yVersión publicada
000123973 8564_ $$s2219324$$uhttps://zaguan.unizar.es/record/123973/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000123973 909CO $$ooai:zaguan.unizar.es:123973$$particulos$$pdriver
000123973 951__ $$a2024-03-18-16:56:21
000123973 980__ $$aARTICLE