Family Functioning of People Living with HIV/AIDS Accessing Care at a Nigerian Tertiary Health Centre

Main Article Content

Stephen Adesope Adesina
Isaac Olusayo Amole
Adewumi Ojeniyi Durodola
Olufemi Timothy Awotunde
David Akintayo Olaolorun
Adenike Adeniran
Louis O. Odeigah


Aims: To assess the family functioning and identify its determinants among adult PLWHA at Bowen University Teaching Hospital, Ogbomoso.

Study Design: The study is a descriptive cross-sectional study.

Place and Duration of the Study: The study was conducted in the Antiretroviral (ARV) Clinic of the Bowen University Teaching Hospital, Ogbomoso, Nigeria from January 2014 to March 2014.

Methodology: Sixty-one HIV-infected patients aged 18 years and older were selected using the systematic random sampling. Data were collected using a pre-tested, structured, researcher-administered questionnaire which had a section on respondents’ socio-demographic characteristics and incorporated the General Functioning scale of the Family Assessment Device to assess their family functioning. The data were analysed using SPSS and presented as descriptive and inferential statistics.

Results: The mean age of the 61 respondents was 37.1±8.1 years and 43 (70.5%) of them were females. Most of the respondents were married (65.6%) and the proportion of those with primary education (37.7%) was highest. A mean General Functioning (GF) score of 1.8±0.6  indicated an overall healthy family functioning. The proportion of respondents with healthy family functioning was highest for the married among all marital categories and decreased with increasing level of education. These associations of marital status and level of education with family functioning were statistically significant (P = 0.02 and 0.04, respectively) based on the result of Fisher’s exact test.

Conclusion: The fact that larger proportions of the respondents were married and had low education level was found to have influenced the finding of a high rate of healthy family functioning in this study. Therefore, regular family functioning assessment as part of routine evaluation of PLWHA is suggested, and interventions that can temper the dysfunctional influences of formal education on family functioning should be incorporated into HIV/AIDS care.

Sociodemographic determinants, family functioning, HIV/AIDS, Nigerian.

Article Details

How to Cite
Adesina, S. A., Amole, I. O., Durodola, A. O., Awotunde, O. T., Olaolorun, D. A., Adeniran, A., & Odeigah, L. O. (2019). Family Functioning of People Living with HIV/AIDS Accessing Care at a Nigerian Tertiary Health Centre. Asian Journal of Medicine and Health, 16(2), 1-9.
Original Research Article


Joint United Nations Programme on HIV/AIDS (UNAIDS). State of the epidemic. In: Report on the global AIDS epidemic. Global Report 2012 [internet]. Geneva: UNAIDS; 2012
[Accessed 20/06/13].

Fatiregun AA, Mofolorunsho KC, Osagbemi KG. Quality of life of people living with HIV/AIDS in Kogi State, Nigeria. Benin J Postgraduate Med. 2009;11(1): 21-7.

Li L, Lin C, Ji G, Sun S, Rotheram-Borus MJ. Parents living with HIV in China: Family functioning and quality of Life. J Child Fam Stud. 2009;18(1):93–101.

Rotheram-Borus MJ, Flannery D, Rice E, Lester P. Families Living with AIDS. AIDS Care. 2005;17(8):978-87.

Winek JL. Systemic family therapy: From theory to practice. Los Angeles, CA: Sage; 2010.

Ylvén R. Factors facilitating family functioning in families of children with disabilities - in the context of Swedish Child and Youth Habilitation Service [PhD Thesis]. Stockholm, Sweden: Karolinska Institutet; 2013.
[Accessed 20/06/15]

Krishna VAS, Bhatti RS, Chandra PS, Juvva S. Unheard Voices: experiences of families living with HIV/AIDS in India. Contemporary Family Therapy. 2005;27 (4):483-506.

Bello SI, Bello IK. Quality of life of HIV/AIDS patients in a secondary health care facility, Ilorin, Nigeria. Proc (Bayl Univ Med Cent). 2013; 26(2):116-9.

Odili VU, Ikhurionan IB, Usifoh SF, Oparah AC. Determinants of quality of life in HIV/AIDS patients. W. Afr. J. Pharm. 2011; 22(1):343-8.

Iwelunmor J, Airhihenbuwa CO, Okoror TA, Brown DC, Belue R. Family systems and HIV/AIDS in South Africa. Int Q Community Health Educ. 2006;27(4):321-35.

Casado A. Measurement of quality of life of HIV individuals: Perspectives and future directions. Indian J Med Res. 2005;122: 282-4.

Imam MH, Karim MR, Ferdous C, Akhter S. Health related quality of life among the people living with HIV. Bangladesh Med Res Counc Bull. 2011;37:1-6.

Baños JH. McMaster family assessment device. In: Kreutzer JS, DeLuca J, Caplan B, eds. Encyclopaedia of Clinical Neuropsychology. New York: Springer. 2011;1535-6.

The Office for National Statistics. Standard occupational classification. The national statistics socio-economic classification. Hampshire, UK: Palgrave Macmillan. 2010;3.

Akinboboye BO, Shaba OP, Akeredolu PA, Oderinu OH. Sociodemographic determinants of usage of complete dentures in a Nigerian teaching hospital: A pilot study. Eur J Prosthodont. 2013;1(2): 37-41.

Ibiyemi O, Taiwo JO. Some socio-demographic attributes as covariates in tooth wear among males in a rural community in Nigeria. Ethiop J Health Sci. 2012;22(3):189-95.

O’Leary EMM, Barrett P, Fjermestad KW. Cognitive-behavioural family treatment for childhood obsessive-compulsive disorder: A 7-year follow-up study. J Anxiety Disorders. 2009;23(2009):973-8.

Mangili A, Murman DH, Zampini AM, Wanke CA, Mayer KH. Nutrition and HIV Infection: Review of weight loss and wasting in the era of highly active antiretroviral therapy from the Nutrition for Healthy Living Cohort. Clin Infect Dis. 2006;42(6):836-42

Varkevisser CM, Pathmanathan I, Brownlee A. Choosing a significance test. In: Designing and conducting health systems research projects Volume ll: Data analysis and report writing. Amsterdam: KIT Publishers, International Development Research Centre (IDRC), and Africa Regional Office (AFRO) of the WHO; 2003.

Campbell MJ, Swinscow TDV. Statistics at square one. 11th ed. Hoboken, USA: Wiley-Blackwell; 2010.

Walsh F. Family resilience: a framework for clinical practice. Fam Pro. 2003; 42(1):1-18.

Muyibi AS, Ajayi I-OO, Irabor AE, Ladipo MMA. Relationship between adolescents' family function with socio-demographic characteristics and behaviour risk factors in a primary care facility. Afr J Prm Health Care Fam Med. 2010;2(1):6.

Farrelly C, Cordova D, Huang S, Estrada Y, Prado G. The role of acculturation and family functioning in predicting HIV risk behaviours among Hispanic delinquent youth. J Immigr Minor Health. 2013;15(3): 476-83.

Opoku D. A comparative study of the effects of formal education on rural and urban families in central region of Ghana. Int J Soc Sci Res. 2016;5(1): 1-25.

Rahman S, Hossain M. Impact of education and socio-economic development in rural people of Bangladesh. Final report, Dhaka; 2005.

Ojukwu MO, Woko SI, Onuoha RC. Impact of educational attainment on marital stability among married persons in Imo State, Nigeria. Int J Edu Lit Studies. 2016; 4(3):88-96.