INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue X October 2025
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Influence of Socio-Demographic Factor on the Infection Rate of
Opportunistic Infection with Persons Living With HIV/Aids
1
Okpara, P. O.
2
Uzum, D. S.,
1
Eberendu, I. F.
1
Ozims, S. J and
1
Nwoke, B. E. B
1
Department of Public Health, Imo State University, Oweri, Nigeria
2
Department of Biological Sciences, Dennis Osadebay University, Asaba, Nigeria
*Correspondence Author
DOI:
https://dx.doi.org/10.51244/IJRSI.2025.1210000147
Received: 22 January 2025; Accepted: 16 October 2025; Published: 10 November 2025
ABSTRACT
HIV/AIDS is a Global Health challenge it had become the primary cause of death in certain countries person
with Hiv/Aids infections, although the prevalence and incidence rate varies from country to country the study
was therefore design to investigate the role of socio-demographic factor sex and age on the infection rate of
opportunistic disease among persons living with Hiv/Aids in the study area. The study investigated Art centres
with the study area. A structure questionnaire with a reliability coefficient of 0.70 was used for data collection.
The findings of the study showed that socio-demographic factor sex and age have no significant relationship
with the rate of infection of the disease among person living with HIV/Aids. But it continues re-orientation of
the study group with enhance prevention especially with younger age group which are more prone to unhealthy
healthy behavior. Hence it was recommended that health programme planners should consider orientation of the
respondents against Opportunistic infections.
Keywords: influence; factors, infection, opportunistic, persons, HIV/AIDS
INTRODUCTION
AIDS is a term which has become universally recognised in a relatively shoot period of time. AIDS is an acronym
for Acquired Immune Deficiency Syndrome. In some countries, AIDS has already become the primary cause of
death in person between the age of 20 -40 years (WHO, 2014). According to Lee, (2008) Acquired Immune
Deficiency Syndrome (AIDS) is considered to be a disease. It is a depression of the immune system of the
individual which is caused by a special type of virus -a retro-virus which disposes one to suffer from serious
relapses and the development of Lypho proliferative diseases. The Aids virus belongs to the group retro-viruses.
Retroviruses have characteristics which make them different from other human viruses. Opportunistic infections
(OIs) are infections which occur more frequently and severely among persons with deteriorated immune system
most especially with persons living with HIV\AIDS (centre for disease control and prevention, 2018). World
Health organisation (2019) asserted that HIV infected individuals a Vulnerable to Opportunistic Infections but
prevalence and incidence of HIV (Chu and Selwyn, 2011).
HIV infects vital cells in the human immune system ,such as helper T cells specifically CD4 T Cells (Castillo
et al , 2015), HIV infection result in low level of CD4+ T Cell and eventual killing of infected CD4+ T Cell by
CD8+ Cyto-toxic lymphocytes that recognise infected cells . The cell mediated immunity is lost when CD4+T
cell number depreciates below a critical level and this makes the body become progressively more susceptible
to opportunistic infections which leads to the development of AIDS (Earg, Mohl and Joshi, 2012). Opportunistic
infection do present with symptoms. According to Brian (2015), common opportunistic infections include (but
are not limited to Oral (thrush) candidiasis infections of the gastrointestinal or genitourinary tract, including non
albicans candida infections, Coccidioidomycosis, Cryptoccosis, Crytococcosis, Crytomegalovirus,
Cryptosporidiosis, Herpes simplex related bronehitis ,pneomonitics, Histoplasmosis, Recurrent pneumonia,
Tuberculosis and Mycobacterial aviwul complex
In Imo state, in Nigeria epidemiology call management of the infection, there is an urgent need to understand
the public awareness of the infection. In this study we investigated the influence of socio demographic factor on
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue X October 2025
www.rsisinternational.org
Page 1684
the infection rate of opportunistic infection with persons living with HIV\AIDS. Community awareness is very
much needed in this regard to adopt precautionary Measures like personal hygiene and having healthy life style.
The study therefore, investigated the relationship between demographic profiles, age, sex, and educational level
and opportunistic infection rate.
METHODOLOGY
A survey was Conditioned in various Art centre within the study area. Sample comprised of 2,470. Random
sampling was used to select individuals for interviews Age 18-25= 295, Age 26-33=480, Age 34 -41=510, Age
42-49=560, Age 50 -60=625, Total 2,470 for sex. Male =1040 and female =1430 Total =2470.Informed consent
was taken from the participants. ART centers derived urban, and rural area were selected for sampling. A self-
developed comprehensive and well organised questionnaire which covered the domains of Age and sex and
opportunistic infection rate among the sampled groups.
The inclusion criteria were general public, adults of any gender in selected ART centres in the study area, 18
years and above will at least with primary grade level of education. Only those participants were enrolled and
interviewed who has given written consent before participating in the study and fulfilled the inclusion criteria.
The questionnaire included recourse of sex and age about opportunistic infection rate among individuals in this
domains. Responses were recorded “yes’’ “No’’ and “Not sure’’ Analyses were performed using frequency and
percentages.
RESULTS
Social demographic profile of the study group in relation to HIV/AIDS Opportunities infections.
Table 1: Social demographic profile of the study group in relation to HIV|AIDS Opportunities infections.
Social demographics
Total
No
%
Yes
18-25
295
144
48.8
157
26-33
480
227
47.3
253
34-41
510
247
48.4
263
42-49
560
290
51.8
270
50-60
625
334
53.4
291
Total
2470
1242
50.3
1228
Sex
Male
1040
535
57.4
505
Female
1430
707
49.8
723
Total
2470
1242
50.3
1228
Education level
Female
360
172
47.8
188
Primary
430
214
49.8
216
Secondary
970
487
50.2
483
Postsecondary
710
369
52.0
341
Total
2470
1242
50.3
1228
The Table shows the relationship between social demographic profile of the study group and the prevailing rate
of opportunistic infection (OI). The rate (OI) was found to be slightly higher among the younger age groups
(51.2%) For 18-36 years, 52.7% for (26-33 years) compared to the rate among the older group (48.2%) of 42 -
49 years, 46.6 % at (50 -60 years). However, age was not found as a significant associating factor for
opportunistic infection in this Study (P=0. 0225), indicating that the fewer differences observed are very likely
to have occurred by chance. Similar to age, the sex of the patients was not found to be significantly associated
with opportunistic infection (P= 0.326), as well as the level of participants education (P= 0.623). Through not
significant , the OI occurred more among females(50.6%) than male (48. 6 %) at more risk of about one fold
For Female (OR=1.08) 95% CL= 0.92,1.28).
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue X October 2025
www.rsisinternational.org
Page 1685
The odds were lower among the higher education participants compared to those without any formal form of
education , For example there were 15% (OR =0.85,) 95% secondary education Level and 9% (OR =0.91 ), 95%
CL= 0.71, 1.16) Lower Odds among Secondary education Level Group Compared to the non-formal education
group.
DISCUSSION
Age was not found as a significant association Factor of OI in this study, but the rate of OI in this study, but the
rate of OI was found to be slightly higher among the younger age groups Compared to the rate among the older
age group. This is Likely because the younger age groups are compared to the rate among the older age group.
This is likely among the older age group. This is likely because the younger age groups are more likely to engage
in risky sexual behaviours. Similary some other studies (lawn et al , 2005), Okonko, et al, (2018), which reported
higher risk of OI For younger age, Compared to older age , This is contrary to findings in Girma et al,( 2022)
which reported that older age was a strong risk factor for developing Opportunistic infections such as
tuberculosis, oral Condisis, chronic dermatitis ,chronic diarrhoea diseases, and herpes Zoster were more
prevalent among other adults. Similar to age, the sex of the patients was not found to be significantly associating
with opportunistic infection in the study .This study Findings is in congruent with findings with Okonko et al,
(2020), For Which More Women were infected with OIS than men but sex showed significant association with
major OIS in his Study such as IS, Candida and HBV, In Sutini et al., (2024), the prevalence of OIS was reported
higher among Female as well as the divorced\separated. However, it has been argued that gender that gender
those not play any significant role in the rate of opportunistic infection among persons living with HIV\AIDS
(Odaibo et al., 2013).
CONCLUSION
Some socio -demographic factor such as age and sex are not significantly associated with the rate Opportunistic
disease infection but the study found that the younger age groups are more infection prone than the older adult
due to engagement in risky sexual behaviour. Similarly sex was also not found to be a strong factor to be
significantly associated with opportunistic infection in the study group.
RECOMMENDATION
It was recommended that
1. HIV\AIDS prevention, care and treatment programmes should be provided to patient on time to check
response to peculiar challenge associated with the disease.
2. It is urgent to develop a Measurement and evaluation framework for the treatment and management of
OIS in PLWHA.
3. The word health body, the National health agency\Federal ministry of health should undertake feasible
health education and promotion strategies that will increase awareness among persons living with
HIV\AIDS.
4. Associating risk factor and other related diseases should be other related diseases should be adequately
be made known to PLWHA
REFERENCES
1. Castillo R., Konda K. A., Leon S. R., Silva-Santisteban A., Salazar X., Klausner J. D., Coates T. J., Caceres
C. F. (2015). HIV and sexually transmitted infection incidence and associated risk factors among high-
risk MSM and male-to-female transgender women in Lima, Peru. Journal of Acquired Immune Deficiency
Syndromes, 69(5), 567575.
2. Chu, C and Selwyn, PA (2011). Complications of HIV infection: a systems-based approach. Am Fam
Physician 83 (1):395-406.
3. Girma, D., Dejene, H., Adugna Geleta, L., Tesema, M., Bati, F. (2022). Time to occurrence, predictors,
and patterns of opportunistic infections incidence among HIV-positive patients attending Antiretroviral
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue X October 2025
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Therapy Clinic of Salale University Comprehensive Specialized Hospital: A retrospective cohort study.
Medicine, 101, e29905.
4. Odaibo, G.N., Okonkwo, P., Lawal, O.M., Olaleye, D.O. (2013). HIV infection among newly diagnosed
TB patients in South western; A multi-DOTS center study: Nigeria.
5. Okonko, I.O., Onwusor, H., Awanye, A.M., Cookey, T.I., Onoh, C.C. and Oseni, S.A. - (2020). Prevalence
of Some Opportunistic Infections (OIs) and Co-infections among HIV-Infected Persons in Port Harcourt,
Nigeria. South Asian Journal of Research in Microbiology, pp.112. doi:
https://doi.org/10.9734/sajrm/2020/v8i130182.
6. Lee, SG (2008). Does Criminalisation of HIV Transmission Truly Promote Public Health Goals: Review
of Ten African HIV Laws, Med. L Int’l 9: 3: 245-262.
7. Sutini, R, S. R., Saefurrohim, M. Z., Al Ayubi, M. T. A., Wijayanti, H., Wandastuti, A. D., Miarso, D., &
Susilastuti, M. S. (2022). Prevalence and Determinants of Opportunistic Infections in HIV Patients: A
Cross-Sectional Study in the City of Semarang. Ethiopian journal of health sciences, 32(4), 809816.
https://doi.org/10.4314/ejhs.v32i4.18
8. World Health Organization (2010). "The Stop TB Strategy, case reports, treatment outcomes and estimates
of TB burden". Global tuberculosis control: epidemiology, strategy, financing. pp. 187300.