Contraceptive utilization and associated factors among HIV positive women on chronic follow up care in Tigray Region, Northern Ethiopia: a cross sectional study.
Contraceptive utilization and associated factors among HIV positive women on chronic follow up care in Tigray Region, Northern Ethiopia: a cross sectional study.
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DOI：
10.1371/journal.pone.0094682
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Zeleke EG
中科院分区：
文献类型：
--
作者：
Melaku YA;Zeleke EG
在撒哈拉以南非洲，超过60%的新艾滋病毒感染发生在妇女、婴儿和幼儿中。母婴传播是儿童艾滋病毒感染的90%原因。预防艾滋病毒阳性妇女的意外怀孕对于减少母婴发病率和死亡率至关重要。对提格雷地区12个卫生中心的964名HIV阳性妇女进行了横断面调查。在这篇论文中，分析仅限于847名性行为活跃和未怀孕的女性。在每个健康中心，研究参与者的数量与慢性护理诊所艾滋病毒阳性妇女的负荷成比例分配。将数据输入EpiData版本3.1，并使用Stata版本11.1进行清理和分析。采用描述性数据汇总和Logistic回归分析确定可能的预测因素，OR值为95%可信区间，P值为0.05。394(46.5%)的HIV阳性妇女有生育更多孩子的意愿。375人(44.3%)在调查时正在使用避孕方法。注射型(70.7%)和男用避孕套(47.6%)是最常用的避孕类型。在多变量分析中，城市居民(AOR = 2.55；95%CI：1.2 7，5.0 2)、受过小学教育(AOR = 2.2 7；95%CI：1.12，2.86)和与丈夫或性伴侣公开讨论避孕方法(AOR = 6.3；95%CI：3.42，11.76)的女性更倾向于使用避孕药具。与没有孩子的女性相比，有一个或多个在世孩子的女性也更有可能使用避孕措施。不到一半的妇女使用避孕方法。使用避孕套可能会影响意外怀孕，并降低垂直传播和性传播的风险。应在艾滋病毒/艾滋病慢性护理病房加强以屏障方法为重点的避孕药具利用率的努力。
In sub-Sahara Africa, more than 60% of all new HIV infections are occurring in women, infants and young children. Maternal to child transmission is responsible for 90% of childhood HIV infection. Preventing unwanted pregnancy among HIV positive women is imperative to reduce maternal and infant morbidity and mortality. A cross-sectional survey was conducted among 964 HIV positive women in selected 12 health centers of Tigray region. In this paper, analysis was restricted only for 847 women who were sexually active and non-pregnant. In each health center the number of study participants was allocated proportionally to the load of HIV positive women in chronic care clinics. The data were entered into EpiData version 3.1, and cleaned and analyzed using Stata version 11.1. Descriptive summary of data and logistic regression were used to identify possible predictors using odds ratio with 95% confidence interval and P-value of 0.05. Three hundred ninety four (46.5%) of all HIV positive women had intension to have more children. Three hundred seventy five (44.3%) were using contraceptive methods at time of survey. Injectable (70.7%) and male condom (47.6%) were most commonly used type of contraceptives. In the multivariable analysis, women who were urban dwellers (AOR = 2.55; 95% CI: 1.27, 5.02), completed primary education (AOR = 2.27; 95% CI: 1.12, 2.86) and those openly discussed about contraceptive methods with their husbands or sexual partners (AOR = 6.3; 95% CI: 3.42, 11.76) were more likely to use contraceptive. Women who have one or more living children were also more likely to use contraceptive compared with women with no child. Less than half of women used contraceptive methods. The use of condoms could impact unintended pregnancies and reduced risks of vertical and sexual transmission. Efforts to increase contraceptive utilization focusing on the barrier methods should be strengthen in HIV/AIDS chronic care units.
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影响因子：
3.7
作者：
Loutfy MR;Hart TA;Mohammed SS;Su D;Ralph ED;Walmsley SL;Soje LC;Muchenje M;Rachlis AR;Smaill FM;Angel JB;Raboud JM;Silverman MS;Tharao WE;Gough K;Yudin MH;Ontario HIV Fertility Research Team
通讯作者：
Ontario HIV Fertility Research Team
政策制定者和医疗保健提供者对南非艾滋病毒感染者生殖决策的观点。
影响因子：
4.5
作者：
Harries, Jane;Cooper, Diane;Myer, Landon;Bracken, Hillary;Zweigenthal, Virginia;Orner, Phyllis
通讯作者：
Orner, Phyllis
影响因子：
4.4
作者：
Nakayiwa, Sylvia;Abang, Betty;Bunnell, Rebecca
通讯作者：
Bunnell, Rebecca
影响因子：
2.5
作者：
Obare, Francis;van der Kwaak, Anke;Birungi, Harriet
通讯作者：
Birungi, Harriet
影响因子：
4.5
作者：
Beyeza-Kashesya J;Ekstrom AM;Kaharuza F;Mirembe F;Neema S;Kulane A
通讯作者：
Kulane A