Contraceptive use and unmet need for family planning among HIV positive women on antiretroviral therapy in Kumasi, Ghana
Contraceptive use and unmet need for family planning among HIV positive women on antiretroviral therapy in Kumasi, Ghana
复制标题
DOI：
10.1186/1472-6874-14-126
复制
发表时间：
2014-10-11
影响因子：
2.5
通讯作者：
Kyei-Ansong, Judith
中科院分区：
文献类型：
--
作者：
Laryea, Dennis Odai;Amoako, Yaw Ampem;Kyei-Ansong, Judith
背景：减少艾滋病毒感染率（尤其是通过减少母婴传播）的关键策略是减少未满足的计划生育需求。在加纳，将计划生育服务纳入艾滋病毒/艾滋病感染者抗逆转录病毒治疗服务的工作在很大程度上被忽视。我们着手衡量现代避孕方法的普及率、未满足的计划生育需求，并确定在接受抗逆转录病毒治疗的艾滋病毒阳性女性中与使用现代避孕方法相关的因素。 方法：这是一项对在加纳库马西成人抗逆转录病毒治疗诊所接受护理的育龄艾滋病毒阳性女性进行的描述性横断面研究。使用结构化调查问卷收集数据。使用 Epi Info 7.1.2.0 版进行数据分析。结果：共有 230 名女性参与了该研究。 56% 属于 30-39 岁年龄组。平均年龄 (SD) 为 36.3 (5.4) 岁。虽然 53.5% 的受访者希望生孩子，但有伴侣的受访者中，54.6% 的受访者表示伴侣渴望孩子。大约 74% 的人从其提供者那里收到了有关避孕的信息。 42.6% 的参与者和/或其伴侣在研究时正在使用避孕方法；男用安全套（79.6%）是最常用的方法。估计未满足的避孕需求为 27.8%。避孕药具的使用与伴侣对 HIV 状况的了解（AOR = 3.64；95% CI 1.36-9.72；p = 0.01）以及 HIV 诊断前避孕方法的使用（AOR = 6.1；2.65-14.23；p < 0.001）密切相关。 结论：与一般人群相比，库马西 HIV 阳性女性的避孕普及率较高加纳人口。尽管如此，这一人群的计划生育需求仍然有很大未得到满足。我们建议对接受 HAART 服务的 HIV 患者进行有关避孕药具使用的持续教育，以进一步提高避孕药具的使用率。
Background: A key strategy for minimizing HIV infection rates especially via reduction of Mother- to-Child transmission is by reducing the unmet need for family planning. In Ghana, the integration of family planning services into Antiretroviral Therapy services for persons living with HIV/AIDS has largely been ignored. We set out to measure the prevalence of modern methods of contraception, the unmet need for family planning and to identify factors associated with the use of modern methods of contraception among HIV positive women on anti retroviral therapy.Methods: This was a descriptive cross sectional study of HIV positive women in their reproductive ages accessing care at an adult Antiretroviral Therapy Clinic in Kumasi, Ghana. Data was collected using a structured questionnaire. Data analysis was conducted using Epi Info version 7.1.2.0.Results: A total of 230 women were included in the study. Fifty six percent were in the 30-39 year age group. The mean age (SD) was 36.3 (5.4) years. While 53.5% of respondents desired to have children, partner desire for children was reported by 54.6% of respondents with partners. About 74% had received information on contraception from their provider. 42.6% of participants and/or their partners were using a contraception method at the time of study; the male condom (79.6%) being the most commonly used method. The estimated unmet need for contraception was 27.8%. Contraceptive use was strongly associated with partner knowledge of HIV status (AOR = 3.64; 95% CI 1.36-9.72; p = 0.01) and use of a contraceptive method prior to diagnosis of HIV (AOR = 6.1; 2.65-14.23; p < 0.001).Conclusion: Contraceptive Prevalence is high among HIV positive women in Kumasi compared with the general Ghanaian population. Despite this, there still is a high unmet need for family planning in this population. We recommend continuous education on contraceptives use to HIV patients accessing HAART services to further increase contraceptive uptake.