The year-long effect of HIV-positive test results on pregnancy intentions, contraceptive use, and pregnancy incidence among malawian women
The year-long effect of HIV-positive test results on pregnancy intentions, contraceptive use, and pregnancy incidence among malawian women
复制标题
DOI：
10.1097/qai.0b013e318165dc52
复制
发表时间：
2008-04-01
影响因子：
3.6
通讯作者：
Tsui, Amy O.
中科院分区：
文献类型：
--
作者：
Hoffman, Irving F.;Martinson, Francis E. A.;Tsui, Amy O.
Objectives: To estimate the effect of receiving HIV-positive test results on intentions to have future children and on contraceptive use and to assess the association between pregnancy intentions and pregnancy incidence among HIV-positive women in Malawi.Methods: Women of unknown HIV status completed a questionnaire about pregnancy intentions and contraceptive use and then received HIV voluntary counseling and testing (VCT). Women who were HIV-positive and not pregnant were enrolled and followed for 1year while receiving HIV care and access to family planning (FP) services.Results: Before receiving their HIV test results, 33% of women reported a desire to have future children; this declined to 15% 1 week later (P < 0.0001) and remained constant throughout follow-up. Contraceptive use increased from 38% before HIV testing to 52% 1 week later (P < 0.0001) and then decreased to 46% by 12 months. The pregnancy incidence among women not reporting a desire to have future children after VCT was less than half of the incidence among women reporting this desire.Conclusions: With knowledge of their HIV-positive status, women were less likely to desire future pregnancies. Pregnancy incidence was lower among women not desiring future children. Integration of VCT, FP, and HIV care could prevent mother-to-child HIV transmission.
