Desire for a child among women living with HIV/AIDS in northeast Brazil
Desire for a child among women living with HIV/AIDS in northeast Brazil
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DOI：
10.1089/apc.2006.0116
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发表时间：
2007-04-01
影响因子：
4.9
通讯作者：
Kerr-Pontes, Ligia R. S.
中科院分区：
文献类型：
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作者：
Nobrega, Aglaer A.;Oliveira, Fabiola A. S.;Kerr-Pontes, Ligia R. S.
在巴西，越来越多的艾滋病毒新感染和艾滋病病例涉及育龄妇女。为了描述感染艾滋病毒/艾滋病的妇女的生育意愿，并确定与母亲意愿有关的因素，在巴西东北部塞亚州的传染病转诊医院进行了一项横断面研究。总共有229名女性被纳入数据分析。中位年龄为32岁(四分位数范围为26-37岁)，63%的家庭月收入低于210美元。49%的人正在使用避孕方法，37%的人希望接受输卵管结扎术。64%的后一类女性的动机是害怕生下艾滋病毒阳性的孩子。40%的参与者想要孩子。在多因素回归分析中，与女性生育意愿独立相关的变量有：年龄较小(以年计，优势比[OR]=0.94；95%可信区间[CI]：0.90~0.98)、子女数量(OR=0.73；95%CI：0.57~0.96)和伴侣生育意愿(OR=3.35；95%CI：1.75~6.39)。有一个不知道妇女血清阳性的伴侣与妇女想要孩子呈负相关(OR=0.17；95%CI：0.04-0.69)。没有与临床状态相关的变量与结果变量显著相关。我们的数据显示，巴西东北部许多未经消毒的艾滋病毒阳性妇女，无论处于何种疾病阶段，都有想要孩子的愿望。我们建议提供非指导性咨询，包括帮助妇女评估自己在生殖选择方面的感受、目标和需求。
In Brazil, an increasing proportion of new HIV infections and AIDS cases involve women of reproductive age. To describe the reproductive desire of women with HIV/AIDS and to identify factors associated with the desire for motherhood, a cross-sectional study was carried out in the referral hospital for infectious diseases in Ceara State, northeast Brazil. In total, 229 women were included in data analysis. Median age was 32 years (interquartile range, 26-37), and 63% had a monthly family income of less than 210 USD. Forty-nine percent were using a contraceptive method, and 37% wished to undergo tubal ligation. Sixty-four percent of the latter women were motivated by the fear of having an HIV-positive child. Forty percent of the participants wanted to have a child. In the multivariate regression analysis, variables independently associated with women's desire to have a child were: younger age ( in years, odds ration [OR] = 0.94; 95% confidence interval [CI]: 0.90-0.98), number of children (OR = 0.73; 95% CI: 0.57-0.96), and partner's desire for a child (OR = 3.35; 95% CI: 1.75-6.39). Having a partner who did not know about the woman's positive serostatus was negatively associated with the woman's desire for a child (OR = 0.17; 95% CI: 0.04-0.69). No variable related to clinical status was significantly associated with the outcome variable. Our data showed that many unsterilized HIV-positive women in northeast Brazil, at whatever stage of illness, have a desire for children. We recommend that nondirective counseling, consisting of helping women evaluate their own feelings, goals and needs with respect to reproductive options be provided.