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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Contraceptive practices and fertility desires among HIV-infected and uninfected women in Kenya: Results from a nationally representative study
Journal of Acquired Immune Deficiency Syndromes, Volume 66, No. SUPPL. 1, Year 2014
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Description
Background: Prevention of unplanned pregnancies is a critical element in the prevention of mother-to-child transmission of HIV infection, but its potential has not been fully realized. We assessed the utilization of family planning (FP) and fertility desires among women of reproductive age by HIV status. Methods: We selected a nationally representative sample of households using a stratified 2-stage cluster design and surveyed women aged 15-49 years. We administered questionnaires and examined predictors of current use of FP and desire for children among sexually active women with known HIV infection and women who were HIV uninfected. Results: Of 3583 respondents, 68.2% were currently using FP, and 57.7% did not desire children in the future. Among women who did not desire children in the future, 70.9% reported that they were using FP, including 68.7% of women with known HIV infection and 71.0% of women who were HIV uninfected. Women with known HIV infection had similar odds of using FP as women with no HIV infection (odds ratio, 1.12; 95% confidence interval: 0.81 to 1.54). Women with no HIV infection had significantly higher adjusted odds of desiring future children (adjusted OR, 2.27; 95% confidence interval: 1.31 to 3.93) than women with known HIV infection. Conclusions: There is unmet need for FP for HIV-infected women, underscoring a gap in the national prevention of mother-to-child transmission of HIV strategy. Efforts to empower HIV-infected women to prevent unintended pregnancies should lead to expanded access to contraceptive methods and take into account women's reproductive intentions. Copyright © 2014 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Ngugi, Evelyn W.
United States, Atlanta
Centers for Disease Control and Prevention
Kim, Andrea A.
United States, Atlanta
Centers for Disease Control and Prevention
Nyoka, Raymond
United States, Atlanta
Centers for Disease Control and Prevention
Ng'Ang'A, Lucy W.
United States, Atlanta
Centers for Disease Control and Prevention
Mukui, Irene Njahira
Kenya, Nairobi
Ministry of Health Nairobi
Ng’eno, Bernadette N.
United States, Atlanta
Centers for Disease Control and Prevention
Rutherford, George Williams
United States, San Francisco
University of California, San Francisco
Statistics
Citations: 16
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.1097/QAI.0000000000000107
ISSN:
15254135
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Case-Control Study
Study Locations
Kenya
Participants Gender
Female