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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Fertility desires and infection with the HIV: Results from a survey in rural Uganda
AIDS, Volume 23, No. SUPPL. 1, Year 2009
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Description
OBJECTIVE: To determine how a positive HIV diagnosis influences fertility desires and reproductive decisions for women and men living in western Uganda. DESIGN: Cross-sectional survey comparing two groups of participants: those who tested HIV-positive and those who tested HIV-negative. METHODS: Semistructured interviews were conducted with 421 individuals living in rural areas. Descriptive, bivariate and multivariate methods were used to analyze the relationship of the HIV status to the desire to stop childbearing, reproductive decision-making and to the use of family planning methods. RESULTS: The multivariate logistic regression model indicated that the odds ratio (OR) of wanting to stop childbearing was found to be 6.25 times greater (P < 0.01) for HIV-positive than for HIV-negative individuals. Additional predictors included older age (OR 1.13, P < 0.01), female sex (OR 2.42, P = 0.03), Mutooro ethnic group (OR 3.20, P < 0.01) and greater number of living children (OR 1.62, P < 0.01). Use of dual protection against HIV/sexually transmitted infection and unwanted pregnancy was rare in both groups with seven HIV-positive participants (3.5%) using two contraceptives compared with only one (0.4%) in the HIV-negative group. The unmet need for a highly effective family planning method was higher in HIV-positive participants compared with HIV-negative ones (90 vs. 78%). CONCLUSION: HIV-positive individuals in the Kabarole region have a much greater desire to stop childbearing than their HIV-negative counterparts. The barriers to utilizing family planning services, as evidenced through the very low use of highly effective contraceptive methods, have to be jointly addressed by HIV/AIDS care/prevention and family planning programs. © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Authors & Co-Authors
Heys, Jennifer
Canada, Edmonton
University of Alberta
Kipp, Walter Eigen
Canada, Edmonton
University of Alberta
Jhangri, Gian Singh
Canada, Edmonton
University of Alberta
Alibhai, Arif A.
Canada, Edmonton
University of Alberta
Rubaale, Tom K.
Uganda
Kabarole Health Department
Statistics
Citations: 76
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1097/01.aids.0000363776.76129.fd
e-ISSN:
14735571
Research Areas
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Case-Control Study
Study Approach
Quantitative
Study Locations
Uganda
Participants Gender
Male
Female