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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
High pregnancy intentions and missed opportunities for patient-provider communication about fertility in a South African cohort of HIV-positive women on antiretroviral therapy
AIDS and Behavior, Volume 16, No. 1, Year 2012
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Description
High fertility intentions amongst HIV-positive women have been reported elsewhere. Less is known about how clinical and HIV treatment characteristics correlate with fertility intentions. We use cross-sectional baseline data from a prospective cohort study to assess pregnancy intentions and patient-provider communication around fertility. Non-pregnant, HIV-positive women aged 18-35 on ART were recruited through convenience sampling at Johannesburg antiretroviral (ART) treatment facilities. Among the 850 women in this analysis, those on efavirenz had similar fertility intentions over the next year as women on nevirapine-based regimens (33% vs. 38%). In multivariate analysis, recent ART initiation was associated with higher current fertility intentions; there was no association with CD4 cell count. Forty-one percent of women had communicated with providers about future pregnancy options. Women on ART may choose to conceive at times that are sub-optimal for maternal, child and partner health outcomes and should be routinely counseled around safer pregnancy options. © 2011 Springer Science+Business Media, LLC.
Authors & Co-Authors
Schwartz, Sheree R.
South Africa, Johannesburg
University of the Witwatersrand Faculty of Health Sciences
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Mehta, Shruti H.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Taha, Taha E.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Rees, Helen V.
South Africa, Johannesburg
University of the Witwatersrand Faculty of Health Sciences
Venter, François W.D.
South Africa, Johannesburg
University of the Witwatersrand Faculty of Health Sciences
Black, V.
South Africa, Johannesburg
University of the Witwatersrand Faculty of Health Sciences
Statistics
Citations: 105
Authors: 6
Affiliations: 2
Identifiers
Doi:
10.1007/s10461-011-9981-3
ISSN:
10907165
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Participants Gender
Female