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HIV Status and Post-partum Contraceptive Use in an Antenatal Population in Durban, South Africa

Identifieur interne : 001822 ( Pmc/Corpus ); précédent : 001821; suivant : 001823

HIV Status and Post-partum Contraceptive Use in an Antenatal Population in Durban, South Africa

Auteurs : Heather M. Marlow ; Suzanne Maman ; Dhayendre Moodley ; Siân Curtis ; Luz Mcnaughton Reyes

Source :

RBID : PMC:4267976

Abstract

Objective

We examined contraceptive use and dual protection in the post-partum period in a Prevention of Mother to Child Transmission (PMTCT) population and whether it varied by HIV status.

Study Design

Data are from a prospective study, the South Africa HIV Antenatal Post-test Support Study. Pregnant participants were recruited from a government clinic in an urban township and the analytic sample was 821. Following enrollment, participants were tested for HIV and administered a questionnaire at baseline and 14 weeks post-partum. We used generalized linear regression models to examine HIV status and use of modern contraceptives at 14 weeks.

Results

The risk ratio of condom use at 14 weeks post-partum was 1.66 (95% CI: 1.36-2.02) for HIV positive compared to HIV negative women. The risk ratio for dual protection (use of a condom and a hormonal method) was 1.96 (95% CI: 1.39-2.79) at 14 weeks for HIV positive compared to HIV negative women.

Conclusions

HIV positive status may be a motivating factor for women to use condoms and dual protection. In this setting where HIV is highly prevalent it is ever more important that women control the timing and limiting of births so as to preserve the health of the mother and child.


Url:
DOI: 10.1016/j.contraception.2014.09.007
PubMed: 25288035
PubMed Central: 4267976

Links to Exploration step

PMC:4267976

Le document en format XML

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<name sortKey="Maman, Suzanne" sort="Maman, Suzanne" uniqKey="Maman S" first="Suzanne" last="Maman">Suzanne Maman</name>
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<name sortKey="Moodley, Dhayendre" sort="Moodley, Dhayendre" uniqKey="Moodley D" first="Dhayendre" last="Moodley">Dhayendre Moodley</name>
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<name sortKey="Curtis, Sian" sort="Curtis, Sian" uniqKey="Curtis S" first="Siân" last="Curtis">Siân Curtis</name>
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<sec id="S1">
<title>Objective</title>
<p id="P1">We examined contraceptive use and dual protection in the post-partum period in a Prevention of Mother to Child Transmission (PMTCT) population and whether it varied by HIV status.</p>
</sec>
<sec id="S2">
<title>Study Design</title>
<p id="P2">Data are from a prospective study, the South Africa HIV Antenatal Post-test Support Study. Pregnant participants were recruited from a government clinic in an urban township and the analytic sample was 821. Following enrollment, participants were tested for HIV and administered a questionnaire at baseline and 14 weeks post-partum. We used generalized linear regression models to examine HIV status and use of modern contraceptives at 14 weeks.</p>
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<title>Results</title>
<p id="P3">The risk ratio of condom use at 14 weeks post-partum was 1.66 (95% CI: 1.36-2.02) for HIV positive compared to HIV negative women. The risk ratio for dual protection (use of a condom and a hormonal method) was 1.96 (95% CI: 1.39-2.79) at 14 weeks for HIV positive compared to HIV negative women.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">HIV positive status may be a motivating factor for women to use condoms and dual protection. In this setting where HIV is highly prevalent it is ever more important that women control the timing and limiting of births so as to preserve the health of the mother and child.</p>
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<journal-id journal-id-type="nlm-journal-id">0234361</journal-id>
<journal-id journal-id-type="pubmed-jr-id">3163</journal-id>
<journal-id journal-id-type="nlm-ta">Contraception</journal-id>
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<article-title>HIV Status and Post-partum Contraceptive Use in an Antenatal Population in Durban, South Africa</article-title>
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<name>
<surname>Marlow</surname>
<given-names>Heather M.</given-names>
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<degrees>M.P.H., Ph.D</degrees>
<role>Senior Advisor</role>
<xref ref-type="corresp" rid="CR1">*</xref>
<aff id="A1">Research and Evaluation Ipas</aff>
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<name>
<surname>Maman</surname>
<given-names>Suzanne</given-names>
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<degrees>Ph.D</degrees>
<role>Associate Professor</role>
<aff id="A2">Department of Health Behavior University of North Carolina at Chapel Hill</aff>
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<name>
<surname>Moodley</surname>
<given-names>Dhayendre</given-names>
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<degrees>Ph.D</degrees>
<role>Associate Professor</role>
<aff id="A3">Women's Health and HIV Research Unit Department of Obstetrics and Gynecology Nelson R. Mandela School of Medicine University of KwaZulu Natal</aff>
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<contrib contrib-type="author">
<name>
<surname>Curtis</surname>
<given-names>Siân</given-names>
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<degrees>Ph.D</degrees>
<role>Research Associate Professor</role>
<aff id="A4">Department of Maternal and Child Health University of North Carolina at Chapel Hill</aff>
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<name>
<surname>Reyes</surname>
<given-names>Luz McNaughton</given-names>
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<degrees>M.P.H., Ph.D</degrees>
<role>Research Assistant Professor</role>
<aff id="A5">Department of Health Behavior University of North Carolina at Chapel Hill</aff>
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<author-notes>
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<label>*</label>
Corresponding author:
<email>marlowh@ipas.org</email>
, telephone: 919-883-3748, address: P.O. Box 9990, Chapel Hill, NC 27515, USA</corresp>
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<pub-date pub-type="nihms-submitted">
<day>19</day>
<month>9</month>
<year>2014</year>
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<pub-date pub-type="epub">
<day>19</day>
<month>9</month>
<year>2014</year>
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<year>2015</year>
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<fpage>39</fpage>
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<pmc-comment>elocation-id from pubmed: 10.1016/j.contraception.2014.09.007</pmc-comment>
<abstract>
<sec id="S1">
<title>Objective</title>
<p id="P1">We examined contraceptive use and dual protection in the post-partum period in a Prevention of Mother to Child Transmission (PMTCT) population and whether it varied by HIV status.</p>
</sec>
<sec id="S2">
<title>Study Design</title>
<p id="P2">Data are from a prospective study, the South Africa HIV Antenatal Post-test Support Study. Pregnant participants were recruited from a government clinic in an urban township and the analytic sample was 821. Following enrollment, participants were tested for HIV and administered a questionnaire at baseline and 14 weeks post-partum. We used generalized linear regression models to examine HIV status and use of modern contraceptives at 14 weeks.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The risk ratio of condom use at 14 weeks post-partum was 1.66 (95% CI: 1.36-2.02) for HIV positive compared to HIV negative women. The risk ratio for dual protection (use of a condom and a hormonal method) was 1.96 (95% CI: 1.39-2.79) at 14 weeks for HIV positive compared to HIV negative women.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">HIV positive status may be a motivating factor for women to use condoms and dual protection. In this setting where HIV is highly prevalent it is ever more important that women control the timing and limiting of births so as to preserve the health of the mother and child.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Contraception</kwd>
<kwd>fertility</kwd>
<kwd>HIV/AIDS</kwd>
<kwd>South Africa</kwd>
<kwd>Post-partum</kwd>
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