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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Effect of HIV status on fertility desire and knowledge of long-acting reversible contraception of postpartum Malawian women</title><author><name sortKey="O Shea, Michele S" sort="O Shea, Michele S" uniqKey="O Shea M" first="Michele S." last="O'Shea">Michele S. O'Shea</name><affiliation><nlm:aff id="A1">UNC Project-Malawi, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Rosenberg, Nora E" sort="Rosenberg, Nora E" uniqKey="Rosenberg N" first="Nora E." last="Rosenberg">Nora E. Rosenberg</name><affiliation><nlm:aff id="A1">UNC Project-Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A2">UNC Institute for Global Health & Infectious Diseases, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Department of Medicine, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation></author><author><name sortKey="Hosseinipour, Mina C" sort="Hosseinipour, Mina C" uniqKey="Hosseinipour M" first="Mina C." last="Hosseinipour">Mina C. Hosseinipour</name><affiliation><nlm:aff id="A1">UNC Project-Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A2">UNC Institute for Global Health & Infectious Diseases, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Department of Medicine, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation></author><author><name sortKey="Stuart, Gretchen S" sort="Stuart, Gretchen S" uniqKey="Stuart G" first="Gretchen S." last="Stuart">Gretchen S. Stuart</name><affiliation><nlm:aff id="A4">Department of Obstetrics & Gynecology, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation></author><author><name sortKey="Miller, William C" sort="Miller, William C" uniqKey="Miller W" first="William C." last="Miller.">William C. Miller.</name><affiliation><nlm:aff id="A2">UNC Institute for Global Health & Infectious Diseases, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Department of Medicine, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation></author><author><name sortKey="Kaliti, Stephen M" sort="Kaliti, Stephen M" uniqKey="Kaliti S" first="Stephen M." last="Kaliti">Stephen M. Kaliti</name><affiliation><nlm:aff id="A4">Department of Obstetrics & Gynecology, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Bwaila Hospital, Lilongwe District Health Office, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Mwale, Mwawi" sort="Mwale, Mwawi" uniqKey="Mwale M" first="Mwawi" last="Mwale">Mwawi Mwale</name><affiliation><nlm:aff id="A6">Bwaila Hospital, Lilongwe District Health Office, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Bonongwe, Phylos P" sort="Bonongwe, Phylos P" uniqKey="Bonongwe P" first="Phylos P." last="Bonongwe">Phylos P. Bonongwe</name><affiliation><nlm:aff id="A7">Department of Obstetrics & Gynaecology, Malawi College of Medicine, Blantyre, Malawi</nlm:aff></affiliation></author><author><name sortKey="Tang, Jennifer H" sort="Tang, Jennifer H" uniqKey="Tang J" first="Jennifer H." last="Tang">Jennifer H. Tang</name><affiliation><nlm:aff id="A1">UNC Project-Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A2">UNC Institute for Global Health & Infectious Diseases, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Obstetrics & Gynecology, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A7">Department of Obstetrics & Gynaecology, Malawi College of Medicine, Blantyre, Malawi</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25367269</idno><idno type="pmc">4312510</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4312510</idno><idno type="RBID">PMC:4312510</idno><idno type="doi">10.1080/09540121.2014.972323</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001E13</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E13</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effect of HIV status on fertility desire and knowledge of long-acting reversible contraception of postpartum Malawian women</title><author><name sortKey="O Shea, Michele S" sort="O Shea, Michele S" uniqKey="O Shea M" first="Michele S." last="O'Shea">Michele S. O'Shea</name><affiliation><nlm:aff id="A1">UNC Project-Malawi, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Rosenberg, Nora E" sort="Rosenberg, Nora E" uniqKey="Rosenberg N" first="Nora E." last="Rosenberg">Nora E. Rosenberg</name><affiliation><nlm:aff id="A1">UNC Project-Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A2">UNC Institute for Global Health & Infectious Diseases, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Department of Medicine, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation></author><author><name sortKey="Hosseinipour, Mina C" sort="Hosseinipour, Mina C" uniqKey="Hosseinipour M" first="Mina C." last="Hosseinipour">Mina C. Hosseinipour</name><affiliation><nlm:aff id="A1">UNC Project-Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A2">UNC Institute for Global Health & Infectious Diseases, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Department of Medicine, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation></author><author><name sortKey="Stuart, Gretchen S" sort="Stuart, Gretchen S" uniqKey="Stuart G" first="Gretchen S." last="Stuart">Gretchen S. Stuart</name><affiliation><nlm:aff id="A4">Department of Obstetrics & Gynecology, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation></author><author><name sortKey="Miller, William C" sort="Miller, William C" uniqKey="Miller W" first="William C." last="Miller.">William C. Miller.</name><affiliation><nlm:aff id="A2">UNC Institute for Global Health & Infectious Diseases, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Department of Medicine, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation></author><author><name sortKey="Kaliti, Stephen M" sort="Kaliti, Stephen M" uniqKey="Kaliti S" first="Stephen M." last="Kaliti">Stephen M. Kaliti</name><affiliation><nlm:aff id="A4">Department of Obstetrics & Gynecology, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Bwaila Hospital, Lilongwe District Health Office, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Mwale, Mwawi" sort="Mwale, Mwawi" uniqKey="Mwale M" first="Mwawi" last="Mwale">Mwawi Mwale</name><affiliation><nlm:aff id="A6">Bwaila Hospital, Lilongwe District Health Office, Lilongwe, Malawi</nlm:aff></affiliation></author><author><name sortKey="Bonongwe, Phylos P" sort="Bonongwe, Phylos P" uniqKey="Bonongwe P" first="Phylos P." last="Bonongwe">Phylos P. Bonongwe</name><affiliation><nlm:aff id="A7">Department of Obstetrics & Gynaecology, Malawi College of Medicine, Blantyre, Malawi</nlm:aff></affiliation></author><author><name sortKey="Tang, Jennifer H" sort="Tang, Jennifer H" uniqKey="Tang J" first="Jennifer H." last="Tang">Jennifer H. Tang</name><affiliation><nlm:aff id="A1">UNC Project-Malawi, Lilongwe, Malawi</nlm:aff></affiliation><affiliation><nlm:aff id="A2">UNC Institute for Global Health & Infectious Diseases, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Department of Obstetrics & Gynecology, University of North Carolina, Chapel Hill, North Carolina</nlm:aff></affiliation><affiliation><nlm:aff id="A7">Department of Obstetrics & Gynaecology, Malawi College of Medicine, Blantyre, Malawi</nlm:aff></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="ISSN">0954-0121</idno><idno type="eISSN">1360-0451</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">The objectives of this study were to describe the most recent pregnancy intentions and family planning preferences of HIV-infected and HIV-uninfected postpartum Malawian women, and to assess whether HIV status is associated with fertility desire and knowledge of intrauterine contraception (IUC) and the subdermal contraceptive implant. We conducted a cross-sectional analysis of the baseline characteristics of Malawian women enrolled in a prospective cohort study assessing postpartum contraceptive uptake and continuation. Women at a government hospital completed a baseline survey assessing reproductive history, family planning preferences, and knowledge of IUC and the implant. We used Pearson's chi-square tests to compare these parameters between HIV-infected and HIV-uninfected women. Modified Poisson regression was performed to assess the association between HIV status and fertility desire and knowledge about IUC and the implant. Of 634 postpartum women surveyed, HIV-infected women were more likely to report their most recent pregnancy was unintended (49% versus 37%, p=0.004). Nearly all women (97%) did not want a child in the next two years but HIV-infected women were more likely to desire no more children (adjusted PR: 1.59; 95% CI: 1.33, 1.89). HIV-infected women were also less likely to know that IUC (adjusted PR 0.72; 95% CI: 0.61, 0.84) and the implant (adjusted PR 0.83; 95% CI: 0.75, 0.92) are safe during breastfeeding. Postpartum women strongly desire family spacing and many HIV-infected postpartum women desire no more children, suggesting an important role for these long-acting methods. Education about the efficacy and safety of IUC and the implant particularly during breastfeeding may facilitate postpartum use.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8915313</journal-id><journal-id journal-id-type="pubmed-jr-id">1056</journal-id><journal-id journal-id-type="nlm-ta">AIDS Care</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Care</journal-id><journal-title-group><journal-title>AIDS care</journal-title></journal-title-group><issn pub-type="ppub">0954-0121</issn><issn pub-type="epub">1360-0451</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25367269</article-id><article-id pub-id-type="pmc">4312510</article-id><article-id pub-id-type="doi">10.1080/09540121.2014.972323</article-id><article-id pub-id-type="manuscript">NIHMS635323</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Effect of HIV status on fertility desire and knowledge of long-acting reversible contraception of postpartum Malawian women</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>O'SHEA</surname><given-names>Michele S.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>ROSENBERG</surname><given-names>Nora E.</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="aff" rid="A2">b</xref><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>HOSSEINIPOUR</surname><given-names>Mina C.</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="aff" rid="A2">b</xref><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>STUART</surname><given-names>Gretchen S.</given-names></name><xref ref-type="aff" rid="A4">d</xref></contrib><contrib contrib-type="author"><name><surname>MILLER.</surname><given-names>William C.</given-names></name><xref ref-type="aff" rid="A2">b</xref><xref ref-type="aff" rid="A3">c</xref><xref ref-type="aff" rid="A5">e</xref></contrib><contrib contrib-type="author"><name><surname>KALITI</surname><given-names>Stephen M.</given-names></name><xref ref-type="aff" rid="A4">d</xref><xref ref-type="aff" rid="A6">f</xref></contrib><contrib contrib-type="author"><name><surname>MWALE</surname><given-names>Mwawi</given-names></name><xref ref-type="aff" rid="A6">f</xref></contrib><contrib contrib-type="author"><name><surname>BONONGWE</surname><given-names>Phylos P.</given-names></name><xref ref-type="aff" rid="A7">g</xref></contrib><contrib contrib-type="author"><name><surname>TANG</surname><given-names>Jennifer H.</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="aff" rid="A2">b</xref><xref ref-type="aff" rid="A4">d</xref><xref ref-type="aff" rid="A7">g</xref></contrib></contrib-group><aff id="A1"><label>a</label>UNC Project-Malawi, Lilongwe, Malawi</aff><aff id="A2"><label>b</label>UNC Institute for Global Health & Infectious Diseases, Chapel Hill, North Carolina</aff><aff id="A3"><label>c</label>Department of Medicine, University of North Carolina, Chapel Hill, North Carolina</aff><aff id="A4"><label>d</label>Department of Obstetrics & Gynecology, University of North Carolina, Chapel Hill, North Carolina</aff><aff id="A5"><label>e</label>Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina</aff><aff id="A6"><label>f</label>Bwaila Hospital, Lilongwe District Health Office, Lilongwe, Malawi</aff><aff id="A7"><label>g</label>Department of Obstetrics & Gynaecology, Malawi College of Medicine, Blantyre, Malawi</aff><author-notes><corresp id="CR1"><bold>Correspondence:</bold> Jennifer Tang, MD, MSCR UNC Project-Malawi Tidziwe Centre c/o Kamuzu Central Hospital 100 Mzimba Road, Private Bag A104 Lilongwe, Malawi Phone: +265-99-640-2662 <email>jennifer_tang@med.unc.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>22</day><month>10</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>04</day><month>11</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>4</month><year>2016</year></pub-date><volume>27</volume><issue>4</issue><fpage>489</fpage><lpage>498</lpage><pmc-comment>elocation-id from pubmed: 10.1080/09540121.2014.972323</pmc-comment>
<abstract><p id="P1">The objectives of this study were to describe the most recent pregnancy intentions and family planning preferences of HIV-infected and HIV-uninfected postpartum Malawian women, and to assess whether HIV status is associated with fertility desire and knowledge of intrauterine contraception (IUC) and the subdermal contraceptive implant. We conducted a cross-sectional analysis of the baseline characteristics of Malawian women enrolled in a prospective cohort study assessing postpartum contraceptive uptake and continuation. Women at a government hospital completed a baseline survey assessing reproductive history, family planning preferences, and knowledge of IUC and the implant. We used Pearson's chi-square tests to compare these parameters between HIV-infected and HIV-uninfected women. Modified Poisson regression was performed to assess the association between HIV status and fertility desire and knowledge about IUC and the implant. Of 634 postpartum women surveyed, HIV-infected women were more likely to report their most recent pregnancy was unintended (49% versus 37%, p=0.004). Nearly all women (97%) did not want a child in the next two years but HIV-infected women were more likely to desire no more children (adjusted PR: 1.59; 95% CI: 1.33, 1.89). HIV-infected women were also less likely to know that IUC (adjusted PR 0.72; 95% CI: 0.61, 0.84) and the implant (adjusted PR 0.83; 95% CI: 0.75, 0.92) are safe during breastfeeding. Postpartum women strongly desire family spacing and many HIV-infected postpartum women desire no more children, suggesting an important role for these long-acting methods. Education about the efficacy and safety of IUC and the implant particularly during breastfeeding may facilitate postpartum use.</p></abstract><kwd-group><kwd>HIV</kwd><kwd>family planning</kwd><kwd>postpartum</kwd><kwd>contraception</kwd><kwd>Malawi</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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