HIV-seropositivity is not important in childbearing decision-making among HIV-positive Ghanaian women receiving antiretroviral therapy.
Identifieur interne : 000329 ( Main/Exploration ); précédent : 000328; suivant : 000330HIV-seropositivity is not important in childbearing decision-making among HIV-positive Ghanaian women receiving antiretroviral therapy.
Auteurs : Amos K. Laar [Ghana] ; Araba E. Taylor ; Bismark A. AkasoeSource :
- AIDS care [ 1360-0451 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Agents antiVIH (usage thérapeutique), Comportement sexuel (psychologie), Femelle, Ghana (épidémiologie), Grossesse, Humains, Intention, Motivation, Niveau d'instruction, Prise de décision, Services de planification familiale (), Séropositivité VIH (psychologie), Séropositivité VIH (transmission), Transmission verticale de maladie infectieuse (), Études transversales.
- MESH :
- psychologie : Comportement sexuel, Séropositivité VIH.
- usage thérapeutique : Agents antiVIH, Séropositivité VIH.
- épidémiologie : Ghana.
- Adolescent, Adulte, Femelle, Grossesse, Humains, Intention, Motivation, Niveau d'instruction, Prise de décision, Services de planification familiale, Transmission verticale de maladie infectieuse, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Adult, Anti-HIV Agents (therapeutic use), Cross-Sectional Studies, Decision Making, Educational Status, Family Planning Services (statistics & numerical data), Female, Ghana (epidemiology), HIV Seropositivity (psychology), HIV Seropositivity (transmission), Humans, Infectious Disease Transmission, Vertical (prevention & control), Intention, Motivation, Pregnancy, Sexual Behavior (psychology).
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- geographic , epidemiology : Ghana.
- prevention & control : Infectious Disease Transmission, Vertical.
- psychology : HIV Seropositivity, Sexual Behavior.
- statistics & numerical data : Family Planning Services.
- transmission : HIV Seropositivity.
- Adolescent, Adult, Cross-Sectional Studies, Decision Making, Educational Status, Female, Humans, Intention, Motivation, Pregnancy.
Abstract
Women in their reproductive years make up about 50% of all HIV-positive persons globally. These women, just as their HIV-negative counterparts, wield the right to procreate. However, HIV infection and lack of appropriate information on reproductive options may negatively impact women's procreative decision-making. This study assessed fertility intentions of HIV-positive women receiving antiretroviral therapy (ART) in southern Ghana. Quantitative methods were used to collect data from HIV-positive women receiving ART at four treatment centers. HIV-positive aged 18-49 years, and receiving ART were selected using systematic random sampling technique. Three hundred eighteen women were interviewed after informed consent. We used univariate analysis to generate descriptive tabulations for key variables. Bivariate analysis and logistic regression modeling respectively produced unadjusted and adjusted associations between background attributes of respondents and their childbearing decision-making. All analyses were performed using IBM SPSS Statistics for Windows, Version 20.0. Irrespective of age, reproductive history, and duration of HIV diagnosis, 46% of the women were desirous of procreating. The bivariate level analysis shows that women in their late reproductive ages (30-39 years) had the strongest desire to procreate (p < 0.001). After controlling for a number of covariates, primiparous and secundiparious women were about twice as likely to desire children (aOR = 2.553; 95% CI 1.480-4.401), and so were women aged 30-39 years (aOR = 2.149; 95% CI 1.202-3.843). Of 54% women who do not wish to procreate, achievement of desired family size (64.3%) was more popular a reason than fear of vertical transmission of HIV (7.5%), poor health status (5%), and pregnancy-related complications (1.6%).
DOI: 10.1080/09540121.2015.1007115
PubMed: 25650646
Affiliations:
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Taylor</name></author><author><name sortKey="Akasoe, Bismark A" sort="Akasoe, Bismark A" uniqKey="Akasoe B" first="Bismark A" last="Akasoe">Bismark A. 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Laar</name><affiliation wicri:level="1"><nlm:affiliation>a Department of Population, Family, & Reproductive Health, School of Public Health , University of Ghana , Legon, Accra , Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>a Department of Population, Family, & Reproductive Health, School of Public Health , University of Ghana , Legon, Accra </wicri:regionArea><wicri:noRegion>Accra </wicri:noRegion></affiliation></author><author><name sortKey="Taylor, Araba E" sort="Taylor, Araba E" uniqKey="Taylor A" first="Araba E" last="Taylor">Araba E. Taylor</name></author><author><name sortKey="Akasoe, Bismark A" sort="Akasoe, Bismark A" uniqKey="Akasoe B" first="Bismark A" last="Akasoe">Bismark A. 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These women, just as their HIV-negative counterparts, wield the right to procreate. However, HIV infection and lack of appropriate information on reproductive options may negatively impact women's procreative decision-making. This study assessed fertility intentions of HIV-positive women receiving antiretroviral therapy (ART) in southern Ghana. Quantitative methods were used to collect data from HIV-positive women receiving ART at four treatment centers. HIV-positive aged 18-49 years, and receiving ART were selected using systematic random sampling technique. Three hundred eighteen women were interviewed after informed consent. We used univariate analysis to generate descriptive tabulations for key variables. Bivariate analysis and logistic regression modeling respectively produced unadjusted and adjusted associations between background attributes of respondents and their childbearing decision-making. All analyses were performed using IBM SPSS Statistics for Windows, Version 20.0. Irrespective of age, reproductive history, and duration of HIV diagnosis, 46% of the women were desirous of procreating. The bivariate level analysis shows that women in their late reproductive ages (30-39 years) had the strongest desire to procreate (p < 0.001). After controlling for a number of covariates, primiparous and secundiparious women were about twice as likely to desire children (aOR = 2.553; 95% CI 1.480-4.401), and so were women aged 30-39 years (aOR = 2.149; 95% CI 1.202-3.843). Of 54% women who do not wish to procreate, achievement of desired family size (64.3%) was more popular a reason than fear of vertical transmission of HIV (7.5%), poor health status (5%), and pregnancy-related complications (1.6%).</div></front></TEI><affiliations><list><country><li>Ghana</li></country></list><tree><noCountry><name sortKey="Akasoe, Bismark A" sort="Akasoe, Bismark A" uniqKey="Akasoe B" first="Bismark A" last="Akasoe">Bismark A. Akasoe</name><name sortKey="Taylor, Araba E" sort="Taylor, Araba E" uniqKey="Taylor A" first="Araba E" last="Taylor">Araba E. Taylor</name></noCountry><country name="Ghana"><noRegion><name sortKey="Laar, Amos K" sort="Laar, Amos K" uniqKey="Laar A" first="Amos K" last="Laar">Amos K. Laar</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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