Awareness and Interest in Intrauterine Contraceptive Device Use among HIV-Positive Women in Cape Town, South Africa
Identifieur interne : 003482 ( Main/Curation ); précédent : 003481; suivant : 003483Awareness and Interest in Intrauterine Contraceptive Device Use among HIV-Positive Women in Cape Town, South Africa
Auteurs : Catherine S. Todd [États-Unis] ; Heidi E. Jones [États-Unis] ; Tracy C. Garber [États-Unis] ; Hoviyeh Afnan-Holmes [Afrique du Sud] ; Helen Woolgar [Afrique du Sud] ; Linda-Gail Bekker [Afrique du Sud] ; Landon Myer [Afrique du Sud]Source :
- Infectious Diseases in Obstetrics and Gynecology [ 1064-7449 ] ; 2012.
Abstract
Url:
DOI: 10.1155/2012/956145
PubMed: 22778537
PubMed Central: 3388580
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PMC:3388580Le document en format XML
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<author><name sortKey="Todd, Catherine S" sort="Todd, Catherine S" uniqKey="Todd C" first="Catherine S." last="Todd">Catherine S. Todd</name>
<affiliation wicri:level="4"><nlm:aff id="I1">Department of Obstetrics and Gynecology, Columbia University, PH16-69, New York, NY 10032, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Obstetrics and Gynecology, Columbia University, PH16-69, New York, NY 10032</wicri:regionArea>
<placeName><region type="state">État de New York</region>
<settlement type="city">New York</settlement>
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<orgName type="university">Université Columbia</orgName>
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<author><name sortKey="Jones, Heidi E" sort="Jones, Heidi E" uniqKey="Jones H" first="Heidi E." last="Jones">Heidi E. Jones</name>
<affiliation wicri:level="2"><nlm:aff id="I2">City University of New York School of Public Health, Hunter College, 2180 Third Avenue, New York, NY 10035, USA</nlm:aff>
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<author><name sortKey="Garber, Tracy C" sort="Garber, Tracy C" uniqKey="Garber T" first="Tracy C." last="Garber">Tracy C. Garber</name>
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<wicri:regionArea>City University of New York School of Public Health, Hunter College, 2180 Third Avenue, New York, NY 10035</wicri:regionArea>
<placeName><region type="state">État de New York</region>
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<author><name sortKey="Afnan Holmes, Hoviyeh" sort="Afnan Holmes, Hoviyeh" uniqKey="Afnan Holmes H" first="Hoviyeh" last="Afnan-Holmes">Hoviyeh Afnan-Holmes</name>
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<country xml:lang="fr">Afrique du Sud</country>
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<author><name sortKey="Woolgar, Helen" sort="Woolgar, Helen" uniqKey="Woolgar H" first="Helen" last="Woolgar">Helen Woolgar</name>
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<wicri:noRegion>Cape Town</wicri:noRegion>
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<author><name sortKey="Bekker, Linda Gail" sort="Bekker, Linda Gail" uniqKey="Bekker L" first="Linda-Gail" last="Bekker">Linda-Gail Bekker</name>
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<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Desmond Tutu HIV Centre, Institute for Infectious Diseases and Molecular Medicine, and Department of Medicine, University of Cape Town, Anzio Road, Observatory 7925, Cape Town</wicri:regionArea>
<wicri:noRegion>Cape Town</wicri:noRegion>
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<author><name sortKey="Myer, Landon" sort="Myer, Landon" uniqKey="Myer L" first="Landon" last="Myer">Landon Myer</name>
<affiliation wicri:level="1"><nlm:aff id="I4">School of Public Health and Family Medicine, University of Cape Town, Anzio Road, Observatory 7925, Cape Town, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
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<series><title level="j">Infectious Diseases in Obstetrics and Gynecology</title>
<idno type="ISSN">1064-7449</idno>
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<front><div type="abstract" xml:lang="en"><p><italic>Objective</italic>
. To assess awareness of and interest in intrauterine contraceptive device (IUCD) use among HIV-positive women in Cape Town, South Africa. <italic>Design</italic>
. Cross-sectional survey. <italic>Methods</italic>
. HIV-positive women aged 18 through 45 years presenting for care at a primary health care clinic in Cape Town, South Africa participated in this study. Consented participants completed a staff-administered questionnaire in a private setting. Descriptive statistics were generated. Comparisons between demographic and reproductive health-related variables and IUCD awareness and interest were performed with multiple logistic regression. Analyses for IUCD interest excluded women with prior surgical sterilization. <italic>Results</italic>
. Of 277 HIV-positive women, 37% were aware of the IUCD; awareness was independently associated with greater age (adjusted odds ratio (AOR) = 1.15, 95%; confidence interval (CI): 1.10–1.20) and not switching contraceptive methods in the last year (AOR = 2.45, 95% CI: 1.03–5.83). Following an IUCD information session, 86% of women (<italic>n</italic>
= 206/240) were interested in IUCD use. IUCD interest was inversely associated with age (AOR = 0.91, 95% CI: 0.86–0.97) and marginally positively associated with current menstrual bleeding pattern complaints (AOR = 2.14, 95% CI: 0.98–4.68). <italic>Conclusions</italic>
. Despite low levels of method awareness, HIV-positive women in this setting are frequently interested in IUCD use, indicating need for programming to expand method access.</p>
</div>
</front>
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