Socio-Demographic and Behavioral Factors Associated with the Desire to Procreate Among Patients Living with HIV in Gabon
Identifieur interne : 001389 ( Main/Exploration ); précédent : 001388; suivant : 001390Socio-Demographic and Behavioral Factors Associated with the Desire to Procreate Among Patients Living with HIV in Gabon
Auteurs : Madeleine Okome-Nkoumou [Gabon] ; Vincent Guiyedi [Gabon] ; Arnaud Dzeing-Ella [Gabon, France] ; Yvonne Komba-Boussaga [Gabon] ; Nora Efire-Emagha [Gabon] ; Mireille Patricia Menguet-Abessolo [Gabon] ; Brice Ongali [Gabon] ; Marie-Yvonne Akoume [Gabon] ; Emmanuel BissagneneSource :
- The Open AIDS Journal [ 1874-6136 ] ; 2015.
Abstract
The desire to procreate in patients living with HIV (PLHIV) has been seldom investigated in Africa, particularly in Gabon. The aim of this transversal and descriptive study was to analyze the socio-demographic and behavioral factors associated with a desire to have children in a cohort of PLHIV. The study included 442 patients, predominantly females [79.9% (337/422)], and those with a secondary school education [64.2% 271/422)]. The highest prevalence of HIV was found in patients aged 30-39 years old (44.3%), of which 59% (249/422) were unemployed. The desire to have children was noted in 78% (329/422) of patients, of which 82.4% (271/329) were treated with antiretroviral drugs; this was significantly higher in subjects under 40 years versus those over 40 years old [81% (268/329) versus 19% (61/329), p<0.001]. Sero-discordant couples represented 33.4% (110/329) of patients. The frequency of patients with the desire to have a child was significantly higher when patients wanted to hold the status of parent of a child [77% (255/329) versus 23% (74/329), p<0.001]; this was influenced by the partner's desire [60% 197/329 versus 40% (132/329), p< 0.001], as well as by the absence of weight loss [56% (185/329) versus 44% (144/329), p<0.001]. The average number of children was significantly lower in patients with the desire to procreate compared to those with no desire to have children [1.7 versus 3.2, p<0.001]. These first observations in Gabon highlight the importance of the desire to have children in PLHIV and sero-discordant couples, and they show the level of interest in developing assistance methods for procreation and family planning programs to help this population, as well as to reduce the risk of mother-to-child HIV transmission.
Url:
DOI: 10.2174/1874613601509010001
PubMed: 25646139
PubMed Central: 4311383
Affiliations:
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last="Menguet-Abessolo">Mireille Patricia Menguet-Abessolo</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Infectious and Tropical Diseases, Libreville Faculty of Medicine, Health Sciences University, Libreville, Gabon</nlm:aff><country xml:lang="fr">Gabon</country><wicri:regionArea>Department of Infectious and Tropical Diseases, Libreville Faculty of Medicine, Health Sciences University, Libreville</wicri:regionArea><wicri:noRegion>Libreville</wicri:noRegion></affiliation></author><author><name sortKey="Ongali, Brice" sort="Ongali, Brice" uniqKey="Ongali B" first="Brice" last="Ongali">Brice Ongali</name><affiliation wicri:level="1"><nlm:aff id="aff2">Service of Internal Medicine-Infectious and Tropical Diseases, Albert Schweitzer University Hospital Center of Lambaréné, Gabon</nlm:aff><country xml:lang="fr">Gabon</country><wicri:regionArea>Service of Internal Medicine-Infectious and Tropical Diseases, Albert Schweitzer University Hospital Center of Lambaréné</wicri:regionArea><wicri:noRegion>Albert Schweitzer University Hospital Center of Lambaréné</wicri:noRegion></affiliation></author><author><name sortKey="Akoume, Marie Yvonne" sort="Akoume, Marie Yvonne" uniqKey="Akoume M" first="Marie-Yvonne" last="Akoume">Marie-Yvonne Akoume</name><affiliation wicri:level="1"><nlm:aff id="aff2">Service of Internal Medicine-Infectious and Tropical Diseases, Albert Schweitzer University Hospital Center of Lambaréné, Gabon</nlm:aff><country xml:lang="fr">Gabon</country><wicri:regionArea>Service of Internal Medicine-Infectious and Tropical Diseases, Albert Schweitzer University Hospital Center of Lambaréné</wicri:regionArea><wicri:noRegion>Albert Schweitzer University Hospital Center of Lambaréné</wicri:noRegion></affiliation></author><author><name sortKey="Bissagnene, Emmanuel" sort="Bissagnene, Emmanuel" uniqKey="Bissagnene E" first="Emmanuel" last="Bissagnene">Emmanuel Bissagnene</name><affiliation><nlm:aff id="aff4">Department of Infectious and Tropical Diseases, University Hospital of Treichville, Côte d’Ivoire</nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author></analytic><series><title level="j">The Open AIDS Journal</title><idno type="eISSN">1874-6136</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The desire to procreate in patients living with HIV (PLHIV) has been seldom investigated in Africa, particularly in Gabon. The aim of this transversal and descriptive study was to analyze the socio-demographic and behavioral factors associated with a desire to have children in a cohort of PLHIV. The study included 442 patients, predominantly females [79.9% (337/422)], and those with a secondary school education [64.2% 271/422)]. The highest prevalence of HIV was found in patients aged 30-39 years old (44.3%), of which 59% (249/422) were unemployed. The desire to have children was noted in 78% (329/422) of patients, of which 82.4% (271/329) were treated with antiretroviral drugs; this was significantly higher in subjects under 40 years versus those over 40 years old [81% (268/329) versus 19% (61/329), p<0.001]. Sero-discordant couples represented 33.4% (110/329) of patients. The frequency of patients with the desire to have a child was significantly higher when patients wanted to hold the status of parent of a child [77% (255/329) versus 23% (74/329), p<0.001]; this was influenced by the partner's desire [60% 197/329 versus 40% (132/329), p< 0.001], as well as by the absence of weight loss [56% (185/329) versus 44% (144/329), p<0.001]. The average number of children was significantly lower in patients with the desire to procreate compared to those with no desire to have children [1.7 versus 3.2, p<0.001]. These first observations in Gabon highlight the importance of the desire to have children in PLHIV and sero-discordant couples, and they show the level of interest in developing assistance methods for procreation and family planning programs to help this population, as well as to reduce the risk of mother-to-child HIV transmission.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gonzalo, T" uniqKey="Gonzalo T">T Gonzalo</name></author><author><name sortKey="Garcia Go I, M" uniqKey="Garcia Go I M">M García Goñi</name></author><author><name sortKey="Mu Oz Fernandez, Ma" uniqKey="Mu Oz Fernandez M">MA Muñoz-Fernández</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Forsyth, Ad" uniqKey="Forsyth A">AD Forsyth</name></author><author><name sortKey="Valdiserri, Ro" uniqKey="Valdiserri R">RO Valdiserri</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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uniqKey="Rubaale T">T Rubaale</name></author><author><name sortKey="Kipp, W" uniqKey="Kipp W">W Kipp</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Panozzo, L" uniqKey="Panozzo L">L Panozzo</name></author><author><name sortKey="Battegay, M" uniqKey="Battegay M">M Battegay</name></author><author><name sortKey="Friedl, A" uniqKey="Friedl A">A Friedl</name></author><author><name sortKey="Vernazza, Pl" uniqKey="Vernazza P">PL Vernazza</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Azemar, Fh" uniqKey="Azemar F">FH Azemar</name></author><author><name sortKey="Daudin, M" uniqKey="Daudin M">M Daudin</name></author><author><name sortKey="Bujan, L" uniqKey="Bujan L">L Bujan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nakayiwa, S" uniqKey="Nakayiwa S">S Nakayiwa</name></author><author><name sortKey="Abang, B" uniqKey="Abang B">B Abang</name></author><author><name sortKey="Packel, L" uniqKey="Packel L">L Packel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vandermaelen, A" uniqKey="Vandermaelen A">A Vandermaelen</name></author><author><name sortKey="Englert, Y" uniqKey="Englert Y">Y Englert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Melaku, Y" uniqKey="Melaku Y">Y Melaku</name></author><author><name sortKey="Zeleke, E" uniqKey="Zeleke E">E Zeleke</name></author><author><name sortKey="Kinsman, J" uniqKey="Kinsman J">J Kinsman</name></author><author><name sortKey="Abraha, A" uniqKey="Abraha A">A Abraha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Erhabor, O" uniqKey="Erhabor O">O Erhabor</name></author><author><name sortKey="Akani, Ci" uniqKey="Akani C">CI Akani</name></author><author><name sortKey="Eyindah, Ce" uniqKey="Eyindah C">CE Eyindah</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li><li>Gabon</li></country></list><tree><noCountry><name sortKey="Bissagnene, Emmanuel" sort="Bissagnene, Emmanuel" uniqKey="Bissagnene E" first="Emmanuel" last="Bissagnene">Emmanuel Bissagnene</name></noCountry><country name="Gabon"><noRegion><name sortKey="Okome Nkoumou, Madeleine" sort="Okome Nkoumou, Madeleine" uniqKey="Okome Nkoumou M" first="Madeleine" last="Okome-Nkoumou">Madeleine Okome-Nkoumou</name></noRegion><name sortKey="Akoume, Marie Yvonne" sort="Akoume, Marie Yvonne" uniqKey="Akoume M" first="Marie-Yvonne" last="Akoume">Marie-Yvonne Akoume</name><name sortKey="Dzeing Ella, Arnaud" sort="Dzeing Ella, Arnaud" uniqKey="Dzeing Ella A" first="Arnaud" last="Dzeing-Ella">Arnaud Dzeing-Ella</name><name sortKey="Dzeing Ella, Arnaud" sort="Dzeing Ella, Arnaud" uniqKey="Dzeing Ella A" first="Arnaud" last="Dzeing-Ella">Arnaud Dzeing-Ella</name><name sortKey="Efire Emagha, Nora" sort="Efire Emagha, Nora" uniqKey="Efire Emagha N" first="Nora" last="Efire-Emagha">Nora Efire-Emagha</name><name sortKey="Guiyedi, Vincent" sort="Guiyedi, Vincent" uniqKey="Guiyedi V" first="Vincent" last="Guiyedi">Vincent Guiyedi</name><name sortKey="Guiyedi, Vincent" sort="Guiyedi, Vincent" uniqKey="Guiyedi V" first="Vincent" last="Guiyedi">Vincent Guiyedi</name><name sortKey="Komba Boussaga, Yvonne" sort="Komba Boussaga, Yvonne" uniqKey="Komba Boussaga Y" first="Yvonne" last="Komba-Boussaga">Yvonne Komba-Boussaga</name><name sortKey="Menguet Abessolo, Mireille Patricia" sort="Menguet Abessolo, Mireille Patricia" uniqKey="Menguet Abessolo M" first="Mireille Patricia" last="Menguet-Abessolo">Mireille Patricia Menguet-Abessolo</name><name sortKey="Ongali, Brice" sort="Ongali, Brice" uniqKey="Ongali B" first="Brice" last="Ongali">Brice Ongali</name></country><country name="France"><noRegion><name sortKey="Dzeing Ella, Arnaud" sort="Dzeing Ella, Arnaud" uniqKey="Dzeing Ella A" first="Arnaud" last="Dzeing-Ella">Arnaud Dzeing-Ella</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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