SidaSubSaharaV1, Main, Exploration, bibRecordById, PMC:3020203

Childbearing Intentions of HIV-Positive Women of Reproductive Age in Soweto, South Africa: The Influence of Expanding Access to HAART in an HIV Hyperendemic Setting

Identifieur interne : 003E32 ( Main/Exploration ); précédent : 003E31; suivant : 003E33

Childbearing Intentions of HIV-Positive Women of Reproductive Age in Soweto, South Africa: The Influence of Expanding Access to HAART in an HIV Hyperendemic Setting

Auteurs : Angela Kaida ; Fatima Laher ; Steffanie A. Strathdee ; Patricia A. Janssen ; Deborah Money ; Robert S. Hogg ; Glenda Gray

Source :

American Journal of Public Health [ 0090-0036 ] ; 2011.

RBID : PMC:3020203

Descripteurs français

KwdFr :
- Adolescent, Adulte, Comportement procréatif (psychologie), Entretiens comme sujet, Facteurs socioéconomiques, Femelle, Humains, Intention, Jeune adulte, Prévalence, République d'Afrique du Sud (épidémiologie), Séropositivité VIH (psychologie), Séropositivité VIH (traitement médicamenteux), Séropositivité VIH (épidémiologie), Thérapie antirétrovirale hautement active.
MESH :
- psychologie : Comportement procréatif, Séropositivité VIH.
- traitement médicamenteux : Séropositivité VIH.
- épidémiologie : République d'Afrique du Sud, Séropositivité VIH.
- Adolescent, Adulte, Entretiens comme sujet, Facteurs socioéconomiques, Femelle, Humains, Intention, Jeune adulte, Prévalence, Thérapie antirétrovirale hautement active.
Wicri :
- geographic : Afrique du Sud.

English descriptors

KwdEn :
- Adolescent, Adult, Antiretroviral Therapy, Highly Active, Female, HIV Seropositivity (drug therapy), HIV Seropositivity (epidemiology), HIV Seropositivity (psychology), Humans, Intention, Interviews as Topic, Prevalence, Reproductive Behavior (psychology), Socioeconomic Factors, South Africa (epidemiology), Young Adult.
MESH :
- geographic , epidemiology : South Africa.
- drug therapy : HIV Seropositivity.
- epidemiology : HIV Seropositivity.
- psychology : HIV Seropositivity, Reproductive Behavior.
- Adolescent, Adult, Antiretroviral Therapy, Highly Active, Female, Humans, Intention, Interviews as Topic, Prevalence, Socioeconomic Factors, Young Adult.

Abstract

Objectives. We investigated whether the intention to have children varied according to HIV status and use of highly active antiretroviral therapy (HAART) among women in Soweto, South Africa.

Methods. We used survey data from 674 women aged 18 to 44 years recruited from the Perinatal HIV Research Unit in Soweto (May through December 2007); 217 were HIV-positive HAART users (median duration of use = 31 months; interquartile range = 28, 33), 215 were HIV-positive and HAART–naive, and 242 were HIV negative. Logistic regression models examined associations between HIV status, HAART use, and intention to have children.

Results. Overall, 44% of women reported intent to have children, with significant variation by HIV status: 31% of HAART users, 29% of HAART-naive women, and 68% of HIV-negative women (P < .001). In adjusted models, HIV-positive women were nearly 60% less likely to report childbearing intentions compared with HIV-negative women (for HAART users, adjusted odds ratio [AOR] = 0.40; 95% confidence interval [CI] = 0.23, 0.69; for HAART-naive women, AOR = 0.35; 95% CI = 0.21, 0.60), with minimal differences according to use or duration of HAART.

Conclusions. Integrated HIV, HAART, and reproductive health services must be provided to support the rights of all women to safely achieve their fertility goals.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3020203

DOI: 10.2105/AJPH.2009.177469
PubMed: 20403884
PubMed Central: 3020203

Affiliations:

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<term>Female</term>
<term>HIV Seropositivity (drug therapy)</term>
<term>HIV Seropositivity (epidemiology)</term>
<term>HIV Seropositivity (psychology)</term>
<term>Humans</term>
<term>Intention</term>
<term>Interviews as Topic</term>
<term>Prevalence</term>
<term>Reproductive Behavior (psychology)</term>
<term>Socioeconomic Factors</term>
<term>South Africa (epidemiology)</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Comportement procréatif (psychologie)</term>
<term>Entretiens comme sujet</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Intention</term>
<term>Jeune adulte</term>
<term>Prévalence</term>
<term>République d'Afrique du Sud (épidémiologie)</term>
<term>Séropositivité VIH (psychologie)</term>
<term>Séropositivité VIH (traitement médicamenteux)</term>
<term>Séropositivité VIH (épidémiologie)</term>
<term>Thérapie antirétrovirale hautement active</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>South Africa</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Seropositivity</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Seropositivity</term>
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<term>Adulte</term>
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<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
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<front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic>
 We investigated whether the intention to have children varied according to HIV status and use of highly active antiretroviral therapy (HAART) among women in Soweto, South Africa.</p>
<p><italic>Methods.</italic>
 We used survey data from 674 women aged 18 to 44 years recruited from the Perinatal HIV Research Unit in Soweto (May through December 2007); 217 were HIV-positive HAART users (median duration of use = 31 months; interquartile range = 28, 33), 215 were HIV-positive and HAART–naive, and 242 were HIV negative. Logistic regression models examined associations between HIV status, HAART use, and intention to have children.</p>
<p><italic>Results.</italic>
 Overall, 44% of women reported intent to have children, with significant variation by HIV status: 31% of HAART users, 29% of HAART-naive women, and 68% of HIV-negative women (<italic>P</italic>
 < .001). In adjusted models, HIV-positive women were nearly 60% less likely to report childbearing intentions compared with HIV-negative women (for HAART users, adjusted odds ratio [AOR] = 0.40; 95% confidence interval [CI] = 0.23, 0.69; for HAART-naive women, AOR = 0.35; 95% CI = 0.21, 0.60), with minimal differences according to use or duration of HAART.</p>
<p><italic>Conclusions.</italic>
 Integrated HIV, HAART, and reproductive health services must be provided to support the rights of all women to safely achieve their fertility goals.</p>
</div>
</front>
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Childbearing Intentions of HIV-Positive Women of Reproductive Age in Soweto, South Africa: The Influence of Expanding Access to HAART in an HIV Hyperendemic Setting

Childbearing Intentions of HIV-Positive Women of Reproductive Age in Soweto, South Africa: The Influence of Expanding Access to HAART in an HIV Hyperendemic Setting

Source :

Descripteurs français

English descriptors

Abstract

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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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