Socio-Demographic and Behavioral Factors Associated with the Desire to Procreate Among Patients Living with HIV in Gabon
Identifieur interne : 002E34 ( Ncbi/Merge ); précédent : 002E33; suivant : 002E35Socio-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
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Procreate Among Patients Living with HIV in Gabon</title><author><name sortKey="Okome Nkoumou, Madeleine" sort="Okome Nkoumou, Madeleine" uniqKey="Okome Nkoumou M" first="Madeleine" last="Okome-Nkoumou">Madeleine Okome-Nkoumou</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="Guiyedi, Vincent" sort="Guiyedi, Vincent" uniqKey="Guiyedi V" first="Vincent" last="Guiyedi">Vincent Guiyedi</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><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="Dzeing Ella, Arnaud" sort="Dzeing Ella, Arnaud" uniqKey="Dzeing Ella A" first="Arnaud" last="Dzeing-Ella">Arnaud Dzeing-Ella</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Infectious and Tropical 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Emagha N" first="Nora" last="Efire-Emagha">Nora Efire-Emagha</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="Menguet Abessolo, Mireille Patricia" sort="Menguet Abessolo, Mireille Patricia" uniqKey="Menguet Abessolo M" first="Mireille Patricia" 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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<front><journal-meta><journal-id journal-id-type="nlm-ta">Open AIDS J</journal-id><journal-id journal-id-type="iso-abbrev">Open AIDS J</journal-id><journal-id journal-id-type="publisher-id">TOAIDJ</journal-id><journal-title-group><journal-title>The Open AIDS Journal</journal-title></journal-title-group><issn pub-type="epub">1874-6136</issn><publisher><publisher-name>Bentham Open</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25646139</article-id><article-id pub-id-type="pmc">4311383</article-id><article-id pub-id-type="publisher-id">TOAIDJ-9-1</article-id><article-id pub-id-type="doi">10.2174/1874613601509010001</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Socio-Demographic and Behavioral Factors Associated with the Desire to Procreate Among Patients Living with HIV in Gabon</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Okome-Nkoumou</surname><given-names>Madeleine</given-names></name><xref ref-type="author-notes" rid="FN1">§</xref><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Guiyedi</surname><given-names>Vincent</given-names></name><xref ref-type="corresp" rid="cor1">*</xref><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="author-notes" rid="FN1">§</xref></contrib><contrib contrib-type="author"><name><surname>Dzeing-Ella</surname><given-names>Arnaud</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Komba-Boussaga</surname><given-names>Yvonne</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Efire-Emagha</surname><given-names>Nora</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Menguet-Abessolo</surname><given-names>Mireille Patricia</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ongali</surname><given-names>Brice</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Akoume</surname><given-names>Marie-Yvonne</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Bissagnene</surname><given-names>Emmanuel</given-names></name><xref ref-type="aff" rid="aff4">4</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Department of Infectious and Tropical Diseases, Libreville Faculty of Medicine, Health Sciences University, Libreville, Gabon</aff><aff id="aff2"><label>2</label>Service of Internal Medicine-Infectious and Tropical Diseases, Albert Schweitzer University Hospital Center of Lambaréné, Gabon</aff><aff id="aff3"><label>3</label>Service of Internal Medicine-Infectious and Tropical Diseases, Valenciennes Hospital Center, France</aff><aff id="aff4"><label>4</label>Department of Infectious and Tropical Diseases, University Hospital of Treichville, Côte d’Ivoire</aff><author-notes><corresp id="cor1"><label>*</label>Address correspondence to this author at the Department of Infectious and Tropical Diseases, Libreville Faculty of Medicine, University of Health Sciences, Libreville, BP: 861, Gabon; Tel: (241) 07 59 32 12;
E-mail: <email xlink:href="guidyvin@hotmail.com">guidyvin@hotmail.com</email></corresp><fn id="FN1"><label>§</label><p>These authors contributed equally to the preparation of this manuscript.</p></fn></author-notes><pub-date pub-type="epub"><day>23
</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>9</volume><fpage>1</fpage><lpage>8</lpage><history><date date-type="received"><day>7</day><month>10</month><year>2014</year></date><date date-type="rev-recd"><day>17</day><month>12</month><year>2014</year></date><date date-type="accepted"><day>22</day><month>12</month><year>2014</year></date></history><permissions><copyright-statement>© Okome-Nkoumou <italic>et al.</italic>; Licensee <italic>Bentham Open.</italic></copyright-statement><copyright-year>2015</copyright-year><copyright-holder> Okome-Nkoumou </copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (<uri xlink:type="simple" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</uri>) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.</license-p></license></permissions><abstract><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></abstract><kwd-group><title>Keywords</title><kwd>Behavior</kwd><kwd>fertility desire</kwd><kwd>Gabon</kwd><kwd>HIV</kwd><kwd>sero-discordant couples</kwd><kwd>socio-demographic.</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Fig. (1)</label><caption><p>A. Evolution of the proportion of patients who screened positive for HIV at the three hospitals between 1996 and 2011: Fondation
Jeanne Ebori Hospital (FJE), Libreville Hospital Ambulatory Treatment Center (LH-ATC), and Nkembo Hospital (Nkembo H). Period A’:
1996-2000, B’: 2001-2005, C’: 2006-2011. B. Distribution of male and female patients according to the following age ranges: A’’: 17-24
years, B’’: 25-29 years, C’’: 30-39 years, D’’: 40-49 years, E’’: >50 years.</p></caption><graphic xlink:href="TOAIDJ-9-1_F1"></graphic></fig><table-wrap id="T1" position="float"><label>Table 1.</label><caption><p>Patients’ distribution with respect to sociodemographic
characteristics, sexual behavior, and
the desire to procreate. N: number.</p></caption><table frame="border" rules="all" width="100%"><thead><tr><th valign="bottom" rowspan="1" colspan="1"> </th><th valign="bottom" rowspan="1" colspan="1">Staff (N=422)</th><th valign="bottom" rowspan="1" colspan="1">Percentage (%)</th></tr></thead><tbody><tr><td colspan="3" valign="bottom" rowspan="1">Marital Status </td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Single</td><td valign="bottom" rowspan="1" colspan="1">201</td><td valign="bottom" rowspan="1" colspan="1">47.6</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Married or coupled</td><td valign="bottom" rowspan="1" colspan="1">221</td><td valign="bottom" rowspan="1" colspan="1">52.4</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Parent of a Child Status </td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Yes</td><td valign="bottom" rowspan="1" colspan="1">343</td><td valign="bottom" rowspan="1" colspan="1">81.3</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">No</td><td valign="bottom" rowspan="1" colspan="1">79</td><td valign="bottom" rowspan="1" colspan="1">18.7</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Patient with an HIV-Positive Child </td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Yes</td><td valign="bottom" rowspan="1" colspan="1">45</td><td valign="bottom" rowspan="1" colspan="1">10.6</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">No</td><td valign="bottom" rowspan="1" colspan="1">305</td><td valign="bottom" rowspan="1" colspan="1">72.3</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Unknown</td><td valign="bottom" rowspan="1" colspan="1">16</td><td valign="bottom" rowspan="1" colspan="1">3.8</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Not concerned</td><td valign="bottom" rowspan="1" colspan="1">56</td><td valign="bottom" rowspan="1" colspan="1">13.3</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">School Educational Level </td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Primary</td><td valign="bottom" rowspan="1" colspan="1">69</td><td valign="bottom" rowspan="1" colspan="1">16.4</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Secondary</td><td valign="bottom" rowspan="1" colspan="1">271</td><td valign="bottom" rowspan="1" colspan="1">64.2</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">University</td><td valign="bottom" rowspan="1" colspan="1">82</td><td valign="bottom" rowspan="1" colspan="1">19.4</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Professional Activity </td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Frame-Public function</td><td valign="bottom" rowspan="1" colspan="1">104</td><td valign="bottom" rowspan="1" colspan="1">2.8</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Storekeepers-Workers</td><td valign="bottom" rowspan="1" colspan="1">69</td><td valign="bottom" rowspan="1" colspan="1">5.7</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">School-Students</td><td valign="bottom" rowspan="1" colspan="1">74</td><td valign="bottom" rowspan="1" colspan="1">17.5</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Unemployed</td><td valign="bottom" rowspan="1" colspan="1">175</td><td valign="bottom" rowspan="1" colspan="1">41.5</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Heterosexual Sex </td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Yes</td><td valign="bottom" rowspan="1" colspan="1">302</td><td valign="bottom" rowspan="1" colspan="1">71.6</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">No</td><td valign="bottom" rowspan="1" colspan="1">120</td><td valign="bottom" rowspan="1" colspan="1">28.4</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Condom Use</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Yes</td><td valign="bottom" rowspan="1" colspan="1">268</td><td valign="bottom" rowspan="1" colspan="1">63.5</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">No</td><td valign="bottom" rowspan="1" colspan="1">56</td><td valign="bottom" rowspan="1" colspan="1">13.3</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Not concerned</td><td valign="bottom" rowspan="1" colspan="1">98</td><td valign="bottom" rowspan="1" colspan="1">23.2</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Contraception</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Yes</td><td valign="bottom" rowspan="1" colspan="1">129</td><td valign="bottom" rowspan="1" colspan="1">30.6</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">No</td><td valign="bottom" rowspan="1" colspan="1">208</td><td valign="bottom" rowspan="1" colspan="1">49.3</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Not concerned</td><td valign="bottom" rowspan="1" colspan="1">85</td><td valign="bottom" rowspan="1" colspan="1">20.1</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Partner’s HIV Status</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Positive</td><td valign="bottom" rowspan="1" colspan="1">102</td><td valign="bottom" rowspan="1" colspan="1">24.2</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Negative</td><td valign="bottom" rowspan="1" colspan="1">136</td><td valign="bottom" rowspan="1" colspan="1">32.2</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Unknown</td><td valign="bottom" rowspan="1" colspan="1">91</td><td valign="bottom" rowspan="1" colspan="1">21.6</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Not concerned</td><td valign="bottom" rowspan="1" colspan="1">93</td><td valign="bottom" rowspan="1" colspan="1">22</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Fertility Desire</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Yes</td><td valign="bottom" rowspan="1" colspan="1">329</td><td valign="bottom" rowspan="1" colspan="1">78</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">No</td><td valign="bottom" rowspan="1" colspan="1">93</td><td valign="bottom" rowspan="1" colspan="1">22</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Child's Adoption Possibility</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Yes</td><td valign="bottom" rowspan="1" colspan="1">199</td><td valign="bottom" rowspan="1" colspan="1">47.2</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">No</td><td valign="bottom" rowspan="1" colspan="1">199</td><td valign="bottom" rowspan="1" colspan="1">47.2</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Not specified</td><td valign="bottom" rowspan="1" colspan="1">24</td><td valign="bottom" rowspan="1" colspan="1">5.6</td></tr><tr><td colspan="3" valign="bottom" rowspan="1">Assumed an HIV-Positive Child </td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Yes</td><td valign="bottom" rowspan="1" colspan="1">281</td><td valign="bottom" rowspan="1" colspan="1">66.6</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">No</td><td valign="bottom" rowspan="1" colspan="1">128</td><td valign="bottom" rowspan="1" colspan="1">30.3</td></tr><tr><td valign="bottom" rowspan="1" colspan="1">Not specified</td><td valign="bottom" rowspan="1" colspan="1">13</td><td valign="bottom" rowspan="1" colspan="1">3.1</td></tr></tbody></table></table-wrap><table-wrap id="T2" position="float"><label>Table 2.</label><caption><p>Association between the desire to procreate and socio-demographic and clinical factors. N: number. PR: prevalence ratio.
95% CI: 95% confidence interval.</p></caption><table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1">Fertility Desire (N=329) </th><th align="center" rowspan="1" colspan="1">No Fertility Desire (N=93) </th><th align="center" rowspan="1" colspan="1">PR </th><th align="center" rowspan="1" colspan="1">95% CI </th><th align="center" rowspan="1" colspan="1">P </th></tr></thead><tbody><tr><td colspan="6" rowspan="1">Age Brackets </td></tr><tr><td align="center" rowspan="1" colspan="1"><40 years</td><td align="center" rowspan="1" colspan="1">268 (81%)</td><td align="center" rowspan="1" colspan="1">51 (55%)</td><td align="center" rowspan="1" colspan="1">1.42</td><td align="center" rowspan="1" colspan="1">[1.42-1.68]</td><td align="center" rowspan="1" colspan="1"><0.001</td></tr><tr><td align="center" rowspan="1" colspan="1">>40 years</td><td align="center" rowspan="1" colspan="1">61 (19%)</td><td align="center" rowspan="1" colspan="1">42 (45%)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td colspan="6" rowspan="1">Sex </td></tr><tr><td align="center" rowspan="1" colspan="1">Female</td><td align="center" rowspan="1" colspan="1">268 (81%)</td><td align="center" rowspan="1" colspan="1">69 (74%)</td><td align="center" rowspan="1" colspan="1">1.11</td><td align="center" rowspan="1" colspan="1">[0.96-1.28]</td><td align="center" rowspan="1" colspan="1">0.12</td></tr><tr><td align="center" rowspan="1" colspan="1">Male</td><td align="center" rowspan="1" colspan="1">61 (19%)</td><td align="center" rowspan="1" colspan="1">24 (26%)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td colspan="6" rowspan="1">School Educational Level </td></tr><tr><td align="center" rowspan="1" colspan="1">Primary and secondary</td><td align="center" rowspan="1" colspan="1">265 (80%)</td><td align="center" rowspan="1" colspan="1">75 (81%)</td><td align="center" rowspan="1" colspan="1">1.00</td><td align="center" rowspan="1" colspan="1">[0.88-1.13]</td><td align="center" rowspan="1" colspan="1">0.98</td></tr><tr><td align="center" rowspan="1" colspan="1">University</td><td align="center" rowspan="1" colspan="1">64 (20%)</td><td align="center" rowspan="1" colspan="1">18 (19%)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td colspan="6" rowspan="1">Marital Status </td></tr><tr><td align="center" rowspan="1" colspan="1">Single</td><td align="center" rowspan="1" colspan="1">155 (47%)</td><td align="center" rowspan="1" colspan="1">46 (58%)</td><td align="center" rowspan="1" colspan="1">0.92</td><td align="center" rowspan="1" colspan="1">[0.84-1.02]</td><td align="center" rowspan="1" colspan="1">0.09</td></tr><tr><td align="center" rowspan="1" colspan="1">Married or coupled</td><td align="center" rowspan="1" colspan="1">174 (53%)</td><td align="center" rowspan="1" colspan="1">34 (42%)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td colspan="6" rowspan="1">Parent of a Child Status </td></tr><tr><td align="center" rowspan="1" colspan="1">Yes</td><td align="center" rowspan="1" colspan="1">255 (77%)</td><td align="center" rowspan="1" colspan="1">88 (95%)</td><td align="center" rowspan="1" colspan="1">0.79</td><td align="center" rowspan="1" colspan="1">[0.73-0.86]</td><td align="center" rowspan="1" colspan="1"><0.001</td></tr><tr><td align="center" rowspan="1" colspan="1">No</td><td align="center" rowspan="1" colspan="1">74 (23%)</td><td align="center" rowspan="1" colspan="1">5 (5%)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="center" rowspan="1" colspan="1">Number of Children</td><td align="center" rowspan="1" colspan="1">1.7</td><td align="center" rowspan="1" colspan="1">3.2</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"><0.001</td></tr><tr><td colspan="6" rowspan="1">Partner Desire </td></tr><tr><td align="center" rowspan="1" colspan="1">Yes</td><td align="center" rowspan="1" colspan="1">197 (60%)</td><td align="center" rowspan="1" colspan="1">22 (24%)</td><td align="center" rowspan="1" colspan="1">1.38</td><td align="center" rowspan="1" colspan="1">[1.24-1.54]</td><td align="center" rowspan="1" colspan="1"><0.001</td></tr><tr><td align="center" rowspan="1" colspan="1">No</td><td align="center" rowspan="1" colspan="1">132 (40%)</td><td align="center" rowspan="1" colspan="1">71 (76%)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td colspan="6" rowspan="1">Adoption </td></tr><tr><td align="center" rowspan="1" colspan="1">Yes</td><td align="center" rowspan="1" colspan="1">163 (49.5%)</td><td align="center" rowspan="1" colspan="1">36 (39%)</td><td align="center" rowspan="1" colspan="1">1.10</td><td align="center" rowspan="1" colspan="1">[0.99-1.22]</td><td align="center" rowspan="1" colspan="1">0.06</td></tr><tr><td align="center" rowspan="1" colspan="1">No</td><td align="center" rowspan="1" colspan="1">166 (50.5%)</td><td align="center" rowspan="1" colspan="1">57 (61%)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td colspan="6" rowspan="1">Professional Activity </td></tr><tr><td align="center" rowspan="1" colspan="1">Yes</td><td align="center" rowspan="1" colspan="1">133 (40%)</td><td align="center" rowspan="1" colspan="1">40 (43%)</td><td align="center" rowspan="1" colspan="1">0.98</td><td align="center" rowspan="1" colspan="1">[0.88-1.08]</td><td align="center" rowspan="1" colspan="1">0.65</td></tr><tr><td align="center" rowspan="1" colspan="1">No</td><td align="center" rowspan="1" colspan="1">196 (60%)</td><td align="center" rowspan="1" colspan="1">53 (57%)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td colspan="6" rowspan="1">Loss of Weight >10% </td></tr><tr><td align="center" rowspan="1" colspan="1">Yes</td><td align="center" rowspan="1" colspan="1">144 (44%)</td><td align="center" rowspan="1" colspan="1">55 (59%)</td><td align="center" rowspan="1" colspan="1">0.87</td><td align="center" rowspan="1" colspan="1">[0.79-0.97]</td><td align="center" rowspan="1" colspan="1"><0.001</td></tr><tr><td align="center" rowspan="1" colspan="1">No</td><td align="center" rowspan="1" colspan="1">185 (56%)</td><td align="center" rowspan="1" colspan="1">38 (41%)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr></tbody></table></table-wrap></floats-group></pmc><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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