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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 : 001593 ( Pmc/Corpus ); précédent : 001592; suivant : 001594

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

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

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PMC:3020203

Le document en format XML

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<author><name sortKey="Kaida, Angela" sort="Kaida, Angela" uniqKey="Kaida A" first="Angela" last="Kaida">Angela Kaida</name>
</author>
<author><name sortKey="Laher, Fatima" sort="Laher, Fatima" uniqKey="Laher F" first="Fatima" last="Laher">Fatima Laher</name>
</author>
<author><name sortKey="Strathdee, Steffanie A" sort="Strathdee, Steffanie A" uniqKey="Strathdee S" first="Steffanie A." last="Strathdee">Steffanie A. Strathdee</name>
</author>
<author><name sortKey="Janssen, Patricia A" sort="Janssen, Patricia A" uniqKey="Janssen P" first="Patricia A." last="Janssen">Patricia A. Janssen</name>
</author>
<author><name sortKey="Money, Deborah" sort="Money, Deborah" uniqKey="Money D" first="Deborah" last="Money">Deborah Money</name>
</author>
<author><name sortKey="Hogg, Robert S" sort="Hogg, Robert S" uniqKey="Hogg R" first="Robert S." last="Hogg">Robert S. Hogg</name>
</author>
<author><name sortKey="Gray, Glenda" sort="Gray, Glenda" uniqKey="Gray G" first="Glenda" last="Gray">Glenda Gray</name>
</author>
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<idno type="pmid">20403884</idno>
<idno type="pmc">3020203</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3020203</idno>
<idno type="RBID">PMC:3020203</idno>
<idno type="doi">10.2105/AJPH.2009.177469</idno>
<date when="2011">2011</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">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</title>
<author><name sortKey="Kaida, Angela" sort="Kaida, Angela" uniqKey="Kaida A" first="Angela" last="Kaida">Angela Kaida</name>
</author>
<author><name sortKey="Laher, Fatima" sort="Laher, Fatima" uniqKey="Laher F" first="Fatima" last="Laher">Fatima Laher</name>
</author>
<author><name sortKey="Strathdee, Steffanie A" sort="Strathdee, Steffanie A" uniqKey="Strathdee S" first="Steffanie A." last="Strathdee">Steffanie A. Strathdee</name>
</author>
<author><name sortKey="Janssen, Patricia A" sort="Janssen, Patricia A" uniqKey="Janssen P" first="Patricia A." last="Janssen">Patricia A. Janssen</name>
</author>
<author><name sortKey="Money, Deborah" sort="Money, Deborah" uniqKey="Money D" first="Deborah" last="Money">Deborah Money</name>
</author>
<author><name sortKey="Hogg, Robert S" sort="Hogg, Robert S" uniqKey="Hogg R" first="Robert S." last="Hogg">Robert S. Hogg</name>
</author>
<author><name sortKey="Gray, Glenda" sort="Gray, Glenda" uniqKey="Gray G" first="Glenda" last="Gray">Glenda Gray</name>
</author>
</analytic>
<series><title level="j">American Journal of Public Health</title>
<idno type="ISSN">0090-0036</idno>
<idno type="eISSN">1541-0048</idno>
<imprint><date when="2011">2011</date>
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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>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id>
<journal-id journal-id-type="publisher-id">ajph</journal-id>
<journal-title-group><journal-title>American Journal of Public Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">0090-0036</issn>
<issn pub-type="epub">1541-0048</issn>
<publisher><publisher-name>American Public Health Association</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20403884</article-id>
<article-id pub-id-type="pmc">3020203</article-id>
<article-id pub-id-type="publisher-id">177469</article-id>
<article-id pub-id-type="doi">10.2105/AJPH.2009.177469</article-id>
<article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>17</subject>
<subject>26</subject>
<subject>29</subject>
<subject>48</subject>
<subject>53</subject>
<subject>81</subject>
</subj-group>
<subj-group subj-group-type="heading"><subject>Research and Practice</subject>
</subj-group>
</article-categories>
<title-group><article-title>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</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Kaida</surname>
<given-names>Angela</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Laher</surname>
<given-names>Fatima</given-names>
</name>
<degrees>MB, BCh</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Strathdee</surname>
<given-names>Steffanie A.</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Janssen</surname>
<given-names>Patricia A.</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Money</surname>
<given-names>Deborah</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Hogg</surname>
<given-names>Robert S.</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Gray</surname>
<given-names>Glenda</given-names>
</name>
<degrees>MB, BCh</degrees>
</contrib>
</contrib-group>
<aff>Angela Kaida is with the BC Centre for Excellence in HIV/AIDS and the School of Population and Public Health, University of British Columbia, Vancouver, Canada. Fatima Laher and Glenda Gray are with the Perinatal HIV Research Unit, University of the Witwatersrand, Soweto, South Africa. Steffanie A. Strathdee is with the Division of Global Public Health, School of Medicine, University of California, San Diego. Patricia A. Janssen is with the Child and Family Research Institute and the School of Population and Public Health, University of British Columbia, Vancouver. Deborah Money is with the Women's Health Research Institute and the Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver. Robert S. Hogg is with the BC Centre for Excellence in HIV/AIDS and the Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.</aff>
<author-notes><corresp>Correspondence can be sent to Angela Kaida, PhD, BC Centre for Excellence in HIV/AIDS, 608-1081 Burrard St, Vancouver, BC, Canada V6Z 1Y6 (e-mail: <email>akaida@interchange.ubc.ca</email>
). Reprints can be ordered at <ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link>
 by clicking the “Reprints/Eprints” link.</corresp>
<fn><p>Peer Reviewed</p>
</fn>
<fn><p><bold>Contributors</bold>
</p>
<p>A. Kaida prepared the first draft of the article, incorporated revisions, prepared the final draft, designed the analytic strategy, and completed the statistical analyses. A. Kaida and F. Laher implemented and managed the study. F. Laher, S. A. Strathdee, P. A. Janssen, D. Money, R. S. Hogg, and G. Gray informed the study's analytic strategy, contributed to the literature review and the Discussion section, and reviewed numerous drafts of the article. A. Kaida, R. S. Hogg, and G. Gray originated the study. R. S. Hogg and G. Gray supervised the study.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>2</month>
<year>2011</year>
</pub-date>
<volume>101</volume>
<issue>2</issue>
<fpage>350</fpage>
<lpage>358</lpage>
<history><date date-type="accepted"><day>20</day>
<month>10</month>
<year>2009</year>
</date>
</history>
<permissions><copyright-statement>© American Public Health Association 2011</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><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>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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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 :

Abstract

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