Does integrating family planning into HIV care and treatment impact intention to use contraception? Patient perspectives from HIV-infected individuals in Nyanza Province, Kenya
Identifieur interne : 001806 ( Pmc/Corpus ); précédent : 001805; suivant : 001807Does integrating family planning into HIV care and treatment impact intention to use contraception? Patient perspectives from HIV-infected individuals in Nyanza Province, Kenya
Auteurs : Sara J. Newmann ; Daniel Grossman ; Cinthia Blat ; Maricianah Onono ; Rachel Steinfeld ; Elizabeth A. Bukusi ; Starley Shade ; Craig R. CohenSource :
- International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [ 0020-7292 ] ; 2013.
Abstract
To evaluate whether HIV-infected women and men in HIV care and not using highly effective methods of contraception thought they would be more likely to use contraception if it were available at the HIV clinic.
A face-to-face survey assessing family-planning knowledge, attitudes, and practices was conducted among 976 HIV-infected women and men at 18 public-sector HIV clinics in Nyanza, Kenya. Data were analyzed using logistic regression and generalized estimating equations.
The majority of women (73%) and men (71%) thought that they or their partner would be more likely to use family planning if it were offered at the HIV clinic. In multivariable analysis, women who reported making family-planning decisions with their partner (adjusted odds ratio [aOR] 3.22; 95% confidence interval [CI], 1.53–6.80) and women aged 18–25 years who were not currently using family planning (aOR 4.76; 95% CI, 2.28–9.95) were more likely to think they would use contraception if integrated services were available. Women who perceived themselves to be infertile (aOR 0.07; 95% CI, 0.02–0.31) and had access to a cell phone (aOR 0.40; 95% CI, 0.25–0.63) were less likely to think that integrated services would change their contraceptive use. Men who were not taking antiretroviral medications (aOR 3.30; 95% CI, 1.49–7.29) were more likely, and men who were unsure of their partner’s desired number of children (aOR 0.36; 95% CI, 0.17–0.76), were not currently using family planning (aOR 0.40; 95% CI, 0.22–0.73), and were living in a peri-urban setting (aOR 0.46; 95% CI, 0.21–0.99) were less likely to think their partner would use contraception if available at the HIV clinic.
Integrating family planning into HIV care would probably have a broad impact on the majority of women and men accessing HIV care and treatment. Integrated services would offer the opportunity to involve men more actively in the contraceptive decision-making process, potentially addressing 2 barriers to family planning: access to contraception and partner uncertainty or opposition.
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DOI: 10.1016/j.ijgo.2013.08.001
PubMed: 24008310
PubMed Central: 3842365
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Newmann</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation></author><author><name sortKey="Grossman, Daniel" sort="Grossman, Daniel" uniqKey="Grossman D" first="Daniel" last="Grossman">Daniel Grossman</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Ibis Reproductive Health, Oakland, USA</nlm:aff></affiliation></author><author><name sortKey="Blat, Cinthia" sort="Blat, Cinthia" uniqKey="Blat C" first="Cinthia" last="Blat">Cinthia Blat</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation></author><author><name sortKey="Onono, Maricianah" sort="Onono, Maricianah" uniqKey="Onono M" first="Maricianah" last="Onono">Maricianah Onono</name><affiliation><nlm:aff id="A3">Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya</nlm:aff></affiliation></author><author><name sortKey="Steinfeld, Rachel" sort="Steinfeld, Rachel" uniqKey="Steinfeld R" first="Rachel" last="Steinfeld">Rachel Steinfeld</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation></author><author><name sortKey="Bukusi, Elizabeth A" sort="Bukusi, Elizabeth A" uniqKey="Bukusi E" first="Elizabeth A." last="Bukusi">Elizabeth A. Bukusi</name><affiliation><nlm:aff id="A3">Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya</nlm:aff></affiliation></author><author><name sortKey="Shade, Starley" sort="Shade, Starley" uniqKey="Shade S" first="Starley" last="Shade">Starley Shade</name><affiliation><nlm:aff id="A4">Center for AIDS Prevention, Department of Medicine, University of California, San Francisco, USA</nlm:aff></affiliation></author><author><name sortKey="Cohen, Craig R" sort="Cohen, Craig R" uniqKey="Cohen C" first="Craig R." last="Cohen">Craig R. Cohen</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24008310</idno><idno type="pmc">3842365</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842365</idno><idno type="RBID">PMC:3842365</idno><idno type="doi">10.1016/j.ijgo.2013.08.001</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001806</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001806</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Does integrating family planning into HIV care and treatment impact intention to use contraception? Patient perspectives from HIV-infected individuals in Nyanza Province, Kenya</title><author><name sortKey="Newmann, Sara J" sort="Newmann, Sara J" uniqKey="Newmann S" first="Sara J." last="Newmann">Sara J. Newmann</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation></author><author><name sortKey="Grossman, Daniel" sort="Grossman, Daniel" uniqKey="Grossman D" first="Daniel" last="Grossman">Daniel Grossman</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Ibis Reproductive Health, Oakland, USA</nlm:aff></affiliation></author><author><name sortKey="Blat, Cinthia" sort="Blat, Cinthia" uniqKey="Blat C" first="Cinthia" last="Blat">Cinthia Blat</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation></author><author><name sortKey="Onono, Maricianah" sort="Onono, Maricianah" uniqKey="Onono M" first="Maricianah" last="Onono">Maricianah Onono</name><affiliation><nlm:aff id="A3">Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya</nlm:aff></affiliation></author><author><name sortKey="Steinfeld, Rachel" sort="Steinfeld, Rachel" uniqKey="Steinfeld R" first="Rachel" last="Steinfeld">Rachel Steinfeld</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation></author><author><name sortKey="Bukusi, Elizabeth A" sort="Bukusi, Elizabeth A" uniqKey="Bukusi E" first="Elizabeth A." last="Bukusi">Elizabeth A. Bukusi</name><affiliation><nlm:aff id="A3">Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya</nlm:aff></affiliation></author><author><name sortKey="Shade, Starley" sort="Shade, Starley" uniqKey="Shade S" first="Starley" last="Shade">Starley Shade</name><affiliation><nlm:aff id="A4">Center for AIDS Prevention, Department of Medicine, University of California, San Francisco, USA</nlm:aff></affiliation></author><author><name sortKey="Cohen, Craig R" sort="Cohen, Craig R" uniqKey="Cohen C" first="Craig R." last="Cohen">Craig R. Cohen</name><affiliation><nlm:aff id="A1">Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</nlm:aff></affiliation></author></analytic><series><title level="j">International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics</title><idno type="ISSN">0020-7292</idno><idno type="eISSN">1879-3479</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">To evaluate whether HIV-infected women and men in HIV care and not using highly effective methods of contraception thought they would be more likely to use contraception if it were available at the HIV clinic.</p></sec><sec id="S2"><title>Methods</title><p id="P2">A face-to-face survey assessing family-planning knowledge, attitudes, and practices was conducted among 976 HIV-infected women and men at 18 public-sector HIV clinics in Nyanza, Kenya. Data were analyzed using logistic regression and generalized estimating equations.</p></sec><sec id="S3"><title>Results</title><p id="P3">The majority of women (73%) and men (71%) thought that they or their partner would be more likely to use family planning if it were offered at the HIV clinic. In multivariable analysis, women who reported making family-planning decisions with their partner (adjusted odds ratio [aOR] 3.22; 95% confidence interval [CI], 1.53–6.80) and women aged 18–25 years who were not currently using family planning (aOR 4.76; 95% CI, 2.28–9.95) were more likely to think they would use contraception if integrated services were available. Women who perceived themselves to be infertile (aOR 0.07; 95% CI, 0.02–0.31) and had access to a cell phone (aOR 0.40; 95% CI, 0.25–0.63) were less likely to think that integrated services would change their contraceptive use. Men who were not taking antiretroviral medications (aOR 3.30; 95% CI, 1.49–7.29) were more likely, and men who were unsure of their partner’s desired number of children (aOR 0.36; 95% CI, 0.17–0.76), were not currently using family planning (aOR 0.40; 95% CI, 0.22–0.73), and were living in a peri-urban setting (aOR 0.46; 95% CI, 0.21–0.99) were less likely to think their partner would use contraception if available at the HIV clinic.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Integrating family planning into HIV care would probably have a broad impact on the majority of women and men accessing HIV care and treatment. Integrated services would offer the opportunity to involve men more actively in the contraceptive decision-making process, potentially addressing 2 barriers to family planning: access to contraception and partner uncertainty or opposition.</p></sec></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>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0210174</journal-id><journal-id journal-id-type="pubmed-jr-id">3342</journal-id><journal-id journal-id-type="nlm-ta">Int J Gynaecol Obstet</journal-id><journal-id journal-id-type="iso-abbrev">Int J Gynaecol Obstet</journal-id><journal-title-group><journal-title>International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics</journal-title></journal-title-group><issn pub-type="ppub">0020-7292</issn><issn pub-type="epub">1879-3479</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24008310</article-id><article-id pub-id-type="pmc">3842365</article-id><article-id pub-id-type="doi">10.1016/j.ijgo.2013.08.001</article-id><article-id pub-id-type="manuscript">NIHMS513515</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Does integrating family planning into HIV care and treatment impact intention to use contraception? Patient perspectives from HIV-infected individuals in Nyanza Province, Kenya</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Newmann</surname><given-names>Sara J.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Grossman</surname><given-names>Daniel</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Blat</surname><given-names>Cinthia</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Onono</surname><given-names>Maricianah</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Steinfeld</surname><given-names>Rachel</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Bukusi</surname><given-names>Elizabeth A.</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Shade</surname><given-names>Starley</given-names></name><xref ref-type="aff" rid="A4">d</xref></contrib><contrib contrib-type="author"><name><surname>Cohen</surname><given-names>Craig R.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib></contrib-group><aff id="A1"><label>a</label>Bixby Center for Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA</aff><aff id="A2"><label>b</label>Ibis Reproductive Health, Oakland, USA</aff><aff id="A3"><label>c</label>Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya</aff><aff id="A4"><label>d</label>Center for AIDS Prevention, Department of Medicine, University of California, San Francisco, USA</aff><author-notes><corresp id="cor1"><label>*</label>Corresponding author: Sara Newmann, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, Ward 6D, San Francisco, CA 94110, USA. Tel.: + 1 415 206 4220; fax: + 1 415 206 3112, <email>newmanns@obgyn.ucsf.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>29</day><month>9</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>06</day><month>8</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>11</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>11</month><year>2014</year></pub-date><volume>123</volume><issue>0 1</issue><elocation-id>10.1016/j.ijgo.2013.08.001</elocation-id><permissions><copyright-statement>© 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><sec id="S1"><title>Objective</title><p id="P1">To evaluate whether HIV-infected women and men in HIV care and not using highly effective methods of contraception thought they would be more likely to use contraception if it were available at the HIV clinic.</p></sec><sec id="S2"><title>Methods</title><p id="P2">A face-to-face survey assessing family-planning knowledge, attitudes, and practices was conducted among 976 HIV-infected women and men at 18 public-sector HIV clinics in Nyanza, Kenya. Data were analyzed using logistic regression and generalized estimating equations.</p></sec><sec id="S3"><title>Results</title><p id="P3">The majority of women (73%) and men (71%) thought that they or their partner would be more likely to use family planning if it were offered at the HIV clinic. In multivariable analysis, women who reported making family-planning decisions with their partner (adjusted odds ratio [aOR] 3.22; 95% confidence interval [CI], 1.53–6.80) and women aged 18–25 years who were not currently using family planning (aOR 4.76; 95% CI, 2.28–9.95) were more likely to think they would use contraception if integrated services were available. Women who perceived themselves to be infertile (aOR 0.07; 95% CI, 0.02–0.31) and had access to a cell phone (aOR 0.40; 95% CI, 0.25–0.63) were less likely to think that integrated services would change their contraceptive use. Men who were not taking antiretroviral medications (aOR 3.30; 95% CI, 1.49–7.29) were more likely, and men who were unsure of their partner’s desired number of children (aOR 0.36; 95% CI, 0.17–0.76), were not currently using family planning (aOR 0.40; 95% CI, 0.22–0.73), and were living in a peri-urban setting (aOR 0.46; 95% CI, 0.21–0.99) were less likely to think their partner would use contraception if available at the HIV clinic.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Integrating family planning into HIV care would probably have a broad impact on the majority of women and men accessing HIV care and treatment. Integrated services would offer the opportunity to involve men more actively in the contraceptive decision-making process, potentially addressing 2 barriers to family planning: access to contraception and partner uncertainty or opposition.</p></sec></abstract><kwd-group><kwd>Contraception</kwd><kwd>Decision making</kwd><kwd>Family planning</kwd><kwd>HIV</kwd><kwd>Integration</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Center for Advancing Translational Sciences : NCATS</funding-source><award-id>KL2 TR000143 || TR</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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