Utilization of contraception among sexually active HIV positive women attending art clinic in University of Gondar Hospital: a hospital based cross-sectional study
Identifieur interne : 000828 ( Pmc/Curation ); précédent : 000827; suivant : 000829Utilization of contraception among sexually active HIV positive women attending art clinic in University of Gondar Hospital: a hospital based cross-sectional study
Auteurs : Mulugeta Dile Worke [Éthiopie] ; Lealem Meseret Bezabih [Éthiopie] ; Mulat Adefris Woldetasdik [Éthiopie]Source :
- BMC Women's Health [ 1472-6874 ] ; 2016.
Abstract
Contraception helps to prevent unplanned pregnancies among human immune virus positive women. The contraceptive utilization status and associated factors were not well addressed in the study area. Therefore, this study aimed to assess utilization of contraceptives and associated factors among human immune virus positive reproductive age group women appearing at anti-retroviral therapy clinic at the University of Gondar Hospital, North West Ethiopia.
An institution based cross-sectional study was conducted among 397 systematically selected HIV positive reproductive age women who visited ART unit of the University of Gondar teaching referral hospital from January 8-20, 2014. The data were collected using pre tested and structured questionnaires through face-to-face interviews. The data were entered into Epi-Info version 3.5, and cleaned and analyzed using SPSS version 20. Descriptive summary of the data and logistic regression were used to identify possible predictors using odds ratio with 95 % confidence interval and
The study revealed that the overall utilization of any type of contraception was 50 %. Of them, 4.1 % got contraception from anti-retroviral therapy unit. Fear of side effects was the most common (42 %) reason for not using contraception. Women who attended secondary education, married and who had 4-6 children were more likely to use contraception than their counterparts were; (AOR: 5.63; 95 % CI: 1.74–18.21), (AOR: 8.07; 95 % CI: 3.10–20.99) and (AOR: 3.61; 95 % CI: 1.16–11.26) respectively. However, Women between 35–49 years, had no intention to have another child and discordant couples were 83 %, 76 % and 65 % less likely to use contraception respectively than their counterparts.
The results of this study revealed that the utilization of contraception was low. Women between 35–49 years, those who had no intention to have another child and whose partner was HIV sero-negative and fear of side effect of the contraception played an important role for not using contraception. Therefore, there is a need to give attention about integration of family planning service with HIV care and support service.
Url:
DOI: 10.1186/s12905-016-0348-9
PubMed: 27769220
PubMed Central: 5073466
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Contraception helps to prevent unplanned pregnancies among human immune virus positive women. The contraceptive utilization status and associated factors were not well addressed in the study area. Therefore, this study aimed to assess utilization of contraceptives and associated factors among human immune virus positive reproductive age group women appearing at anti-retroviral therapy clinic at the University of Gondar Hospital, North West Ethiopia.</p>
</sec>
<sec><title>Method</title>
<p>An institution based cross-sectional study was conducted among 397 systematically selected HIV positive reproductive age women who visited ART unit of the University of Gondar teaching referral hospital from January 8-20, 2014. The data were collected using pre tested and structured questionnaires through face-to-face interviews. The data were entered into Epi-Info version 3.5, and cleaned and analyzed using SPSS version 20. Descriptive summary of the data and logistic regression were used to identify possible predictors using odds ratio with 95 % confidence interval and <italic>P</italic>
-value of 0.05.</p>
</sec>
<sec><title>Results</title>
<p>The study revealed that the overall utilization of any type of contraception was 50 %. Of them, 4.1 % got contraception from anti-retroviral therapy unit. Fear of side effects was the most common (42 %) reason for not using contraception. Women who attended secondary education, married and who had 4-6 children were more likely to use contraception than their counterparts were; (AOR: 5.63; 95 % CI: 1.74–18.21), (AOR: 8.07; 95 % CI: 3.10–20.99) and (AOR: 3.61; 95 % CI: 1.16–11.26) respectively. However, Women between 35–49 years, had no intention to have another child and discordant couples were 83 %, 76 % and 65 % less likely to use contraception respectively than their counterparts.</p>
</sec>
<sec><title>Conclusions</title>
<p>The results of this study revealed that the utilization of contraception was low. Women between 35–49 years, those who had no intention to have another child and whose partner was HIV sero-negative and fear of side effect of the contraception played an important role for not using contraception. Therefore, there is a need to give attention about integration of family planning service with HIV care and support service.</p>
</sec>
</div>
</front>
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<journal-id journal-id-type="iso-abbrev">BMC Womens Health</journal-id>
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<issn pub-type="epub">1472-6874</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
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<article-id pub-id-type="doi">10.1186/s12905-016-0348-9</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
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<title-group><article-title>Utilization of contraception among sexually active HIV positive women attending art clinic in University of Gondar Hospital: a hospital based cross-sectional study</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Worke</surname>
<given-names>Mulugeta Dile</given-names>
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<address><email>muliedile@gmail.com</email>
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<xref ref-type="aff" rid="Aff1">1</xref>
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<contrib contrib-type="author"><name><surname>Bezabih</surname>
<given-names>Lealem Meseret</given-names>
</name>
<address><email>lealem.m@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Woldetasdik</surname>
<given-names>Mulat Adefris</given-names>
</name>
<address><email>mulatadefrisw@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia</aff>
<aff id="Aff2"><label>2</label>
Department of Gynecology and Obstetrics, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia</aff>
<aff id="Aff3"><label>3</label>
Department of Gynecology and Obstetrics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</aff>
</contrib-group>
<pub-date pub-type="epub"><day>21</day>
<month>10</month>
<year>2016</year>
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<pub-date pub-type="pmc-release"><day>21</day>
<month>10</month>
<year>2016</year>
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<pub-date pub-type="collection"><year>2016</year>
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<volume>16</volume>
<elocation-id>67</elocation-id>
<history><date date-type="received"><day>25</day>
<month>2</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>11</day>
<month>10</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s). 2016</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p>Contraception helps to prevent unplanned pregnancies among human immune virus positive women. The contraceptive utilization status and associated factors were not well addressed in the study area. Therefore, this study aimed to assess utilization of contraceptives and associated factors among human immune virus positive reproductive age group women appearing at anti-retroviral therapy clinic at the University of Gondar Hospital, North West Ethiopia.</p>
</sec>
<sec><title>Method</title>
<p>An institution based cross-sectional study was conducted among 397 systematically selected HIV positive reproductive age women who visited ART unit of the University of Gondar teaching referral hospital from January 8-20, 2014. The data were collected using pre tested and structured questionnaires through face-to-face interviews. The data were entered into Epi-Info version 3.5, and cleaned and analyzed using SPSS version 20. Descriptive summary of the data and logistic regression were used to identify possible predictors using odds ratio with 95 % confidence interval and <italic>P</italic>
-value of 0.05.</p>
</sec>
<sec><title>Results</title>
<p>The study revealed that the overall utilization of any type of contraception was 50 %. Of them, 4.1 % got contraception from anti-retroviral therapy unit. Fear of side effects was the most common (42 %) reason for not using contraception. Women who attended secondary education, married and who had 4-6 children were more likely to use contraception than their counterparts were; (AOR: 5.63; 95 % CI: 1.74–18.21), (AOR: 8.07; 95 % CI: 3.10–20.99) and (AOR: 3.61; 95 % CI: 1.16–11.26) respectively. However, Women between 35–49 years, had no intention to have another child and discordant couples were 83 %, 76 % and 65 % less likely to use contraception respectively than their counterparts.</p>
</sec>
<sec><title>Conclusions</title>
<p>The results of this study revealed that the utilization of contraception was low. Women between 35–49 years, those who had no intention to have another child and whose partner was HIV sero-negative and fear of side effect of the contraception played an important role for not using contraception. Therefore, there is a need to give attention about integration of family planning service with HIV care and support service.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Utilization</kwd>
<kwd>Associated factors</kwd>
<kwd>Contraception</kwd>
<kwd>Human immune virus positive women</kwd>
<kwd>Ethiopia</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
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