Reproductive desire among women living with HIV/AIDS in Central Brazil: Prevalence and associated factors

Souza, Marise Ramos de; Amaral, Waldemar Naves do; Guimarães, Rafael Alves; Rezza, Giovanni; Brunini, Sandra

doi:10.1371/journal.pone.0186267

Cited by 15 publications

(28 citation statements)

References 39 publications

(76 reference statements)

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“…On the other hand, the nding of the current study was lower than evidences from Addis Ababa, Ethiopia(54.6%) [22],Cameroon (83.3%) [12],Democratic Republic Congo(64%) [11]. However, prevalence of this study was higher than the study done in Hosanna Town ,southern Ethiopia(36.3%) [6], Ababa, Ethiopia(40.8%) [8],Central Brazil (25.9%) [23],Kenya (26.4%) [24].The difference could be explained in terms of dissimilarities in sociodemographic of study populations and cultural concerns about having family and fertility desire.…”

Section: Discussioncontrasting

confidence: 76%

Fertility Desire and Associated Factors among Sexually Active HIV Positive Women at Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia: Institution-Based Cross-Sectional Study

Ayalew

Asmare²

2020

Preprint

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Background: Many HIV-positive women continue to want to have children in spite of knowledge of their HIV status and the risk it imposes. This study aimed to assess the level of fertility desire and associated factors human immune-deficiency-positive women at Felege Hiwot referral Hospital.Methods: An institution based cross-sectional study was conducted among randomly 308 HIV positive reproductive age women at Felege Hiwot referral Hospital from June 01st -30th, 2018. Data were collected using structured interviewer-administered questionnaire. Data were analyzed using SPSS version20.Descriptive, bivariate and multivariate logistic regression statistics were carried out. Statistical significance was declared at P -value <0.05.Results: Out of 308 of participants, 45.5% reported a desire to have children in the near future. Being sexually activity (aOR=2.62, 95%CI; 1.58- 6.73), family planning use (aOR=7.62, 95%CI; 3.23-17.98), consistent condom use (aOR=2.6, 95%CI; 1.37- 4.94), and absence of children (aOR=4.43, 95%CI; 1.85- 10.64) were predictors of fertility desire.Conclusion: A considerable proportion HIV-positive women in the study area reported to have children in the future. Integration of family planning and ART services, attention to sexually active HIV positive women and supporting HIV positive women with unmet need of family planning could have significant impact.

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Section: Discussioncontrasting

confidence: 76%

Fertility Desire and Associated Factors among Sexually Active HIV Positive Women at Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia: Institution-Based Cross-Sectional Study

Ayalew

Asmare²

2020

Preprint

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“…This means that as the number of pregnancies increases, the risk of spontaneous abortion is high. The high number of pregnancies is explained by the strong desire for reproduction in HIV-1 infected women [10]. A significant relationship was also found between marital status and number of abortions and number of children The spontaneous abortion rate found in our study is very high, even S. T. Soubeiga et al [20].…”

Section: Discussionsupporting

confidence: 47%

“…Despite these preventive measures, some children may be infected either during pregnancy, childbirth or breastfeeding [6] [7] [8]. Several studies have shown that age, undetectable viral load, and high CD4 T-cell counts were associated with reproductive desire in couples living with HIV-1 [9] [10]. It should be noted that there are cases of spontaneous abortions and stillbirths due to complications that can be caused by HIV-1 infection [11] [12].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with Mother-to-Child Transmission of HIV-1, Spontaneous Abortion and Infant Mortality in HIV-1 Infected Women in Burkina Faso: A Prospective Study

Soubeïga¹,

Yonli²,

Compaoré³

et al. 2018

JBM

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Background: Despite efforts to fight, HIV/AIDS mother-to-child transmission of HIV-1 (MTCT), as well as abortion and infant mortality, remains a problem in sub-Saharan Africa. Indeed, a low level of CD4 and a high viral load can be associated with these situations. The aim of this study was to determine the risk factors associated with the occurrence of MTCT, spontaneous abortion and infant mortality in HIV-1 infected women in Ouagadougou, Burkina Faso. This was a prospective study conducted from May 2014 to September 2017 and involved 423 HIV-1 infected women followed at Saint Camille Hospital in Ouagadougou, Burkina Faso. Sociodemographic data were collected through a questionnaire. The CD4 count and HIV-1 viral load were determined using respectively BD FACSCount and Abbott m2000rt instruments. Bivariate analysis and multinomial logistic regression were performed for associations with a significance threshold for p < 0.05. Results: The average age of women was 38.75 ± 7.98 years. Rates of MTCT, abortion and infant mortality were 16.31%, 30.49% and 34.75%, respectively. The number of pregnancies was associated with the number of infant deaths (p = 0.002). A correlation between the number of pregnancies and infant mortality was observed (p = 0.002) with a relatively high rate (28.6%) among women who had three pregnancies. In addition, marital status was associated with HIV-1 infection in infants (p = 0.042) and spontaneous abortion (p = 0.033). HIV-1 infected women with low CD4 counts (less than 350 cells/μL

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“…Proximate-determinants conceptual frameworks for fertility analysis [35,36], and other existing literature [6,22,23,31,37] In this study, all categorical variables were dummy-coded, and the first category was the reference category. Most variable categories were chosen and recoded based on the existing literature to enable comparisons with other studies [37].…”

Section: Explanatory Variablesmentioning

confidence: 99%

“…Several studies have been conducted to understand fertility desire and reproductive health behaviour of people living with HIV/AIDS. Among potential determinants of fertility intention or desire there is age [4,[21][22][23], marital status [5,22], educational level [5,24], household wealth or economic status [4], family size, parity of having alive children [4,[21][22][23]], partner's fertility desire [23,25], woman empowerment and gender equity , employment status and occupation [26][27][28]. Further potential factors include contextual factors such as region and urban residence, religious belief, cultural norms and traditions [4,25,29].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Determinants of Fertility Desire Among HIV-positive Women in Rwanda in the Context of Improved Life Expectancy: A Statistical Analysis of Cross-Sectional Data

Niragire¹,

Ndikumana²,

Nyirahabimana³

et al. 2020

Preprint

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Background: The knowledge of the key determinants of fertility desire among people living with HIV/AIDS is crucial for the design of efficient maternal and child health care programs. However, such determinants are not well understood in the context of a successful scale-up of antiretroviral therapy in Rwanda. The present study aim was to assess fertility desire among HIV- positive women and its determinants in Rwanda.Methods: Data were extracted from the 2015 Rwanda demographic health survey (RDHS) for 243 HIV-positive women of reproductive age. Univariate and multivariable based variable selection as well as multivariable logistic regression analysis were conducted. Results: The prevalence of desire to have another child in HIV-positive women was as high as 40.7%. Multivariable logistic regression analyses showed that the woman’s age, number of her living children, woman’s employment status, and having a co-wife are significant determinants of fertility desire among HIV- positive women in Rwanda. Women younger than 25 years, with no living child, who were unemployed or who had at least a co-wife were associated with greater odds of desire to have another child in the future than other HIV- positive women.. Conclusion: There is a need to devise integrated programs and services that are tailored to support HIV-positive women in planning their fertility, and controlling HIV transmission to their prospective children. Efficient policy and fertility interventions among WLHA in Rwanda should target young women, especially those living with partners and have fewer children than they prefer.

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Reproductive desire among women living with HIV/AIDS in Central Brazil: Prevalence and associated factors

Cited by 15 publications

References 39 publications

Fertility Desire and Associated Factors among Sexually Active HIV Positive Women at Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia: Institution-Based Cross-Sectional Study

Fertility Desire and Associated Factors among Sexually Active HIV Positive Women at Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia: Institution-Based Cross-Sectional Study

Risk Factors Associated with Mother-to-Child Transmission of HIV-1, Spontaneous Abortion and Infant Mortality in HIV-1 Infected Women in Burkina Faso: A Prospective Study

Prevalence and Determinants of Fertility Desire Among HIV-positive Women in Rwanda in the Context of Improved Life Expectancy: A Statistical Analysis of Cross-Sectional Data

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