Contraception methods used among women with HIV starting antiretroviral therapy in a large United States clinical trial, 2009–2011

Sheth, Anandi N.; Angert, Christine D.; Haddad, Lisa; Mehta, C. Christina; Cohn, Susan E.

doi:10.1016/j.contraception.2020.11.004

Cited by 5 publications

(4 citation statements)

References 25 publications

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“…Rates of IUD usage increased over time but still remained low by the end of follow-up. These observations mirror previous findings that WWH in the US may be less likely to utilize LARC and hormonal contraception but have had persistently high rates of tubal ligations [ 14–16 , 19 ]. In contrast, rates of sterilization have decreased from 37% to 28% and LARC usage increased from 6% to 14% from 2008 to 2014 among all US women aged 15–44 years using any contraception [ 23 ].…”

Section: Discussionsupporting

confidence: 87%

“…In another study of privately insured women in the US, WWH on antiretroviral therapy (ART) had 50% lower odds of using short-acting hormonal contraception, such as oral contraception or vaginal rings, than those not on ART, which may be in part due to concerns regarding drug–drug interactions [ 18 ]. A recent clinical trial that required some form of contraception use in WWH initiating ART described that between 2009 and 2011, permanent contraception use was common while use of other effective contraception methods was low [ 19 ]. However, these studies span an earlier and shorter time periods, limiting evaluation of contraception initiation and trends in use over time.…”

mentioning

confidence: 99%

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Low Rates of Contraception Use in Women With Human Immunodeficiency Virus

Bhatta

Bian

Norwood

et al. 2022

Open Forum Infectious Diseases

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Background Women with HIV (WWH) have low rates of hormonal or long-acting contraceptive use. Few studies have described contraception use among WWH over time. Methods We examined contraception (including all forms of hormonal contraception, intrauterine devices, and bilateral tubal ligations) use among cis-gender women aged 18-45 years in care at Vanderbilt's HIV clinic (Nashville, TN) from 1998-2018. Weighted annual prevalence estimates of contraception use were described. Cox proportional hazards models examined factors associated with incident contraception use and pregnancy. Results Of the 737 women included, median age at clinic entry was 31 years, average follow-up was 4.1 years. At clinic entry, 47 (6%) women were on contraception and 164 (22%) were pregnant. The median annual percent of time on any contraception use among non-pregnant women was 31.7% and remained stable throughout the study period. Younger age was associated with increased risk of pregnancy and contraceptive use. Psychiatric comorbidity decreased likelihood of contraception (adjusted HR [aHR] 0.52 [95%CI: 0.29-0.93]) and increased likelihood of pregnancy (aHR 1.77 [95%CI: 0.97-3.25]). While not associated with contraceptive use, more recent year of clinic entry was associated with higher pregnancy risk. Race, substance use, CD4 cell count, HIV RNA, smoking, and antiretroviral therapy were not associated with contraception use nor pregnancy. Conclusions Most WWH did not use contraception at baseline nor during follow-up. Likelihood of pregnancy increased with recent clinic entry while contraception use remained stable over time. Continued efforts to ensure access to effective contraception options are needed in HIV clinics.

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Section: Discussionsupporting

confidence: 87%

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confidence: 99%

Low Rates of Contraception Use in Women With Human Immunodeficiency Virus

Bhatta

Bian

Norwood

et al. 2022

Open Forum Infectious Diseases

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“…Use of effective contraception methods also did not change with ART initiation or CD4 T cell count. 11 Oral contraception pills were also commonly used in the U.S for they are often the first hormonal method used by young women for regulation and treatment of painful menstruation. As they become more sexually active, many women remain satisfied using OCs for decades.…”

Section: Resultsmentioning

confidence: 99%

Contraception method among pregnant women with HIV delivered in Cipto Mangunkusumo General Hospital, Jakarta, Indonesia

Indarti

Pangestu

Anggayana

et al. 2022

MOG

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HIGHLIGHTS 1. HIV transmission from HIV positive mothers to their children should be reduced by strengthening family planning programs.2. Characteristics of contraceptive methods among women with HIV infection delivered in a tertiary hospital were investigated.3. IUD was the most common contraceptive method used by women with HIV infection. Its use was related to age, gravida and method of delivery. ABSTRACT Objectives: The aim of this study was to describe characteristics of contraceptive methods among women with HIV infection who delivered in a tertiary hospital. Materials and Methods: This was a cross-sectional study. The inclusion criteria were pregnant women with HIV infection who delivered in Cipto Mangunkusumo General Hospital (RSCM), Jakarta, Indonesia, from January 2016 to December 2020. Data were retrieved from medical records, registered HIV and laboratory result. The included data were demographic data, obstetric data, mode of delivery, contraception method, ARV history, and laboratory history of the mothers. Results: From January 2016 to December 2020 there were 119 HIV patients who delivered at the RSCM. Most of the subjects were 35 years old (84%), had low education (52.9%) and worked as housewives (76.5%). A total of 79.8% of the subjects were gravida >2 and most of the subjects delivered by caesarean section (87.3%). The choice of contraceptive methods were IUD (72.4%), tubectomy (26.8%) and implants (0.8%). There was a statistically significant relationship between contraceptive method with age (p 0.040), gravida (p 0.016) and delivery method (p 0.049) Conclusion: The most common contraceptive method was IUD. The choice of this method of contraception was related to age, gravida and method of delivery.

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“…Doğru kullanıldığı takdirde kondomun koruyuculuk oranı yüksektir; cinsel yolla bulaşan diğer hastalıklardan korunma konusunda da farklı yöntemlere göre üstündür ancak uzun vadede kondom kullanımını sürdürmek kolay değildir. Tablo 2' de sunulmuş olan çalışmalarda genellikle enjeksiyon tipi kontrasepsiyon yöntemlerinin tercih edilen yöntemler olduğu ve HIV ile infekte kadınlarda bu yöntemlerin %25.7 ila %51.4 oranında kullanıldığı tespit edilmiştir (16)(17)(18)(19)(20)(21)(22)(23)(24). 2015 yılında yayınlanan ve HIV ile infekte 5153 kadının incelendiği bir çalışmada %9 oranında implant, %40 oranında enjeksiyon ve %14 oranında oral kontrasepsiyon kullanıldığı saptanmıştır (18).…”

Section: Doğum Kontrol Yöntemiunclassified

Birth Control and Pregnancy Management Among Women Living with HIV

Akyol¹,

Gökengin²

2023

Klimik Derg

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Objective: This study aimed to determine the birth control methods preferred by women living with human immunodeficiency virus (HIV) followed by our clinic and to review their pregnancy management strategies. Methods: The medical records of HIV-infected women followed by our clinic between 1999 and 2021 were analyzed retrospectively. The following parameters were recorded from medical files: Demographic characteristics, birth control methods used and the duration of usage, conception methods in those who became pregnant after being infected with HIV, whether the pregnancy was planned or not, the antiretroviral treatments used before pregnancy and whether treatment was modified during pregnancy, HIV-1 RNA and CD4+ T lymphocyte counts before delivery, type of delivery, prophylaxis given to the baby and the mother and its duration, and HIV serological status of the babies. Results: Out of 80 women actively followed by our clinic, 75 (93.7%) with available data were included in the study. The mean age of the cases was 43.5 +/- 11.4 (min=18-max=68). The number of cases using any birth control method was 51 (68%). The most common contraceptive method was a condom used by their partners (n=31, 60.7%). Thirty-six pregnancies developed in 25/60 (41.6%) sexually active cases not in the menopausal period and 33 babies were born. One baby was infected with HIV. Conclusion: Contraception methods in sexually active HIV-infected women should be chosen upon discussion between the healthcare provider and the patient. Close monitoring and standard care during pregnancy are critical for the long-term prognosis of both the mother and the baby.

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Contraception methods used among women with HIV starting antiretroviral therapy in a large United States clinical trial, 2009–2011

Cited by 5 publications

References 25 publications

Low Rates of Contraception Use in Women With Human Immunodeficiency Virus

Low Rates of Contraception Use in Women With Human Immunodeficiency Virus

Contraception method among pregnant women with HIV delivered in Cipto Mangunkusumo General Hospital, Jakarta, Indonesia

Birth Control and Pregnancy Management Among Women Living with HIV

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