Dual contraceptive method use and pregnancy intention among people living with HIV receiving HIV care at six hospitals in Thailand

Munsakul, Warangkana; Lolekha, Rangsima; Kowadisaiburana, Boonchai; Roongpisuthipong, Anuvat; Jirajariyavej, Supannee; Asavapiriyanont, Suvanna; Hancharoenkit, Ubonsri; Baipluthong, Benjamas; Pattanasin, Sarika; Martin, Michael

doi:10.1186/s12978-016-0123-2

Cited by 21 publications

(36 citation statements)

References 22 publications

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“…However, because condoms are less effective at preventing pregnancy than more effective contraceptive methods, they should not be relied on for both pregnancy and STIs prevention or ‘dual protection.’ Instead, dual contraceptive method use is recommended if individuals are at high risk for STIs as well as pregnancy, using both barrier methods and more effective contraceptive methods [12]. In practice, dual contraceptive method use is challenging, with reports as low as 25% usage among women living with HIV [13], for likely the same reasons why condom use is a poor method for pregnancy prevention.…”

Section: General Principles For Contraceptive Provisionmentioning

confidence: 99%

Current and future contraceptive options for women living with HIV

Patel

Bukusi

Baeten

2017

Expert Opinion on Pharmacotherapy

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Introduction Among women living with HIV, half of the pregnancies are unintended. Effective contraception can prevent unintended pregnancies and consequently reduce maternal mortality and perinatal transmission of HIV. While contraceptive options available for all women also apply to women living with HIV, specific considerations exist to the use of contraception by women living with HIV. Areas covered First, general principles guiding the use of contraception among women living with HIV are discussed, such as choice, method mix, relative effectiveness, and drug-drug interactions. Second, a detailed discussion of each contraceptive method and issues surrounding the use of that method, such as drug-drug interactions, follows. Third, future contraceptive options in advanced development for use by women or men are briefly discussed. Expert opinion Contraceptive methods available to all women should also be accessible to women living with HIV. When the relative effectiveness of a contraceptive method is reduced, for example due to drug-drug interactions with antiretrovirals, the method should still be made available to women living with HIV with the appropriate information sharing and counseling. Greater research on various aspects of contraceptive use by women living with HIV and more comprehensive testing of co-administration of hormonal contraceptives and common medications used by these women are warranted.

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Section: General Principles For Contraceptive Provisionmentioning

confidence: 99%

Current and future contraceptive options for women living with HIV

Patel

Bukusi

Baeten

2017

Expert Opinion on Pharmacotherapy

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“…Despite the recommendation, low rates of dual method use among people living with HIV have been reported in Brazil, Nigeria, and Thailand. 7 – 9 In SSA, limited data exist on dual method use in the general population, as well as among HIV-infected men and women in serodiscordant relationships, a population at high risk of HIV transmission. Therefore, in this analysis, we used data from a cross-sectional study in Malawi to estimate the prevalence of dual method use among HIV-infected men and women and assess the association between couple serodiscordance and dual method use.…”

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confidence: 99%

Human Immunodeficiency Virus Serodiscordance and Dual Contraceptive Method Use Among Human Immunodeficiency Virus-infected Men and Women in Lilongwe, Malawi

Gausi¹,

Chagomerana²,

Tang³

et al. 2018

Sexual Trans Dis

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Background Some HIV sero-discordant couples are faced with the dual challenge of preventing HIV transmission to the uninfected partner and avoiding unintended pregnancy. Therefore, we hypothesized that sero-discordance is associated with dual method use at last sex. Methods We analyzed data from a cross-sectional survey of HIV-infected men and women attending 2 ART clinics in Lilongwe, Malawi. We used Fisher’s exact test and Wilcoxon rank sum to assess for associations between sero-discordance, covariates, and dual method use. Multivariable logistic regression was used to estimate the adjusted odds ratio (aOR) and 95% confidence intervals (CI) of dual method use at last sex, comparing sero-discordant to sero-concordant relationships. Separate analyses were conducted for men and women. Results We surveyed 253 HIV infected men, of which 44 (17.4%) were in a known sero-discordant relationship and 63 (24.9%) were utilizing dual methods at last sex. Likewise, among 302 HIV infected women surveyed, 57 (18.9%) were in a known sero-discordant relationship, and 80 (26.5%) were utilizing dual method at last sex. Sero-discordance was not significantly associated with dual method use at last sex for among HIV infected men (aOR = 0.62, 95% CI: 0.27–1.44) or women (aOR = 1.21, 95% CI: 0.59–2.47). Conclusion Dual method use was low among all HIV-infected individuals, irrespective of their partner’s HIV status. Given these findings, we recommend greater efforts to encourage HIV providers to counsel their patients about the importance of dual method use to prevent both unintended pregnancy and sexually transmitted infections.

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“…This research resulted that the HIV status of spouses is statistically significant with the utilization of family planning methods. This has been emphasized by a national guideline of Ethiopia (31). Only 11 % of either the respondents or their partner had used the emergency contraceptive pill whereas, in Thailand as per the cohort study 29.6% had used the dual protection (30).…”

Section: Utilization Of the Family Planning Methodsmentioning

confidence: 99%

Knowledge and Utilization of Family Planning Methods Among People Living With Hiv In Kathmandu Valley

Bhoosal¹,

Karki²,

Parajuli³

2020

Preprint

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Background HIV is a major global health issue, targeting the immune system and making the body prone to diseases. People living with HIV mostly face societal stigma and fear of disclosure resulting in discrimination of accessing health facilities leading to multiple sex partners, increased sexual activity and less use of condoms. HIV positive women are at risk of transmitting HIV to their infants and their partners. Thus, the family planning services if provided to PLHIV can help to improve their and families health. In addition to, it reduces the risk of mother-to-child transmission (PMTCT). The facts related to PLHIV with respect to pregnancy and childbearing are not available. The purpose of this study is to focus on the status of the use of family planning methods and explore factors affecting the utilization among people living with HIV and AIDS in Kathmandu valley of Nepal. The study is expected to contribute in enhancing the present understanding of PLHIV towards family planning.Methods The cross sectional descriptive method was used for the research. The study followed Population proportion to size method for the calculation of the respondents from four ART sites of Kathmandu Valley. Structured questionnaire used previously in similar research has been adopted with necessary question related to dual contraceptive use.Results The mean age group of the respondents was (39.16 ± 6.969) years. More than two third respondents (69.5%) were Hindu. 34.8% respondents were married at the less than 20 years of age. Almost three- fourth of the PLHIV (74.4%) were literate where more than three fourth (79.3%) their spouses were literate and educated. About half of the respondents (43.9%) were found to be involved in professional/ technical/ managerial. More than half of the respondent’s spouses (63.4%) were HIV positive. All the respondents (100%) respondents had disclosed their status to their partners. Neither the respondents nor their partner had fertility desire. 28% of neither respondents nor their partners had used the family planning methods before HIV diagnosis. More than half (60.4%) of the respondents had sexual intercourse prior to last 6 months. 15.9% of the respondents positively responded to use of dual protection. Only 11% either respondents or their partners had used the emergency contraceptive pill. 17.7% respondents did not use any family planning. This study revealed that almost half of the respondents (48.8%) had the good knowledge on the use of contraception.Conclusion The use of dual protection is much less than the half of the respondents. Therefore, counseling and health education towards motivating PLHIV on using dual FP methods to avoid the risk of HIV, STIs and unplanned pregnancy is encouraged.

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Dual contraceptive method use and pregnancy intention among people living with HIV receiving HIV care at six hospitals in Thailand

Cited by 21 publications

References 22 publications

Current and future contraceptive options for women living with HIV

Current and future contraceptive options for women living with HIV

Human Immunodeficiency Virus Serodiscordance and Dual Contraceptive Method Use Among Human Immunodeficiency Virus-infected Men and Women in Lilongwe, Malawi

Knowledge and Utilization of Family Planning Methods Among People Living With Hiv In Kathmandu Valley

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