Dual Contraceptive Use and Factor Associated with People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Mesfin, Yibeltal; Argaw, Muche; Tenaw, Shegaw Geze

doi:10.1155/2021/5440722

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…For women living with HIV who wish to prevent pregnancy, dual method use (i.e. using a condom and an additional form of contraception) is frequently advised, but is generally low across populations [44][45][46]. When excluding condoms from modern contraceptive methods, we observed no association between HIV serostatus and unsatisfied contraceptive demand.…”

Section: Discussionmentioning

confidence: 55%

The intersection between migration, HIV, and contraceptive use in Uganda: a cross-sectional population-based study

Namusisi,

Yeh,

Ssekubugu

et al. 2024

Reprod Health

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Background Low use of modern methods of contraception has been linked to HIV seropositivity and to migration, but few studies have evaluated the intersection of both risk factors with contraceptive use. Methods We analyzed cross-sectional data from sexually active female participants aged 15 to 49 years in the Rakai Community Cohort Study (RCCS) between 2011 and 2013. The RCCS is an open population-based census and individual survey in south-central Uganda. Recent in-migrants (arrival within approximately 1.5 years) into RCCS communities were identified at time of household census. The primary outcome was unsatisfied demand for a modern contraceptive method (injectable, oral pill, implant, or condom), which was defined as non-use of a modern contraceptive method among female participants who did not want to become pregnant in the next 12 months. Poisson regression models with robust variance estimators were used to identify associations and interactions between recent migration and HIV serostatus on unsatisfied contraceptive demand. Results There were 3,417 sexually active participants with no intention of becoming pregnant in the next year. The mean age was 30 (± 8) years, and 17.3% (n = 591) were living with HIV. Overall, 43.9% (n = 1,500) were not using any modern contraceptive method. Recent in-migrants were somewhat more likely to have unsatisfied contraceptive demand as compared to long-term residents (adjusted prevalence risk ratio [adjPRR] = 1.14; 95% confidence interval [95%CI]: 1.02–1.27), whereas participants living with HIV were less likely to have unsatisfied contraceptive demand relative to HIV-seronegative participants (adjPRR = 0.80; 95%CI = 0.70–0.90). When stratifying on migration and HIV serostatus, we observed the highest levels of unsatisfied contraceptive demand among in-migrants living with HIV (48.7%); however, in regression analyses, interaction terms between migration and HIV serostatus were not statistically significant. Conclusions Unsatisfied contraceptive demand was high in this rural Ugandan setting. Being an in-migrant, particularly among those living with HIV, was associated with higher unsatisfied contraceptive demand.

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Section: Discussionmentioning

confidence: 55%

The intersection between migration, HIV, and contraceptive use in Uganda: a cross-sectional population-based study

Namusisi,

Yeh,

Ssekubugu

et al. 2024

Reprod Health

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“…Compared to data from Togo, these rates were marginally lower 14 . Although dual contraceptive methods could effectively prevent unwanted pregnancies and STIs, their adoption was overshadowed by the preference for single methods 15 .…”

Section: Discussionmentioning

confidence: 99%

Determinants and Patterns of Contraceptive Use among Sexually Active Women living with HIV in Ibadan, Nigeria

Akinsolu,

Adegbite,

Bankole

et al. 2023

Preprint

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Background Contraception is a strategy to meet the family planning goals of women living with human immunodeficiency virus (WLHIV) as well as to reduce the transmission of HIV. There is limited data from Nigeria, where HIV prevalent is the second-largest in the world. This study aimed to examine contraceptive use and identify factors influencing its use among sexually active WLHIV in Ibadan, Nigeria. Methods A facility-based cross-sectional study was conducted involving 443 sexually active WLHIV. The inclusion criteria were WLHIV, aged 18–49 years, who asserted being fecund and sexually active. An adopted questionnaire was used to collect data, and the data was analyzed using the Statistical Package for Social Sciences (SPSS) Windows version 25. Statistical significance was set at p < 0.05. Results Among sexually active WLHIV (n = 443), 73.1% used contraceptives, with 26.9% having unmet needs. The results revealed a significant association between employment status and the use of contraceptives (AOR] = 2.150; 95% CI 1.279–3.612 p=0.004); accessibility to contraceptive methods and the use of contraceptives (AOR = 21.483; 95% CI 7.279–63.402 p=0.00). Also, a significant association was found between payment for service and contraceptive use (AOR = 14.343; 95% CI 2.705-76.051; p = 0.003). Previous reactions towards contraceptive use were also significantly associated with contraceptive use (AOR = 14.343; 95% CI 2.705-76.051 p = 0.003). The dual contraceptives usage rate was 30.7%. Conclusions Although contraceptive use among sexually active WLHIV was high, the study highlighted the need for increased adoption of dual contraceptive methods to mitigate the risk of unintended pregnancy and HIV re-infection among this population. It emphasized the importance of continuous sensitization and counseling services healthcare providers provide to promote contraceptive use among WLHIV.

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Contraception among HIV-positive women in Latvia- knowledge, experience and factors influencing the choice

Bule

Pitkēviča

Lazdāne

2022

The European Journal of Contraception & Reproductive Health

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Dual Contraceptive Use and Factor Associated with People Living with HIV/AIDS: A Systematic Review and Meta-Analysis

Cited by 3 publications

References 31 publications

The intersection between migration, HIV, and contraceptive use in Uganda: a cross-sectional population-based study

The intersection between migration, HIV, and contraceptive use in Uganda: a cross-sectional population-based study

Determinants and Patterns of Contraceptive Use among Sexually Active Women living with HIV in Ibadan, Nigeria

Contraception among HIV-positive women in Latvia- knowledge, experience and factors influencing the choice

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