Family Planning, Sexually Transmitted Diseases and Contraceptive Choice: A Literature Update--Part II

Cates, Willard; Km, Stone

doi:10.2307/2135542

Cited by 110 publications

(24 citation statements)

References 94 publications

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“…Often clinic staff views family planning and HIV prevention as independent services and are not trained to administer them together [26]. Governments and funding agencies have a growing awareness of the need to address the reproductive choices of HIV-positive women and agree that HIV/STI and family planning services should be integrated [27, 28]. Partnerships between HIV/AIDS services and family planning services may be more responsive to the needs of reproductive-age HIV-positive women and may be more likely to provide complete, high-quality care.…”

Section: Discussionmentioning

confidence: 99%

Reproductive Healthcare Needs and Desires in a Cohort of HIV-Positive Women

Badell

Lathrop²,

Haddad³

et al. 2012

Infectious Diseases in Obstetrics and Gynecology

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Background. The aim of this study was to determine current contraceptive use, contraceptive desires and knowledge, future fertility desires, and sterilization regret in a cohort of HIV-positive women. Study Design. 127 HIV-positive women receiving care at an urban infectious disease clinic completed a survey addressing their contraceptive and reproductive histories as well as their future contraceptive and fertility desires. Results. The most common forms of contraception used were sterilization (44.4%) and condoms (41.3%). Less than 1% used a long-term reversible method of contraception (LARC) despite these being the methods that best fit their desired attributes of a contraceptive method. Overall, 29.4% desired future fertility. Only 50.6% of those sexually active had spoken with a provider within the last year regarding their contraceptive plans. There was a high degree of sterilization regret (36.4%), and 18.2% of sterilized women desired future fertility. Multivariate analysis found women in a monogamous relationship had a statistically increased rate of regret compared to women who were not sexually active (OR 13.8, 95% CI 1.6–119, P = 0.17). Conclusion. Given the diversity in contraceptive and fertility desires, coupled with a higher rate of sterilization regret than is seen in the general population, integration of comprehensive family planning services into HIV care via increased contraceptive education and access is imperative.

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Section: Discussionmentioning

confidence: 99%

Reproductive Healthcare Needs and Desires in a Cohort of HIV-Positive Women

Badell

Lathrop²,

Haddad³

et al. 2012

Infectious Diseases in Obstetrics and Gynecology

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“…Similar to other studies [52,76], college youths that were currently non-desirous of children had higher odds of reporting DMC. This was unsurprising, since dual-method protects optimally against unintended pregnancies [33]. Moreover, the need to avoid unintended conceptions is important for these predominantly unmarried Nigerians because of the: restrictive abortion laws in the country, poor health services, and adverse socio-economic implications of such pregnancies [12,77].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to the above, a 'dual method contraception (DMC)' would effectively tackle STIs/HIV and unwanted conceptions as it involves the simultaneous use of a barrier method to prevent STIs/HIV (such as condoms) and another highly-effective method to prevent conception (such as oral contraceptive pills) [33]. This is the core focus of this study.…”

Section: Introductionmentioning

confidence: 99%

Correlates and Barriers of Dual-Method Contraception among College Youths in Nigeria

Buraimo¹,

Simkhada²,

Watson³

et al. 2017

J Contracept Stud

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Background and purpose: The dual problems of unintended pregnancies and sexually transmitted infections/Human Immunodeficiency virus together represent one of the most significant public health challenges globally, particularly amongst youths in Sub-Saharan Africa. Although the simultaneous use of two contraceptives, dual method contraception (DMC), is highly effective in preventing these problems, our understanding of the use of DMC is limited in developing country contexts. Thus, this study sets out to assess the correlates and barriers of DMC use amongst youths in Nigeria.

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“…22,23 The scientific evidence does not support this statement; research has shown condoms in themselves to be highly effective in preventing transmission of HIV and other STIs. 18,19,29 …”

Section: Condom Methods Failurementioning

confidence: 99%

Adolescent Abstinence and Condom Use: Are We Sure We Are Really Teaching What is Safe?

1999

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This article reviews existing research on condom and abstinence method- and user-failure rates, and the use of this research in determining sexuality education curricula. Latex condoms effectively prevent pregnancies and most sexually transmitted diseases or infections (STIs), with method-failure rates between 0.5% and 7%, but with user-failure rates between 12% and 70%. Total abstinence presumably has a method-failure rate of zero, but research on periodic abstinence indicates user-failure rates between 26% and 86%. No researchers have attempted to establish total abstinence user-failure rates. Abstinence-only curricula evaluations have demonstrated changes in adolescents' attitudes but little change in sexual behaviors. Comprehensive sexuality education curricula have demonstrated attitudinal changes and delays in adolescents' sexual activity. Since inconsistent use of either condoms or abstinence threatens adolescents' health, this article urges more scientific research on total abstinence user-failure rates, better and clearer dissemination of research findings, and encourages funders to require educators to show thorough knowledge of research findings.

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Family Planning, Sexually Transmitted Diseases and Contraceptive Choice: A Literature Update--Part II

Cited by 110 publications

References 94 publications

Reproductive Healthcare Needs and Desires in a Cohort of HIV-Positive Women

Reproductive Healthcare Needs and Desires in a Cohort of HIV-Positive Women

Correlates and Barriers of Dual-Method Contraception among College Youths in Nigeria

Adolescent Abstinence and Condom Use: Are We Sure We Are Really Teaching What is Safe?

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