Determinants of Fertility Desires among HIV Positive Women Living in the Western Highlands Province of Papua New Guinea
| Autor: | Boonyong Keiwkarnka, Jiraporn Chompikul, Marie Lucy Aska |
|---|---|
| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | World Journal of AIDS. :198-207 |
| ISSN: | 2160-8822 2160-8814 |
| DOI: | 10.4236/wja.2011.14029 |
| Popis: | The objective of this study was to identify determinants of fertility desires in HIV positive women living in the Western Highlands Province, Papua New Guinea, a male-dominated, patrimonial society. A cross-sectional study was conducted to collect data in February, 2010. Two hundred and ninety one HIV-infected women participated in personal interviews using a structured questionnaire. Sixty-six percent of the respondents were in polygamous relationships. Thirty-four percent of the participants desired a child in the future. Chi-square tests revealed that variables associated with desire for a child were age, marital status, number of children, current co-habitation with a partner, duration of time with a partner, receipt of the bride price, domestic physical violence, sexual activity in the previous three months, partner’s desire for a child, and current contraceptive use. Using multiple logistic regression, a partner’s positive desire for a child was the strongest predictor, with an odds ratio of 13.04 (95% CI = 5.6 -29.91). Fertility desires were largely influenced by dominant culturally sensitive issues and the family-oriented culture. The integration of effective counseling and reproductive healthcare service into HIV clinics is recommended. Holistic, culturally-relevant and family-oriented reproductive health counseling should provide more positive outcomes for both HIV-infected women and their children. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|