High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India: need to emphasize dual method use?
| Autor: | Mezie-Okoye Mm, Singh Op, Dutta A, Caroline W. Kabiru, Ghatak A, Sharma A, Sanjeevani Kulkarni, Khaing C, Shrinivas Darak, Ashtankar T, Che Y, Soonyaleepun S, Ali F, Jain S, Adaobi I. Bisi-Onyemaechi, Cheng L, Osaro Bo, Izugbara C, Thandar M, Laohasiriwong W, Oyekale As, Ayuk Ac, Muuo S, Haq Zu, Fanny Janssen, Chikani Un, Kulkarni, Bajpai P, Obionu Cn, Ogbonna If, Inge Hutter, Zhang B, P. N. Pandey, CI Tobin-West, Doughman D, Liu X |
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| Přispěvatelé: | Urban and Regional Studies Institute, Netherlands Interdisciplinary Demographic Institute (NIDI) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Health Knowledge
Attitudes Practice Health (social science) Urban Population unwanted pregnancies INTENTIONS medicine.medical_treatment PMTCT HIV Infections Abortion DECISION-MAKING 0302 clinical medicine Pregnancy Unsafe abortion REPRODUCTIVE-AGE TERMINATION Prevalence 030212 general & internal medicine Reproductive health education.field_of_study 030219 obstetrics & reproductive medicine Middle Aged Pregnancy Unwanted Medical abortion UNPLANNED PREGNANCIES Parity Family planning SSCI Regression Analysis Female Adult medicine.medical_specialty Social Psychology Population India UNITED-STATES UNINTENDED PREGNANCY Interviews as Topic 03 medical and health sciences medicine Humans education Retrospective Studies business.industry CONTRACEPTIVE USE Public health Public Health Environmental and Occupational Health HIV Abortion Induced induced abortions TRENDS Infectious Disease Transmission Vertical Family medicine POSITIVE WOMEN business Unintended pregnancy |
| Zdroj: | Aids care : Psychological and socio-Medical aspects of aids/hiv, 28(1), 43-51. ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV, 28(1), 43-51. Routledge |
| ISSN: | 0954-0121 |
| Popis: | This study examines the prevalence, reasons, and predictors of unwanted pregnancies and induced abortions among ever married HIV-infected women attending a care facility in Maharashtra, Western India, and discusses its programmatic and policy implications. Retrospectively collected data of pregnancies conceived after the diagnosis of HIV were analyzed using descriptive and logistic regression techniques. Among the 622 women interviewed, 113 women had 158 pregnancies with known outcomes after HIV diagnosis. Among these pregnancies, 80 (51%) were unwanted and 79 (50%) were voluntarily terminated. Fear of transmitting HIV to the child was a frequently mentioned reason for an unwanted pregnancy (71.8%) and induced abortion (59.5%). Women from urban areas [OR 2.43 (95% CI 1.23-4.79)] and with two or more live births before HIV diagnosis [OR 3.33 (95% CI 1.36-8.20)] were significantly more likely to report an unwanted pregnancy. Women with two or more live births before HIV diagnosis [OR 3.16 (95% CI 1.20-8.35)], who did not know that HIV transmission to the baby can be prevented [OR 3.29 (95% CI 1.48-7.34)] and with an unwanted pregnancy [OR 4.82 (95% CI 2.33-10.00)], were significantly more likely to terminate the pregnancy. Despite increased coverage of antiretroviral treatment, effective provision of reproductive healthcare services to HIV-infected women remains challenging. A high prevalence of unwanted pregnancies and induced abortions and a low level of knowledge about prevention of mother to child transmission (PMTCT) underscore the need for preconception counseling and provision of comprehensive family planning services to HIV-infected women. Enrolling all HIV-infected pregnant women, irrespective of their decision to continue with their pregnancy, in the PMTCT program and discussing with HIV-infected women and their partners at HIV diagnosis a full array of contraceptive methods and not just consistent use of condoms might be helpful in reducing unwanted pregnancies. |
| Databáze: | OpenAIRE |
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