Childbearing desire and reproductive behaviors among women living with HIV: A cross-sectional study in Abidjan, Côte d'Ivoire

Autor: Apollinaire Horo, Eugène Messou, Shino Arikawa, Angèle Zahui, Renaud Becquet, Juan Burgos-Soto, Patricia Dumazert, Thierry Tiendrebeogo, Albert Minga
Přispěvatelé: Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Admin, Oskar
Rok vydání: 2020
Předmět:
RNA viruses
Cross-sectional study
medicine.medical_treatment
Maternal Health
Human immunodeficiency virus (HIV)
HIV Infections
Logistic regression
medicine.disease_cause
Pathology and Laboratory Medicine
Assisted Reproductive Technology
Families
0302 clinical medicine
5. Gender equality
Immunodeficiency Viruses
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Pregnancy
Health care
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Contraception Behavior
Children
Multidisciplinary
Transmission (medicine)
Obstetrics and Gynecology
HIV diagnosis and management
Vaccination and Immunization
3. Good health
Contraception
Family planning
Medical Microbiology
Viral Pathogens
Viruses
[SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Medicine
Female
Pathogens
0305 other medical science
Research Article
Adult
Adolescent
Science
Immunology
Antiretroviral Therapy
[SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics
Microbiology
IDLIC
03 medical and health sciences
Antiviral Therapy
Retroviruses
medicine
Humans
Female Contraception
Microbial Pathogens
030505 public health
Assisted reproductive technology
business.industry
Lentivirus
Organisms
Biology and Life Sciences
HIV
medicine.disease
Diagnostic medicine
Male Contraception
[SDV.MHEP.GEO] Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics
Cote d'Ivoire
Attitude
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Age Groups
People and Places
Women's Health
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Population Groupings
Preventive Medicine
business
Demography
Zdroj: PLoS ONE
PLoS ONE, Public Library of Science, 2020, 15 (10), pp.e0239859. ⟨10.1371/journal.pone.0239859⟩
PLoS ONE, Vol 15, Iss 10, p e0239859 (2020)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0239859⟩
Popis: IntroductionEvidence on childbearing desire and reproductive behaviors in women living with HIV on antiretroviral therapy (ART) is scarce, particularly in West Africa. We investigated the prevalence and associated factors of childbearing desire in HIV-infected women in care in Abidjan, Côte d'Ivoire and explored whether such desires were translated into behaviors related to contraceptive use and communication with health personnel.MethodsA cross-sectional survey was conducted in two HIV-care facilities in Abidjan, Côte d'Ivoire in 2015. Eligible women were non-pregnant, non-menopausal, aged 18-49 years and diagnosed as HIV-infected. The outcomes were childbearing desire, prevalence of modern contraceptive use, unmet needs for family planning and intention of the last pregnancy since HIV diagnosis. Women wishing to conceive immediately were asked whether they had discussed their desire with HIV healthcare workers. Logistic regression models were used to assess the associations between the outcomes and women's characteristics.ResultsOf 1,631 women, 80% declared having childbearing desire. No association was found between women's childbearing desire and ART status or its duration. In multivariate models, younger age, being in a stable relationship and having no or only one child were significantly associated with increased childbearing desire. Of the women wishing to conceive immediately (n = 713), only 43% reported having had fertility-related dialogue with healthcare provider. Among sexually active women wanting to avoid or delay pregnancy (n = 650), unmet needs for family planning was 40%. Regarding the last pregnancy since HIV diagnosis, one in three women reported not having wanted a baby at that time.ConclusionsPregnancy desire in women living with HIV in Abidjan was extremely high. Integration of safe conception strategies as well as improvement of contraceptive uptake among women in need of family planning are of utmost importance to ensure optimal conception and to avoid transmission of HIV to the male partner or to the forthcoming child.
Databáze: OpenAIRE
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