HIV diagnosis and fertility intentions among couple VCT clients in Ethiopia

Autor:	Duff Gillespie, Michelle J. Hindin, Yung Ting Bonnenfant
Rok vydání:	2012
Předmět:	Adult Counseling Male Program evaluation medicine.medical_specialty Health (social science) Adolescent Social Psychology media_common.quotation_subject Voluntary counseling and testing Population Developing country HIV Infections Fertility Intention Interviews as Topic Young Adult Acquired immunodeficiency syndrome (AIDS) Surveys and Questionnaires Odds Ratio medicine Humans education Psychiatry media_common Family Characteristics education.field_of_study business.industry Reproduction Public sector Public Health Environmental and Occupational Health virus diseases Middle Aged Patient Acceptance of Health Care medicine.disease Logistic Models Sexual Partners Socioeconomic Factors Family Planning Services Family medicine Serodiscordant Female Ethiopia business
Zdroj:	AIDS Care. 24:1407-1415
ISSN:	1360-0451 0954-0121
DOI:	10.1080/09540121.2011.650679
Popis:	In Ethiopia, most HIV-affected couples are in serodiscordant relationships and must weigh any childbearing desires against the risk of transmitting the virus to a partner or child. This analysis investigates the relationship between HIV diagnosis and fertility intentions among couple voluntary counseling and testing (VCT) clients in Ethiopia and whether this relationship differs between men and women. Data come from the Ethiopia Voluntary Counseling and Testing Integrated with Contraceptive Services (VICS) study, which collected information from men and women attending VCT at eight public sector health facilities in the Oromia region of Ethiopia. VCT clients were asked about their fertility intentions before (pre-test) and after (post-test) receiving their HIV test results. Sex-stratified logistic regression was used to find characteristics, such as the couple's HIV status, associated with ceasing to desire children between pre-test and post-test versus desiring children at both time points. Women belonging to serodiscordant couples were much more likely to cease desiring children than women in HIV-concordant couples, regardless of whether the woman (aOR=11.08, p0.001) or her partner (aOR=9.97, p=0.001) was HIV+. Only HIV+ men in serodiscordant relationships were more likely to stop desiring children than men in HIV-concordant couples (aOR=12.10, p0.001). Serodiscordant couples would benefit from family planning services or referrals during VCT to help meet their reproductive needs.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b43301b3698bca69f626a27f894b0905 https://doi.org/10.1080/09540121.2011.650679 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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