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. 2012:2012:107878.
doi: 10.1155/2012/107878. Epub 2012 Jun 13.

Reproductive healthcare needs and desires in a cohort of HIV-positive women

Martina L Badell  1 , Eva Lathrop, Lisa B Haddad, Peggy Goedken, Minh Ly Nguyen, Carrie A Cwiak
Affiliations

Reproductive healthcare needs and desires in a cohort of HIV-positive women

Martina L Badell et al. Infect Dis Obstet Gynecol. 2012.

Abstract

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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References

    1. Henshaw SK. Unintended pregnancy in the United States. Family Planning Perspectives. 1998;30(1):24–46. - PubMed
    1. Finer LB, Henshaw SK. Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health. 2006;38(2):90–96. - PubMed
    1. UNAIDS. Joint United Nations Programme on HIV/AID. Geneva, Switzerland: UNAIDS; 2006 . Report on the global AIDS epidemic: a UNAIDS 10th anniversary special edition: executive summary.
    1. ACOG Committee on Practice Bulletins–Gynecology. ACOG Practice Bulletin No. 117: gynecologic care for women with human immunodeficiency virus. Obstetrics and gynecology. 2010;116(6):1492–1509. - PubMed
    1. Boonstra H. Meeting the sexual and reproductive health needs of people living with HIV. Issues in Brief (Alan Guttmacher Institute) 2006;(6):1–4. - PubMed

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