HIV infection and pregnancy status among adults attending voluntary counseling and testing in 2 developing countries.
OBJECTIVE
This study investigated the impact of HIV voluntary counseling and testing (VCT) on reproduction planning among 1634 adults in 2 sub-Saharan countries.


METHODS
Data were obtained from a multisite randomized controlled trial.


RESULTS
At 6 months post-VCT, the women more likely to be pregnant were younger (odds ratio [OR] = 2.5; 95% confidence interval [CI] = 1.0, 6.5), not using contraceptives (OR = 0.1; 95% CI = 0.1, 0.3), and HIV infected (OR = 3.0; 95% CI = 1.3, 7.0). An interaction emerged linking pregnancy intention at baseline and HIV serostatus with pregnancy at follow-up (OR = 0.1; 95% CI =.0, 0.4) Partner pregnancy rates did not differ by HIV serostatus among men.


CONCLUSIONS
HIV diagnosis may influence reproduction planning for women but not for men.
Forsyth
Andrew D
AD
Center for AIDS Prevention Studies, University of California, San Francisco 94105, USA. aforsyth@psg.ucsf.edu
Coates
Thomas J
TJ
Grinstead
Olga A
OA
Sangiwa
Gloria
G
Balmer
Donald
D
Kamenga
Munkolenkole C
MC
Gregorich
Steven E
SE
D015492:AIDS Serodiagnosis; D000293:Adolescent; D000328:Adult; D003376:Counseling; D003906:Developing Countries; D005193:Family Planning Services / Q000706:statistics & numerical data*; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D007630:Kenya / Q000453:epidemiology; D008137:Longitudinal Studies; D008297:Male; D011247:Pregnancy / Q000523:psychology / Q000706:statistics & numerical data*; D040242:Risk Reduction Behavior; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D013636:Tanzania / Q000453:epidemiology