Fertility desires and condom use among HIV-positive women at an antiretroviral roll-out program in Zimbabwe.
As access to anti-retroviral therapy (ART) increases in sub-Saharan Africa, fertility and contraception patterns are likely to change. Two hundred HIV-positive women at an ART roll-out site in Zimbabwe responded to a questionnaire on fertility desires and condom use. Ten women (5%) reported planning a pregnancy in the next year, comprising 0% of women not yet eligible for ART, 8.22% of women on the waitlist for ART, and 4.17% of women on ART. Younger age, fewer living children, and higher quality of life were individually associated with intended pregnancy in the next year; however in multivariate analysis only the association with higher quality of life remained significant. Reported ever use of condoms was relatively low (46.5%) and condom use varied by neither ART status nor by fertility desires. In conclusion, our data demonstrates fertility desires among HIV-positive women in Zimbabwe correlate with higher perceived quality of life.
School of Medicine, Stanford University, Stanford, CA, USA.
M Kathryn
MK
McClellan
Rena
R
Patel
Gerard
G
Kadzirange
Tsungai
T
Chipatod
David
D
Katzenstein
D000704:Analysis of Variance; D023241:Antiretroviral Therapy, Highly Active; D017280:Condoms / Q000706:statistics & numerical data*; D003268:Contraception Behavior; D003430:Cross-Sectional Studies; D005260:Female; D005298:Fertility; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology / Q000523:psychology*; D006297:Health Services Accessibility; D006801:Humans; D033182:Intention; D011247:Pregnancy; D011788:Quality of Life; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D055815:Young Adult; D015030:Zimbabwe
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