title: Reproductive healthcare needs and desires in a cohort of HIV-positive women.
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.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  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.
authors: Department of Gynecology and Obstetrics, Emory University, Atlanta, GA 30306, USA. mbadell@emory.edu
authors: Martina L
authors: ML
authors: Badell
authors: Eva
authors: E
authors: Lathrop
authors: Lisa B
authors: LB
authors: Haddad
authors: Peggy
authors: P
authors: Goedken
authors: Minh Ly
authors: ML
authors: Nguyen
authors: Carrie A
authors: CA
authors: Cwiak
mesh_terms: D015331:Cohort Studies; D003268:Contraception Behavior / Q000523:psychology*; D003271:Contraceptive Agents, Female; D003273:Contraceptive Devices / Q000706:statistics & numerical data; D005260:Female; D005298:Fertility; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D015999:Multivariate Analysis; D013246:Sterilization, Tubal / Q000523:psychology / Q000706:statistics & numerical data; D014481:United States
chemical_list: D003271:Contraceptive Agents, Female