Awareness and interest in intrauterine contraceptive device use among HIV-positive women in Cape Town, South Africa.
OBJECTIVE
To assess awareness of and interest in intrauterine contraceptive device (IUCD) use among HIV-positive women in Cape Town, South Africa.


METHODS
Cross-sectional survey.


METHODS
HIV-positive women aged 18 through 45 years presenting for care at a primary health care clinic in Cape Town, South Africa participated in this study. Consented participants completed a staff-administered questionnaire in a private setting. Descriptive statistics were generated. Comparisons between demographic and reproductive health-related variables and IUCD awareness and interest were performed with multiple logistic regression. Analyses for IUCD interest excluded women with prior surgical sterilization.


RESULTS
Of 277 HIV-positive women, 37% were aware of the IUCD; awareness was independently associated with greater age (adjusted odds ratio (AOR)=1.15, 95%; confidence interval (CI): 1.10-1.20) and not switching contraceptive methods in the last year (AOR=2.45, 95% CI: 1.03-5.83). Following an IUCD information session, 86% of women (n=206/240) were interested in IUCD use. IUCD interest was inversely associated with age (AOR=0.91, 95% CI: 0.86-0.97) and marginally positively associated with current menstrual bleeding pattern complaints (AOR=2.14, 95% CI: 0.98-4.68).


CONCLUSIONS
Despite low levels of method awareness, HIV-positive women in this setting are frequently interested in IUCD use, indicating need for programming to expand method access.
Department of Obstetrics and Gynecology, Columbia University, PH16-69, New York, NY 10032, USA. cst2121@columbia.edu
Catherine S
CS
Todd
Heidi E
HE
Jones
Tracy C
TC
Garber
Hoviyeh
H
Afnan-Holmes
Helen
H
Woolgar
Linda-Gail
LG
Bekker
Landon
L
Myer
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003268:Contraception Behavior / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006679:HIV Seropositivity; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007434:Intrauterine Devices / Q000706:statistics & numerical data; D016015:Logistic Models; D008875:Middle Aged; D013019:South Africa; D011795:Surveys and Questionnaires; D055815:Young Adult