title: Self-Reported Preconception Care of HIV-Positive Women of Reproductive Potential: A Retrospective Study.
abstract: We determined the proportion and correlates of self-reported pregnancy planning discussions (that is preconception counseling) that HIV-positive women reported to their family physicians (FPs), HIV specialists, and obstetrician/gynecologists (OB/Gyns).
  
  
  
  In a cross-sectional substudy, HIV-positive women of reproductive potential were asked whether their care providers discussed pregnancy planning. Logistic regression was used to calculate odds ratios for the correlates of preconception counseling.
  
  
  
  A total of 431 eligible participants (median age 38, interquartile range = 32-43) reported having discussion with a physician (92% FP, 96% HIV specialists, and 45% OB/Gyns). In all, 34%, 41%, and 38% had their pregnancy planning discussion with FP, HIV specialist, and Ob/Gyns, respectively; 51% overall. In the multivariable model, significant correlates of preconception counseling were age (P = .02), marital status (P < .01), number of years living in Canada (P < .001), and age of youngest child (P < .01).
  
  
  
  Preconception care in our cohort was suboptimal. We recommend that counseling on healthy preconception should be part of routine HIV care.
authors.affiliation: Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada Faculty of Medicine, University of Toronto, Ontario, Canada mona.loutfy@wchospital.ca.
authors.forename: Mona R
authors.initials: MR
authors.lastname: Loutfy
authors.affiliation: Toronto General Research Institute, Toronto, Ontario, Canada.
authors.forename: Sandra
authors.initials: S
authors.lastname: Blitz
authors.affiliation: Faculty of Medicine, University of Toronto, Ontario, Canada.
authors.forename: Yimeng
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Ryerson University, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
authors.forename: Trevor A
authors.initials: TA
authors.lastname: Hart
authors.affiliation: Faculty of Medicine, University of Toronto, Ontario, Canada Toronto General Research Institute, Toronto, Ontario, Canada.
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Walmsley
authors.affiliation: Hamilton Health Sciences, Hamilton, Ontario, Canada.
authors.forename: Fiona M
authors.initials: FM
authors.lastname: Smaill
authors.affiliation: Faculty of Medicine, University of Toronto, Ontario, Canada Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
authors.forename: Anita R
authors.initials: AR
authors.lastname: Rachlis
authors.affiliation: Faculty of Medicine, University of Toronto, Ontario, Canada St Michael's Hospital, University of Toronto, Ontario, Canada.
authors.forename: Mark H
authors.initials: MH
authors.lastname: Yudin
authors.affiliation: Ottawa Health Research Institute and The Ottawa Hospital, Ottawa, Ontario, Canada.
authors.forename: Jonathan B
authors.initials: JB
authors.lastname: Angel
authors.affiliation: Infectious Diseases Care Program, St Joseph's Health Care, London, Ontario, Canada.
authors.forename: Edward D
authors.initials: ED
authors.lastname: Ralph
authors.affiliation: Women's Health in Women's Hands, Toronto, Ontario, Canada.
authors.forename: Wangari
authors.initials: W
authors.lastname: Tharao
authors.affiliation: Toronto General Research Institute, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
authors.forename: Janet M
authors.initials: JM
authors.lastname: Raboud
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D016742:Preconception Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000523:psychology*; D012189:Retrospective Studies; D057566:Self Report; D055815:Young Adult
keywords: HIV; preconception care; programming; quality of care indicator; women