title: Factors Associated with Hormonal and Intrauterine Contraceptive Use among HIV-Infected Men and Women in Lilongwe, Malawi: A Cross-Sectional Study.
abstract: Background. Understanding the factors associated with the use of hormonal and intrauterine contraception among HIV-infected men and women may lead to interventions that can help reduce high unintended pregnancy rates. Materials and Methods. This study is a subanalysis of a cross-sectional survey of 289 women and 241 men who were sexually active and HIV-infected and were attending HIV care visits in Lilongwe, Malawi. We estimated adjusted prevalence ratios (PRs) to evaluate factors associated with hormonal and intrauterine contraceptive use for men and women in separate models. Results and Discussion. 39.8% of women and 33.2% of men (p = 0.117) reported that they were using hormonal or intrauterine contraception at last intercourse. Having greater than 3 children was the only factor associated with hormonal and intrauterine contraceptive use among men. Among women, younger age, not wanting a pregnancy in 2 years, being with their partner for more than 4 years, and being able to make family planning decisions by themselves were associated with hormonal and intrauterine contraceptive use. Conclusions. The men and women in our study population differed in the factors associated with hormonal and intrauterine contraceptive use. Understanding these differences may help decrease unmet FP needs among HIV-infected men and women.
authors.affiliation: UNC Project-Malawi, Kamuzu Central Hospital, 100 Mzimba Road, Private Bag Box A-104, Lilongwe, Malawi; University of North Carolina School of Medicine, Department of Obstetrics & Gynecology, University of North Carolina at Chapel Hill, 101 Manning Drive, CB No. 7570, Chapel Hill, NC 27599-7570, USA.
authors.forename: Jennifer H
authors.identifier: 0000-0003-4238-2791
authors.initials: JH
authors.lastname: Tang
authors.affiliation: The Lighthouse Trust, Kamuzu Central Hospital, 100 Mzimba Road, Lilongwe, Malawi; University of North Carolina School of Medicine, Department of Medicine, Chapel Hill, NC 27599-3368, USA.
authors.forename: Sam
authors.initials: S
authors.lastname: Phiri
authors.affiliation: The Lighthouse Trust, Kamuzu Central Hospital, 100 Mzimba Road, Lilongwe, Malawi.
authors.forename: Wingston
authors.initials: W
authors.lastname: Ng'ambi
authors.affiliation: University of North Carolina School of Medicine, Department of Obstetrics & Gynecology, University of North Carolina at Chapel Hill, 101 Manning Drive, CB No. 7570, Chapel Hill, NC 27599-7570, USA.
authors.forename: Jamie W
authors.initials: JW
authors.lastname: Krashin
authors.affiliation: The Lighthouse Trust, Kamuzu Central Hospital, 100 Mzimba Road, Lilongwe, Malawi.
authors.forename: Linly
authors.initials: L
authors.lastname: Mlundira
authors.affiliation: The Lighthouse Trust, Kamuzu Central Hospital, 100 Mzimba Road, Lilongwe, Malawi.
authors.forename: Thom
authors.initials: T
authors.lastname: Chaweza
authors.affiliation: The Lighthouse Trust, Kamuzu Central Hospital, 100 Mzimba Road, Lilongwe, Malawi.
authors.forename: Bernadette
authors.initials: B
authors.lastname: Samala
authors.affiliation: The Lighthouse Trust, Kamuzu Central Hospital, 100 Mzimba Road, Lilongwe, Malawi; The International Union against Tuberculosis and Lung Disease, 75006 Paris, France.
authors.forename: Hannock
authors.initials: H
authors.lastname: Tweya
authors.affiliation: UNC Project-Malawi, Kamuzu Central Hospital, 100 Mzimba Road, Private Bag Box A-104, Lilongwe, Malawi; University of North Carolina School of Medicine, Department of Medicine, Chapel Hill, NC 27599-3368, USA.
authors.forename: Mina C
authors.initials: MC
authors.lastname: Hosseinipour
authors.affiliation: Emory University School of Medicine, Department of Gynecology and Obstetrics, Emory University, 49 Jesse Hill Jr. Drive, Atlanta, GA 30303, USA.
authors.forename: Lisa B
authors.initials: LB
authors.lastname: Haddad
mesh_terms: D000293:Adolescent; D000328:Adult; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D007434:Intrauterine Devices / Q000706:statistics & numerical data*; D008295:Malawi / Q000453:epidemiology; D008297:Male; D055815:Young Adult
chemical_list: D003271:Contraceptive Agents, Female