title: Prevalence and Correlates of Use of Safer Conception Methods in a Prospective Cohort of Ugandan HIV-Affected Couples with Fertility Intentions.
abstract: We examined the prevalence and correlates of safer conception methods (SCM) use in HIV-affected couples with fertility intentions. A prospective cohort of 400 HIV clients in Uganda who had fertility intentions with their partner was surveyed every 6 months for 24 months. Logistic regression analysis was used to determine individual, relationship and provider level predictors of SCM use. Over one-third (35%) reported any use of timed unprotected intercourse (TUI) during the study; use of other SCM was rare. Baseline predictors of any TUI use included lower social support, greater perceived provider stigma of childbearing, greater SCM awareness, greater control over sexual decision making in the relationship, inconsistent condom use, and the belief that a desire for childbearing impedes condom use. These findings highlight the need for policy and provider training regarding integration of safer conception counselling into family planning and reproductive health services for people living with HIV.
authors.affiliation: RAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA. gwagner@rand.org.
authors.forename: Glenn J
authors.identifier: http://orcid.org/0000-0001-9081-3299
authors.initials: GJ
authors.lastname: Wagner
authors.affiliation: RAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Linnemayr
authors.affiliation: Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, USA.|Schools of Medicine and Pharmacy, University of Missouri, Kansas City, USA.
authors.forename: Kathy
authors.initials: K
authors.lastname: Goggin
authors.affiliation: University of California, Los Angeles Center for Culture and Health, Los Angeles, USA.
authors.forename: Deborah
authors.initials: D
authors.lastname: Mindry
authors.affiliation: Mulago Hospital Department of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda.
authors.forename: Jolly
authors.initials: J
authors.lastname: Beyeza-Kashesya
authors.affiliation: Department of Family Medicine, University of Kansas Medical Center, Kansas City, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Finocchario-Kessler
authors.affiliation: RAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Robinson
authors.affiliation: The AIDS Support Organization, Kampala, Uganda.
authors.forename: Josephine
authors.initials: J
authors.lastname: Birungi
authors.affiliation: Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.
authors.forename: Rhoda K
authors.initials: RK
authors.lastname: Wanyenze
mesh_terms: D000328:Adult; D003376:Counseling; D005193:Family Planning Services; D005260:Female; D005298:Fertility; D005306:Fertilization; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D033182:Intention; D016015:Logistic Models; D008297:Male; D015995:Prevalence; D011446:Prospective Studies; D043762:Reproductive Behavior; D021841:Safe Sex; D012725:Sexual Behavior; D012747:Sexual Partners; D057545:Social Stigma; D011795:Surveys and Questionnaires; D014454:Uganda
keywords: HIV; Safer conception; Timed unprotected intercourse; Uganda