Journal article
Determinants of contraceptive choice among women with HIV
AIDS (London), Vol.23(1), pp.S47-S54
11/01/2009
DOI: 10.1097/01.aids.0000363777.76129.b4
PMID: 20081388
Abstract
Objective: To examine factors associated with contraceptive choice among HIV-infected women.
Design: Data for this cross-sectional analysis were derived from baseline visits of 435 participants in an ongoing prospective study of contraception among HIV-infected women in Russia. Participants enrolled in one of four groups: combined oral contraceptives (COCs) along with condoms, depot medroxyprogesterone acetate (DMPA) along with condoms, copper intrauterine device (IUD) along with condoms, or condoms alone.
Methods: After contraceptive counseling and assessment of medical eligibility to use study methods, participants selected a method. Standardized interviews were used to collect demographic, reproductive and behavioral information.
Results: Most women were eligible to use COCs (899%) and DMPA (94%); 87% of nonpostpartum women were eligible to use the IUD. The method chosen by most women was condoms alone (47%), followed by COCs along with condoms (29%), DMPA along with condoms (20%) and IUD along with condoms (4%). In multivariable analyses, independent predictors of choosing a method highly effective during typical use (COCs, DMPA, or IUD) along with condoms included having at least two births (prevalence ratio=1.4), postpartum enrolment (prevalence ratio=1.3), desiring (prevalence ratio=1.4), or uncertainty about desiring (prevalence ratio=1.3) a future pregnancy, prior oral contraceptive use (prevalence ratio = 1.3), recent injection drug use (prevalence ratio = 1.3) and never (prevalence ratio = 2.3) or sometimes (prevalence ratio = 1.9) using condoms in the last year.
Conclusion: Among HIV-infected women, several characteristics that may place women at greater risk for unintended pregnancy and its adverse consequences were associated with choice of highly effective contraceptive methods. These findings may aid in the development of interventions to increase use of effective contraception among HIV-infected women. (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins
Details
- Title: Subtitle
- Determinants of contraceptive choice among women with HIV
- Creators
- Maura K. Whiteman - National Center for Chronic Disease Prevention and Health PromotionDmitry M. Kissin - Centers for Disease Control and PreventionAnna Samarina - Ott Res Inst Obstet & Gynecol, St Petersburg, RussiaKathryn M. Curtis - Centers for Disease Control and PreventionNatalia Akatova - City Clinical Oncology CenterPolly A. Marchbanks - Centers for Disease Control and PreventionDenise J. Jamieson - National Center for Chronic Disease Prevention and Health PromotionMargarita Martirosyan - City Clinical Oncology CenterNatalya Revzina - National Center for Chronic Disease Prevention and Health PromotionSusan D. Hillis - National Center for Chronic Disease Prevention and Health Promotion
- Resource Type
- Journal article
- Publication Details
- AIDS (London), Vol.23(1), pp.S47-S54
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/01.aids.0000363777.76129.b4
- PMID
- 20081388
- ISSN
- 0269-9370
- eISSN
- 1473-5571
- Number of pages
- 8
- Grant note
- United States Agency for International Development, Russia; United States Agency for International Development (USAID) CDC; Centre National de la Recherche Scientifique (CNRS); United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Language
- English
- Date published
- 11/01/2009
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446446302771
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