Fertility desires and condom use among HIV-positive women at an antiretroviral roll-out program in Zimbabwe
), Rena Patel(2), Gerard Kadzirange(3), Tsungai Chipato(4), David Katzenstein(5),
(1)
(2)
(3)
(4)
(5)
Corresponding Author
Abstract
As access to anti-retroviral therapy (ART) increases in sub-Saharan Africa, fertility and contraception patterns are likely to change. Two hundred HIV-positive women at an ART roll-out site in Zimbabwe responded to a questionnaire on fertility desires and condom use. Ten women (5%) reported planning a pregnancy in the next year, comprising 0% of women not yet eligible for ART, 8.22% of women on the waitlist for ART, and 4.17% of women on ART. Younger age, fewer living children, and higher quality of life were individually associated with intended pregnancy in the next year; however in multivariate analysis only the association with higher quality of life remained significant. Reported ever use of condoms was relatively low (46.5%) and condom use varied by neither ART status nor by fertility desires. In conclusion, our data demonstrates fertility desires among HIV-positive women in Zimbabwe correlate with higher perceived quality of life (Afr. J. Reprod. Health 2010; 14[2]: 27-35).
RĖSUMĖ
Les désirs de la fécondité et l’emploi des préservatifs chez les femmes séro-positives au cours d’un programme de la présentation publique de la thérapie antirétrovirale au Zimbabwe. Au fur et à mesure que l‟accès à la thérapie antirétrovirale (TAR) s‟accroît en Afrique sub-saharéenne, il y a la possibilité que les tendances de la fécondité et de la contraception se modifient. Deux cent femmes séropositives qui se sont présentées dans le lieu de la présentation publique de TAR au Zimbabwe ont répondu à un questionnaire sur les désirs de la fécondité et l‟emploi des préservatifs. Dix femmes (5%) ont indiqué quelles désiraient être enceintes dans l‟année qui venait, y compris le 0% des femmes qui n‟avaient pas encore droit à la TAR, 82% des femmes sur la liste d‟attente pour la TAR et 4,17% des femmes qui suivent la TAR. Le plus jeune âge, peu d‟enfants vivants et une qualité de vie élevée ont été individuellement associés à la grossesse voulue dans l‟année suivante. Néanmoins, dans l‟analyse multifactorielle, seule l‟association ayant une qualité de vie plus élevée est restée significative. Le nombre des femmes qui ont indiqué n‟avoir jamais utilisé les préservatifs était relativement bas (46,5%) et l‟emploi des préservatifs n‟a varié ni par la TAR ni par les désirs de la fécondité. En conclusion, nos données ont démontré que les désirs pour la fécondité chez les femmes séropsitives au Zimbabwe est en corrélation avec la qualité de vie élevée perçue (Afr. J. Reprod. Health 2010; 14[2]: 27-35).
KEYWORDS: Antiretroviral therapy, fertility desires, condom use, quality of life.
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