OBJECTIVES: We investigated whether the intention to have children varied according to HIV status and use of highly active antiretroviral therapy (HAART) among women in Soweto, South Africa. METHODS: We used survey data from 674 women aged 18 to 44 years recruited from the Perinatal HIV Research Unit in Soweto (May through December 2007); 217 were HIV-positive HAART users (median duration of use = 31 months; interquartile range = 28, 33), 215 were HIV-positive and HAART-naive, and 242 were HIV negative. Logistic regression models examined associations between HIV status, HAART use, and intention to have children. RESULTS: Overall, 44% of women reported intent to have children, with significant variation by HIV status: 31% of HAART users, 29% of HAART-naive women, and 68% of HIV-negative women (P < .001). In adjusted models, HIV-positive women were nearly 60% less likely to report childbearing intentions compared with HIV-negative women (for HAART users, adjusted odds ratio [AOR] = 0.40; 95% confidence interval [CI] = 0.23, 0.69; for HAART-naive women, AOR = 0.35; 95% CI = 0.21, 0.60), with minimal differences according to use or duration of HAART. CONCLUSIONS: Integrated HIV, HAART, and reproductive health services must be provided to support the rights of all women to safely achieve their fertility goals.
OBJECTIVES: We investigated whether the intention to have children varied according to HIV status and use of highly active antiretroviral therapy (HAART) among women in Soweto, South Africa. METHODS: We used survey data from 674 women aged 18 to 44 years recruited from the Perinatal HIV Research Unit in Soweto (May through December 2007); 217 were HIV-positive HAART users (median duration of use = 31 months; interquartile range = 28, 33), 215 were HIV-positive and HAART-naive, and 242 were HIV negative. Logistic regression models examined associations between HIV status, HAART use, and intention to have children. RESULTS: Overall, 44% of women reported intent to have children, with significant variation by HIV status: 31% of HAART users, 29% of HAART-naive women, and 68% of HIV-negative women (P < .001). In adjusted models, HIV-positive women were nearly 60% less likely to report childbearing intentions compared with HIV-negative women (for HAART users, adjusted odds ratio [AOR] = 0.40; 95% confidence interval [CI] = 0.23, 0.69; for HAART-naive women, AOR = 0.35; 95% CI = 0.21, 0.60), with minimal differences according to use or duration of HAART. CONCLUSIONS: Integrated HIV, HAART, and reproductive health services must be provided to support the rights of all women to safely achieve their fertility goals.
Authors: P A Selwyn; E E Schoenbaum; K Davenny; V J Robertson; A R Feingold; J F Shulman; M M Mayers; R S Klein; G H Friedland; M F Rogers Journal: JAMA Date: 1989-03-03 Impact factor: 56.272
Authors: Sheri B Kirshenbaum; A Elizabeth Hirky; Jacqueline Correale; Rise B Goldstein; Mallory O Johnson; Mary Jane Rotheram-Borus; Anke A Ehrhardt Journal: Perspect Sex Reprod Health Date: 2004 May-Jun
Authors: Frank Taulo; Mark Berry; Amy Tsui; Bonus Makanani; George Kafulafula; Qing Li; Chiwawa Nkhoma; Johnstone J Kumwenda; Newton Kumwenda; Taha E Taha Journal: AIDS Behav Date: 2009-03-24
Authors: Michele S O'Shea; Nora E Rosenberg; Mina C Hosseinipour; Gretchen S Stuart; William C Miller; Stephen M Kaliti; Mwawi Mwale; Phylos P Bonongwe; Jennifer H Tang Journal: AIDS Care Date: 2014-11-04
Authors: Maricianah Onono; Mary A Guzé; Daniel Grossman; Rachel Steinfeld; Elizabeth A Bukusi; Starley Shade; Craig R Cohen; Sara J Newmann Journal: AIDS Care Date: 2015-01-29
Authors: Mellissa Withers; Shari Dworkin; Elizabeth Harrington; Zachary Kwena; Maricianah Onono; Elizabeth Bukusi; Craig R Cohen; Daniel Grossman; Sara J Newmann Journal: Cult Health Sex Date: 2013-07-26
Authors: Kate S Wilson; George Wanje; Linnet Masese; Jane M Simoni; Juma Shafi; Lucy Adala; Julie Overbaugh; Walter Jaoko; Barbra A Richardson; Raymond S McClelland Journal: J Acquir Immune Defic Syndr Date: 2018-07-01 Impact factor: 3.731
Authors: Naw H Khu; Bellington Vwalika; Etienne Karita; William Kilembe; Roger A Bayingana; Deborah Sitrin; Heidi Roeber-Rice; Emily Learner; Amanda C Tichacek; Lisa B Haddad; Kristin M Wall; Elwyn N Chomba; Susan A Allen Journal: Contraception Date: 2012-11-12 Impact factor: 3.375
Authors: Sarah A Gutin; Gary W Harper; K Rivet Amico; Christina Bitsang; Neo Moshashane; Jane Harries; Doreen Ramogola-Masire; Chelsea Morroni Journal: Glob Public Health Date: 2020-03-16