Zubairu Iliyasu1,2, Jenny Owen3, Muktar H Aliyu4, Padam Simkhada3,5. 1. Section of Public Health, School of Health and Related Research (ScHARR), The University of Sheffield, Sheffield, UK. ziliyasu@yahoo.com. 2. Department of Community Medicine, Bayero University Kano, Kano, Nigeria. ziliyasu@yahoo.com. 3. Section of Public Health, School of Health and Related Research (ScHARR), The University of Sheffield, Sheffield, UK. 4. Department of Health Policy & Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA. 5. School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
Abstract
BACKGROUND: In the era of HIV treatment as prevention, little research has focused on the fertility behaviour of men living with HIV. This study examines the predictors and motivators of fertility among men living with HIV and on antiretroviral treatment in Kano, Nigeria. METHOD: Using mixed methods, structured questionnaires were administered to a clinic-based sample of men living with HIV (n = 270) and HIV-negative/untested controls (n = 270), followed by in-depth interviews with a sub-group of 22 HIV-positive participants. Logistic regression and the framework approach were used to analyse the data. RESULTS: Compared to HIV-negative/untested controls, lower proportions of men living with HIV desired more children (79.3%, n = 214 vs. 91.1%, n = 246, p < 0.05) and intended to bear children within 3 years (57.0%, n = 154 vs. 67.0%, n = 181) (p < 0.05). Marital status (ever married vs. single) predicted fertility intention among men living with HIV (adjusted odds ratio, AOR = 4.70, 95% confidence interval CI, 1.75-13.64) and HIV-negative/untested controls (AOR = 4.23, 95% CI, 1.37-16.45). Men considered self and partner health status, HIV transmission risks, poverty, the effectiveness of interventions, child survival and religion when making fertility decisions. CONCLUSION: Fertility desires remain high post-HIV diagnosis. HIV services should include integrated reproductive health programs that address the fertility desires of clients and include considerations for fertility services.
BACKGROUND: In the era of HIV treatment as prevention, little research has focused on the fertility behaviour of men living with HIV. This study examines the predictors and motivators of fertility among men living with HIV and on antiretroviral treatment in Kano, Nigeria. METHOD: Using mixed methods, structured questionnaires were administered to a clinic-based sample of men living with HIV (n = 270) and HIV-negative/untested controls (n = 270), followed by in-depth interviews with a sub-group of 22 HIV-positive participants. Logistic regression and the framework approach were used to analyse the data. RESULTS: Compared to HIV-negative/untested controls, lower proportions of men living with HIV desired more children (79.3%, n = 214 vs. 91.1%, n = 246, p < 0.05) and intended to bear children within 3 years (57.0%, n = 154 vs. 67.0%, n = 181) (p < 0.05). Marital status (ever married vs. single) predicted fertility intention among men living with HIV (adjusted odds ratio, AOR = 4.70, 95% confidence interval CI, 1.75-13.64) and HIV-negative/untested controls (AOR = 4.23, 95% CI, 1.37-16.45). Men considered self and partner health status, HIV transmission risks, poverty, the effectiveness of interventions, child survival and religion when making fertility decisions. CONCLUSION: Fertility desires remain high post-HIV diagnosis. HIV services should include integrated reproductive health programs that address the fertility desires of clients and include considerations for fertility services.
Authors: Kata Chillag; Greg Guest; Arwen Bunce; Laura Johnson; Peter H Kilmarx; Dawn K Smith Journal: Afr J AIDS Res Date: 2006-09 Impact factor: 1.300
Authors: Hazar Khidir; Christina Psaros; Letitia Greener; Kasey O'Neil; Mxolisi Mathenjwa; F N Mosery; Lizzie Moore; Abigail Harrison; David R Bangsberg; Jennifer A Smit; Steven A Safren; Lynn T Matthews Journal: AIDS Behav Date: 2018-06