Differences in the Nonuse of any Contraception and Use of Specific Contraceptive Methods in HIV Positive and HIV Negative Rwandan Women
Contraception can reduce the dual burden of high fertility and high HIV prevalence in sub-Sahara Africa, but significant barriers remain regarding access and use. We describe factors associated with nonuse of contraception and with use of specific contraceptive methods in HIV positive and HIV negati...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2012/367604 |
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| author | Adebola A. Adedimeji Donald R. Hoover Qiuhu Shi Mardge H. Cohen Tracy Gard Kathryn Anastos |
| author_facet | Adebola A. Adedimeji Donald R. Hoover Qiuhu Shi Mardge H. Cohen Tracy Gard Kathryn Anastos |
| author_sort | Adebola A. Adedimeji |
| collection | DOAJ |
| description | Contraception can reduce the dual burden of high fertility and high HIV prevalence in sub-Sahara Africa, but significant barriers remain regarding access and use. We describe factors associated with nonuse of contraception and with use of specific contraceptive methods in HIV positive and HIV negative Rwandan women. Data from 395 HIV-positive and 76 HIV-negative women who desired no pregnancy in the previous 6 months were analyzed using univariate and multivariate logistic regression models to identify clinical and demographic characteristics that predict contraceptive use. Differences in contraceptive methods used were dependent on marital/partner status, partner’s knowledge of a woman’s HIV status, and age. Overall, condoms, abstinence, and hormonal methods were the most used, though differences existed by HIV status. Less than 10% of women both HIV+ and HIV− used no contraception. Important differences exist between HIV-positive and HIV-negative women with regard to contraceptive method use that should be addressed by interventions seeking to improve contraceptive prevalence. |
| format | Article |
| id | doaj-art-b645fd352b3049b3a342673dae2249b7 |
| institution | OA Journals |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-b645fd352b3049b3a342673dae2249b72025-08-20T02:23:09ZengWileyAIDS Research and Treatment2090-12402090-12592012-01-01201210.1155/2012/367604367604Differences in the Nonuse of any Contraception and Use of Specific Contraceptive Methods in HIV Positive and HIV Negative Rwandan WomenAdebola A. Adedimeji0Donald R. Hoover1Qiuhu Shi2Mardge H. Cohen3Tracy Gard4Kathryn Anastos5Centre for Public Health Sciences, Albert Einstein College of Medicine, Mazer 515, 1300 Morris Park Avenue, Bronx, NY 10461, USADepartment of Statistics and Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brusnwick, NJ 08901, USANew York Medical College, Valhalla, NY 10595, USADepartment of Medicine, Stroger (Cook County) Hospital and Rush University, Chicago, IL 60612, USADepartment of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY 10461, USADepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USAContraception can reduce the dual burden of high fertility and high HIV prevalence in sub-Sahara Africa, but significant barriers remain regarding access and use. We describe factors associated with nonuse of contraception and with use of specific contraceptive methods in HIV positive and HIV negative Rwandan women. Data from 395 HIV-positive and 76 HIV-negative women who desired no pregnancy in the previous 6 months were analyzed using univariate and multivariate logistic regression models to identify clinical and demographic characteristics that predict contraceptive use. Differences in contraceptive methods used were dependent on marital/partner status, partner’s knowledge of a woman’s HIV status, and age. Overall, condoms, abstinence, and hormonal methods were the most used, though differences existed by HIV status. Less than 10% of women both HIV+ and HIV− used no contraception. Important differences exist between HIV-positive and HIV-negative women with regard to contraceptive method use that should be addressed by interventions seeking to improve contraceptive prevalence.http://dx.doi.org/10.1155/2012/367604 |
| spellingShingle | Adebola A. Adedimeji Donald R. Hoover Qiuhu Shi Mardge H. Cohen Tracy Gard Kathryn Anastos Differences in the Nonuse of any Contraception and Use of Specific Contraceptive Methods in HIV Positive and HIV Negative Rwandan Women AIDS Research and Treatment |
| title | Differences in the Nonuse of any Contraception and Use of Specific Contraceptive Methods in HIV Positive and HIV Negative Rwandan Women |
| title_full | Differences in the Nonuse of any Contraception and Use of Specific Contraceptive Methods in HIV Positive and HIV Negative Rwandan Women |
| title_fullStr | Differences in the Nonuse of any Contraception and Use of Specific Contraceptive Methods in HIV Positive and HIV Negative Rwandan Women |
| title_full_unstemmed | Differences in the Nonuse of any Contraception and Use of Specific Contraceptive Methods in HIV Positive and HIV Negative Rwandan Women |
| title_short | Differences in the Nonuse of any Contraception and Use of Specific Contraceptive Methods in HIV Positive and HIV Negative Rwandan Women |
| title_sort | differences in the nonuse of any contraception and use of specific contraceptive methods in hiv positive and hiv negative rwandan women |
| url | http://dx.doi.org/10.1155/2012/367604 |
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