HIV status and contraceptive use in Zimbabwe among sexually active adolescent girls and women: Secondary analysis of Zimbabwe Demographic Health survey data
Background. Understanding the pattern of contraceptive use among women living with HIV is critical for formulating relevant public health interventions to improve the uptake and use of reliable methods in this population. This helps to reduce the incidence of unintended pregnancies. Objective...
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South African Medical Association
2024-06-01
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| Series: | South African Medical Journal |
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| Online Access: | https://samajournals.co.za/index.php/samj/article/view/1407 |
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| author | G Musuka G Murewanhema Z Mukandavire I Chingombe D Cuadros F Mutenherwa T Dzinamarira R Eghtessadi N Malunguza M Mapingure |
| author_facet | G Musuka G Murewanhema Z Mukandavire I Chingombe D Cuadros F Mutenherwa T Dzinamarira R Eghtessadi N Malunguza M Mapingure |
| author_sort | G Musuka |
| collection | DOAJ |
| description |
Background. Understanding the pattern of contraceptive use among women living with HIV is critical for formulating relevant public health interventions to improve the uptake and use of reliable methods in this population. This helps to reduce the incidence of unintended pregnancies.
Objective. In this secondary data analysis, we aimed to describe contraceptive use by HIV-positive and HIV-negative sexually active adolescent girls and women, using data from the Zimbabwe Demographic and Health Survey (2015-16).
Method. We used statistical analysis to determine the association between the use of various methods of contraception and HIV status using the Zimbabwe Demographic and Health Survey, 2015-16 data.
Results. Overall, the contraceptive use prevalence in this study was 60%. Sexually active adolescent girls and women on the Pill and injections were less likely to be HIV-positive compared with those not using any method of contraception (odds ratio (OR)=0.54, 95% confidence interval (CI) (0.45 - 0.64), p=0.001; and OR=0.75, 95% CI (0.59 - 0.96), p=0.020, respectively). Those using either a male or female condom were more likely to be HIV-positive, OR=3.36, 95% CI (2.63 - 4.28), p=0.001.
Conclusions. This study revealed that there is still a considerable unmet need for contraception among the study population, highlighting the need to devise strategies to increase contraception uptake among women. Statistically significant differences were noted in the use of condoms, with those who are HIV-positive having a higher use of condoms compared with those who are HIV-negative. This may reflect that HIV-positive individuals have received appropriate counselling messages on the need to use barrier methods.
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| format | Article |
| id | doaj-art-d21af076e918457e903dc4c76fe4ff20 |
| institution | Kabale University |
| issn | 0256-9574 2078-5135 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | South African Medical Association |
| record_format | Article |
| series | South African Medical Journal |
| spelling | doaj-art-d21af076e918457e903dc4c76fe4ff202025-02-10T12:25:53ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-06-011146b10.7196/SAMJ.2024.v114i16b.1407HIV status and contraceptive use in Zimbabwe among sexually active adolescent girls and women: Secondary analysis of Zimbabwe Demographic Health survey dataG Musuka0G Murewanhema1Z Mukandavire2I Chingombe3D Cuadros4F Mutenherwa5T Dzinamarira6R Eghtessadi7N Malunguza8M Mapingure9ICAP at Columbia University, Harare, ZimbabweUnit of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, ZimbabweEmirates Aviation University, Centre for Data Science and Artificial Intelligence, Dubai, United Arab Emirates, School of Computing, Electronics and Mathematics, Coventry University, Coventry, UKICAP at Columbia University, Harare, ZimbabweDepartment of Geography and Geographic Information Science, University of Cincinnati, Cincinnati, USABiomedical Research & Training Institute, Harare, ZimbabweICAP at Columbia University, Harare, Zimbabwe; School of Health Systems and Public Health, University of Pretoria, Pretoria, South AfricaSAfAIDS Regional Office, Harare, ZimbabweNational University of Science and Technology, Bulawayo, ZimbabweICAP at Columbia University, Harare, Zimbabwe Background. Understanding the pattern of contraceptive use among women living with HIV is critical for formulating relevant public health interventions to improve the uptake and use of reliable methods in this population. This helps to reduce the incidence of unintended pregnancies. Objective. In this secondary data analysis, we aimed to describe contraceptive use by HIV-positive and HIV-negative sexually active adolescent girls and women, using data from the Zimbabwe Demographic and Health Survey (2015-16). Method. We used statistical analysis to determine the association between the use of various methods of contraception and HIV status using the Zimbabwe Demographic and Health Survey, 2015-16 data. Results. Overall, the contraceptive use prevalence in this study was 60%. Sexually active adolescent girls and women on the Pill and injections were less likely to be HIV-positive compared with those not using any method of contraception (odds ratio (OR)=0.54, 95% confidence interval (CI) (0.45 - 0.64), p=0.001; and OR=0.75, 95% CI (0.59 - 0.96), p=0.020, respectively). Those using either a male or female condom were more likely to be HIV-positive, OR=3.36, 95% CI (2.63 - 4.28), p=0.001. Conclusions. This study revealed that there is still a considerable unmet need for contraception among the study population, highlighting the need to devise strategies to increase contraception uptake among women. Statistically significant differences were noted in the use of condoms, with those who are HIV-positive having a higher use of condoms compared with those who are HIV-negative. This may reflect that HIV-positive individuals have received appropriate counselling messages on the need to use barrier methods. https://samajournals.co.za/index.php/samj/article/view/1407ContraceptionHIVZimbabweNational Survey |
| spellingShingle | G Musuka G Murewanhema Z Mukandavire I Chingombe D Cuadros F Mutenherwa T Dzinamarira R Eghtessadi N Malunguza M Mapingure HIV status and contraceptive use in Zimbabwe among sexually active adolescent girls and women: Secondary analysis of Zimbabwe Demographic Health survey data South African Medical Journal Contraception HIV Zimbabwe National Survey |
| title | HIV status and contraceptive use in Zimbabwe among sexually active adolescent girls and women: Secondary analysis of Zimbabwe Demographic Health survey data |
| title_full | HIV status and contraceptive use in Zimbabwe among sexually active adolescent girls and women: Secondary analysis of Zimbabwe Demographic Health survey data |
| title_fullStr | HIV status and contraceptive use in Zimbabwe among sexually active adolescent girls and women: Secondary analysis of Zimbabwe Demographic Health survey data |
| title_full_unstemmed | HIV status and contraceptive use in Zimbabwe among sexually active adolescent girls and women: Secondary analysis of Zimbabwe Demographic Health survey data |
| title_short | HIV status and contraceptive use in Zimbabwe among sexually active adolescent girls and women: Secondary analysis of Zimbabwe Demographic Health survey data |
| title_sort | hiv status and contraceptive use in zimbabwe among sexually active adolescent girls and women secondary analysis of zimbabwe demographic health survey data |
| topic | Contraception HIV Zimbabwe National Survey |
| url | https://samajournals.co.za/index.php/samj/article/view/1407 |
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