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[巴西感染和未感染艾滋病毒/艾滋病的育龄妇女的人工流产情况]

[Induced abortion in women of reproductive age living with and without HIV/Aids in Brazil].

作者信息

Barbosa Regina Maria, Pinho Adriana de Araújo, Santos Naila Seabra, Filipe Elvira, Villela Wilza, Aidar Tirza

机构信息

Estadual deDST/Aids, Vila Mariana.04121-000 São Paulo.

出版信息

Cien Saude Colet. 2009 Jul-Aug;14(4):1085-99. doi: 10.1590/s1413-81232009000400015.

DOI:10.1590/s1413-81232009000400015
PMID:19721949
Abstract

This study aimed to identify and compare the characteristics of women living (WLHA) and not living with HIV/AIDS (WNLHA) regarding the report of lifetime induced abortion. Data from 1,777 MVHA and 2,045 MNVHA were collected between November 2003 and December 2004 during a cross-sectional study carried out in 13 municipalities of Brazil. After adjustment for confounding variables, 13.3% of MVHA versus 11.0% of MNVHA reported induced abortion in their lifetime (p>0.05). In multivariate analysis, independent correlates of lifetime induced abortion for both groups were: age, with older women reporting greater proportions of reporting induced abortion, living in the North region of Brazil, age at sexual debut (up to 17 years old), having three or more lifetime sexual partners, having ever used drugs and self-reporting occurrence of sexually transmitted diseases. The results suggest that, in general, the characteristics of women who reported induced abortion in both groups were similar, and that the contexts associated to HIV infection and to reproductive practices and decisions among women might share similarities.

摘要

本研究旨在识别并比较感染艾滋病毒/艾滋病的女性(WLHA)和未感染艾滋病毒/艾滋病的女性(WNLHA)在终身人工流产报告方面的特征。2003年11月至2004年12月期间,在巴西13个城市开展的一项横断面研究中,收集了1777名感染艾滋病毒/艾滋病的育龄妇女(MVHA)和2045名未感染艾滋病毒/艾滋病的育龄妇女(MNVHA)的数据。在对混杂变量进行调整后,13.3%的感染艾滋病毒/艾滋病的育龄妇女与11.0%的未感染艾滋病毒/艾滋病的育龄妇女报告称她们有过终身人工流产经历(p>0.05)。在多变量分析中,两组终身人工流产的独立相关因素为:年龄,年龄较大的妇女报告人工流产的比例更高;居住在巴西北部地区;首次性行为的年龄(17岁及以下);有三个或更多终身性伴侣;曾使用过毒品;以及自我报告有性传播疾病发生。结果表明,总体而言,两组中报告有过人工流产的女性特征相似,并且与艾滋病毒感染以及女性生殖行为和决策相关的背景可能存在相似之处。

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