Iliyasu Zubairu, Abubakar Isa S, Kabir Mohammed, Babashani Musa, Shuaib Faisal, Aliyu Muktar H
Department of Community Medicine, Aminu Kano Teaching Hospital & Department of Community Medicine, Bayero University Kano, Nigeria.
Afr J Reprod Health. 2009 Sep;13(3):71-83.
Little research has been conducted regarding the reproductive intentions of people living with HIV/AIDS (PLWHA) in northern Nigeria. We studied reproductive desires and their predictors among 340 PLWHA receiving care at Aminu Kano Teaching Hospital. Of all respondents, 60 (70.6%) of males and 177 (69.4%) of females were sexually active. Only 65 (19.4%) of them used condoms. One hundred and sixty seven females (65.5%) and 52 (61.2%) males expressed a desire to have more children. Out of these, 16 (7.3%), 106 (48.4%) and 88 (40.2%) wanted to have one, two and three or more children respectively. Significant predictors of higher fertility desires were; religion (OR=1.8), duration of diagnosis (OR=0.42), low parity (OR=6.03) and awareness of partner's scrostatus (OR=2.3). A large proportion of the HIV-positive individuals in the study were sexually active, desired to have children, and wanted to use family planning, indicating unmet need for reproductive health counseling in general and family planning in particular.
关于尼日利亚北部感染艾滋病毒/艾滋病（PLWHA）人群的生育意愿，相关研究较少。我们对在阿明努·卡诺教学医院接受治疗的340名艾滋病毒携带者的生育愿望及其预测因素进行了研究。在所有受访者中，60名（70.6%）男性和177名（69.4%）女性有性行为。其中只有65人（19.4%）使用避孕套。167名女性（65.5%）和52名男性（61.2%）表示希望生育更多孩子。其中，分别有16人（7.3%）、106人（48.4%）和88人（40.2%）想要生育1个、2个和3个或更多孩子。生育意愿较高的显著预测因素包括：宗教信仰（比值比=1.8）、诊断时长（比值比=0.42）、低生育次数（比值比=6.03）以及对伴侣感染状况的知晓（比值比=2.3）。该研究中很大一部分艾滋病毒阳性个体有性行为、希望生育子女并希望使用计划生育措施，这表明总体上对生殖健康咨询，尤其是计划生育方面存在未满足的需求。
