McClellan M Kathryn, Patel Rena, Kadzirange Gerard, Chipatod Tsungai, Katzenstein David
School of Medicine, Stanford University, Stanford, CA, USA.
Afr J Reprod Health. 2010 Jun;14(2):27-35.
As access to anti-retroviral therapy (ART) increases in sub-Saharan Africa, fertility and contraception patterns are likely to change. Two hundred HIV-positive women at an ART roll-out site in Zimbabwe responded to a questionnaire on fertility desires and condom use. Ten women (5%) reported planning a pregnancy in the next year, comprising 0% of women not yet eligible for ART, 8.22% of women on the waitlist for ART, and 4.17% of women on ART. Younger age, fewer living children, and higher quality of life were individually associated with intended pregnancy in the next year; however in multivariate analysis only the association with higher quality of life remained significant. Reported ever use of condoms was relatively low (46.5%) and condom use varied by neither ART status nor by fertility desires. In conclusion, our data demonstrates fertility desires among HIV-positive women in Zimbabwe correlate with higher perceived quality of life.
随着撒哈拉以南非洲地区抗逆转录病毒疗法（ART）的可及性提高，生育和避孕模式可能会发生变化。在津巴布韦一个抗逆转录病毒疗法推广点，200名感染艾滋病毒的女性回答了一份关于生育意愿和避孕套使用情况的问卷。10名女性（5%）报告计划在明年怀孕，其中尚未符合接受抗逆转录病毒疗法条件的女性占0%，等待接受抗逆转录病毒疗法的女性占8.22%，正在接受抗逆转录病毒疗法的女性占4.17%。年龄较小、现存子女较少以及生活质量较高分别与明年的怀孕意愿相关；然而在多变量分析中，只有与较高生活质量的关联仍然显著。报告曾使用避孕套的比例相对较低（46.5%），避孕套使用情况在抗逆转录病毒疗法状态和生育意愿方面均无差异。总之，我们的数据表明，津巴布韦感染艾滋病毒的女性的生育意愿与较高的生活质量认知相关。
