Chakrapani Venkatesan, Kershaw Trace, Shunmugam Murali, Newman Peter A, Cornman Deborah H, Dubrow Robert
Indian Network for People Living with HIV/AIDS (INP+), Kalaimagal Nagar, Ekkaduthangal, Chennai 600032, India.
Infect Dis Obstet Gynecol. 2011;2011:376432. doi: 10.1155/2011/376432. Epub 2011 Oct 12.
To describe the prevalence and correlates of dual-contraceptive methods use (condoms and an effective pregnancy prevention method) and barriers to their use among married persons living with HIV (PLHIV) in India.
We conducted a quantitative survey (93 men, 97 women), 25 in-depth interviews, seven focus groups, and five key informant interviews.
Prevalence of dual-contraceptive method use increased from 5% before HIV diagnosis to 23% after diagnosis (P < 0.001). Condoms were the most common contraceptive method, with prevalence increasing from 13% before diagnosis to 92% after diagnosis (P < 0.001). Barriers to using noncondom contraceptives were lack of discussion about noncondom contraceptives by health care providers, lack of acceptability of noncondom contraceptives among PLHIV, and lack of involvement of husbands in family planning counseling.
There is a need for interventions, including training of health care providers, to increase dual-contraceptive methods use among married PLHIV.
描述印度感染艾滋病毒的已婚人士（PLHIV）使用双重避孕方法（避孕套和有效的预防怀孕方法）的流行情况及相关因素，以及使用这些方法的障碍。
我们进行了一项定量调查（93名男性、97名女性）、25次深入访谈、7次焦点小组讨论和5次关键 informant 访谈。
双重避孕方法的使用流行率从艾滋病毒诊断前的5%上升至诊断后的23%（P<0.001）。避孕套是最常用的避孕方法，流行率从诊断前的13%升至诊断后的92%（P<0.001）。使用非避孕套避孕方法的障碍包括医疗保健提供者未对非避孕套避孕方法进行讨论、PLHIV 对非避孕套避孕方法缺乏接受度以及丈夫未参与计划生育咨询服务。
需要采取干预措施，包括对医疗保健提供者进行培训，以提高已婚 PLHIV 对双重避孕方法的使用。
