Gutin Sarah A, Namusoke Fatuma, Shade Starley B, Mirembe Florence
Afr J Reprod Health. 2014 Sep;18(3):67-77.
This study describes the fertility intentions and discusses the potential reproductive health needs of post-natal HIV-infected Ugandan women. HIV-infected mothers attending post-natal services in Kampala, Uganda participated in this cross-sectional study using structured interviewer administered questionnaires. Descriptive statistics and logistic regression models were used to identify predictors of desire for more children. Among 403 participants, 35% desired more children. Of these, 25% wanted another child within 2 years and 75% within 3 years or more. In multivariable analyses, believing that one's partners wanted more children (OR = 2.44; 95% CI = 1.30, 4.59) was associated with the desire for future children while having more living children was negatively associated with the desire for future children (OR = 0.08; 95% CI = 0.02, 0.39). A minority of women desired future pregnancies, and most wanted to delay pregnancy for 3 years. These women are in need of family planning (FP) methods to meet stated desires to delay or end future pregnancies. Perceived partner desire for children also impacts on women's fertility intentions, highlighting the importance of engaging men during the post-natal period.67-77)
本研究描述了乌干达产后感染艾滋病毒妇女的生育意愿,并探讨了她们潜在的生殖健康需求。在乌干达坎帕拉参加产后服务的感染艾滋病毒的母亲参与了这项横断面研究,研究采用由访谈员管理的结构化问卷。描述性统计和逻辑回归模型用于确定想要更多孩子的预测因素。在403名参与者中,35%的人希望生育更多孩子。其中,25%的人希望在2年内再要一个孩子,75%的人希望在3年或更长时间内再要一个孩子。在多变量分析中,认为伴侣想要更多孩子(比值比=2.44;95%置信区间=1.30,4.59)与对未来生育的意愿相关,而现存子女数量较多与对未来生育的意愿呈负相关(比值比=0.08;95%置信区间=0.02,0.39)。少数妇女希望未来怀孕,大多数人希望推迟怀孕3年。这些妇女需要计划生育方法来满足她们推迟或终止未来怀孕的既定愿望。伴侣对孩子的期望也会影响女性的生育意愿,这凸显了在产后阶段让男性参与进来的重要性。67 - 77)
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