Laar Amos K, Taylor Araba E, Akasoe Bismark A
a Department of Population, Family, & Reproductive Health, School of Public Health , University of Ghana , Legon, Accra , Ghana.
AIDS Care. 2015;27(7):870-5. doi: 10.1080/09540121.2015.1007115. Epub 2015 Feb 4.
Women in their reproductive years make up about 50% of all HIV-positive persons globally. These women, just as their HIV-negative counterparts, wield the right to procreate. However, HIV infection and lack of appropriate information on reproductive options may negatively impact women's procreative decision-making. This study assessed fertility intentions of HIV-positive women receiving antiretroviral therapy (ART) in southern Ghana. Quantitative methods were used to collect data from HIV-positive women receiving ART at four treatment centers. HIV-positive aged 18-49 years, and receiving ART were selected using systematic random sampling technique. Three hundred eighteen women were interviewed after informed consent. We used univariate analysis to generate descriptive tabulations for key variables. Bivariate analysis and logistic regression modeling respectively produced unadjusted and adjusted associations between background attributes of respondents and their childbearing decision-making. All analyses were performed using IBM SPSS Statistics for Windows, Version 20.0. Irrespective of age, reproductive history, and duration of HIV diagnosis, 46% of the women were desirous of procreating. The bivariate level analysis shows that women in their late reproductive ages (30-39 years) had the strongest desire to procreate (p < 0.001). After controlling for a number of covariates, primiparous and secundiparious women were about twice as likely to desire children (aOR = 2.553; 95% CI 1.480-4.401), and so were women aged 30-39 years (aOR = 2.149; 95% CI 1.202-3.843). Of 54% women who do not wish to procreate, achievement of desired family size (64.3%) was more popular a reason than fear of vertical transmission of HIV (7.5%), poor health status (5%), and pregnancy-related complications (1.6%).
育龄期女性约占全球所有艾滋病毒阳性者的50%。这些女性与艾滋病毒阴性女性一样，拥有生育权。然而，艾滋病毒感染以及缺乏关于生殖选择的适当信息可能会对女性的生育决策产生负面影响。本研究评估了加纳南部接受抗逆转录病毒疗法（ART）的艾滋病毒阳性女性的生育意愿。采用定量方法从四个治疗中心接受ART的艾滋病毒阳性女性中收集数据。使用系统随机抽样技术选取年龄在18至49岁且接受ART的艾滋病毒阳性者。在获得知情同意后，对318名女性进行了访谈。我们使用单变量分析生成关键变量的描述性表格。双变量分析和逻辑回归模型分别得出了受访者背景属性与其生育决策之间的未调整关联和调整关联。所有分析均使用IBM SPSS Statistics for Windows 20.0版本进行。无论年龄、生殖史和艾滋病毒诊断时长如何，46%的女性渴望生育。双变量水平分析表明，处于生殖后期（30至39岁）的女性生育意愿最强（p < 0.001）。在控制了多个协变量后，初产妇和经产妇想要孩子的可能性约为两倍（调整后比值比[aOR] = 2.553；95%置信区间[CI] 1.480 - 4.401），30至39岁的女性也是如此（aOR = 2.149；95% CI 1.202 - 3.843）。在不希望生育的54%女性中，实现理想家庭规模（64.3%）是比担心艾滋病毒垂直传播（7.5%）、健康状况不佳（5%）和妊娠相关并发症（1.6%）更普遍的原因。
