Sufa Alemu, Wordofa Muluemebet Abera, Wossen Bitiya Admassu
Afr J Reprod Health. 2014 Dec;18(4):54-60.
Despite increased emphasis on antiretroviral therapy for HIV infected individuals, issues of fertility and childbearing have received relatively little attention in Ethiopia. This study was conducted to assess socio-demographic, reproductive and HIV related characteristics of fertility intention among women living with HIV in Western Ethiopia. Cross sectional study was conducted from May I to May 26, 2012 using structured questionnaire on a sample of 456 women living with HIV who are on follow up care in anti-retroviral therapy clinics. Bivariate and multivariable logistic regression models were fitted to identify significant predictors of fertility desire at 95 CL. Out of 456 respondents 42.1% expressed intention to have children in the future. Educational attainment [AOR (95% CI) = 0.041(0.008-0.220)], partner fertility desire [AOR (95% CI) = 0.012 (0.004-0.034)], number of live children [AOR (95% CI) = 0.344 (0.125-0.950)] and partner sero-status [AOR (95% CI) = 6.578 (4.072-10.881)] were significantly associated with fertility intention. A large proportion of HIV-positive women in the study desired more children in future. Interventions to address this problem include integrated access to contraception methods, and counselling on reproductive health decision-making.
尽管对艾滋病毒感染者的抗逆转录病毒疗法越来越受到重视，但在埃塞俄比亚，生育和生育问题相对较少受到关注。本研究旨在评估埃塞俄比亚西部感染艾滋病毒妇女的社会人口学、生殖和与艾滋病毒相关的生育意愿特征。2012年5月1日至5月26日进行了横断面研究，使用结构化问卷对456名在抗逆转录病毒治疗诊所接受后续护理的感染艾滋病毒妇女进行了抽样调查。采用双变量和多变量逻辑回归模型来确定95%置信区间下生育意愿的显著预测因素。在456名受访者中，42.1%表示未来有生育子女的意愿。受教育程度[AOR(95%CI)=0.041(0.008-0.220)]、伴侣的生育意愿[AOR(95%CI)=0.012(0.004-0.034)]、存活子女数[AOR(95%CI)=0.344(0.125-0.950)]和伴侣的血清学状态[AOR(95%CI)=6.578(4.072-10.881)]与生育意愿显著相关。研究中很大一部分艾滋病毒阳性妇女希望未来生育更多子女。解决这一问题的干预措施包括综合提供避孕方法以及提供生殖健康决策咨询。
