Mohammed Fatimetu, Assefa Nega
College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
PLoS One. 2016 Mar 1;11(3):e0150566. doi: 10.1371/journal.pone.0150566. eCollection 2016.
The desire for a child in Ethiopian society is normal. Among HIV positive women, due to the risk of MTCT, it is imperative to understand factors influencing women's desire for children. This study aimed at assessing factors associated with desire for children among HIV-positive women in two selected hospitals of Afar Regional State, Ethiopia.
A facility based case-control study was conducted among 157 cases (with a desire) and 157 controls of HIV positive individuals registered in the selected health facilities. The participants were selected by random sampling technique. Data were collected using face-to-face interview and was analyzed using logistic regression.
Factors found to be independently associated with desire for children were age categories of 20-24 years (OR = 6.22, 1.29-10.87) and 25-29 years (OR = 14.6, 3.05-21.60), being married (OR = 5.51, 2.19-13.54), Afar ethnicity (OR 6.93, 1.19-12.14), having HIV-positive children (OR 0.23, 0.09-0.63), duration on ART more than one year (3.51, 1.68-9.05), CD4 count greater than 350 (OR 4.83, 1.51-7.27) and discussion of reproductive health issues with health providers (OR 0.31, 0.12-0.51).
Women who were young, married, Afar, those who received ART more than one year, and had CD4 count >350 were more likely to have a desire for children.
Health care workers at ART clinic should openly discuss about the reproductive options for the women living with HIV/AIDS.
在埃塞俄比亚社会，生育子女的愿望很正常。在感染艾滋病毒的女性中，由于存在母婴传播的风险，了解影响女性生育愿望的因素至关重要。本研究旨在评估埃塞俄比亚阿法尔州选定的两家医院中，艾滋病毒呈阳性的女性生育愿望的相关因素。
在选定医疗机构登记的157例有生育愿望的艾滋病毒阳性病例和157例对照者中开展了一项基于机构的病例对照研究。参与者通过随机抽样技术选取。通过面对面访谈收集数据，并使用逻辑回归进行分析。
发现与生育愿望独立相关的因素包括20 - 24岁（比值比 = 6.22，1.29 - 10.87）和25 - 29岁（比值比 = 14.6，3.05 - 21.60）的年龄组、已婚（比值比 = 5.51，2.19 - 13.54）、阿法尔族裔（比值比6.93，1.19 - 12.14）、有艾滋病毒呈阳性的子女（比值比0.23，0.09 - 0.63）、接受抗逆转录病毒治疗超过一年（3.51，1.68 - 9.05）、CD4细胞计数大于350（比值比4.83，1.51 - 7.27）以及与医疗服务提供者讨论生殖健康问题（比值比0.31，0.12 - 0.51）。
年轻、已婚、阿法尔族、接受抗逆转录病毒治疗超过一年且CD4细胞计数>350的女性更有可能有生育愿望。
抗逆转录病毒治疗诊所的医护人员应公开讨论艾滋病毒/艾滋病感染女性的生殖选择。
