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Contraceptive Use and Uptake of HIV-Testing among Sub-Saharan African Women.

作者信息

Center Katherine E, Gunn Jayleen K L, Asaolu Ibitola O, Gibson Steven J, Ehiri John E

机构信息

Department of Obstetrics and Gynecology, University of Arizona, Tucson, Arizona, United States of America.

Biomedical Research and Education Foundation of Southern Arizona, Tucson, Arizona, United States of America.

出版信息

PLoS One. 2016 Apr 25;11(4):e0154213. doi: 10.1371/journal.pone.0154213. eCollection 2016.


DOI:10.1371/journal.pone.0154213
PMID:27111915
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4844155/
Abstract

Despite improved availability of simple, relatively inexpensive, and highly effective antiretroviral treatment for HIV/AIDS, the disease remains a major public health challenge for women in sub-Saharan Africa (SSA). Given the numerous barriers in access to care for women in this region, every health issue that brings them into contact with the health system should be optimized as an opportunity to integrate HIV/AIDS prevention. Because most non-condom forms of modern contraception require a clinical appointment for use, contraception appointments could provide a confidential opportunity for access to HIV counseling, testing, and referral to care. This study sought to investigate the relationship between contraceptive methods and HIV testing among women in SSA. Data from the Demographic and Health Survey from four African countries-Congo, Mozambique, Nigeria, and Uganda-was used to examine whether modern (e.g., pills, condom) or traditional (e.g., periodic abstinence, withdrawal) forms of contraception were associated with uptake of HIV testing. Data for the current analyses were restricted to 35,748 women with complete information on the variables of interest. Chi-square tests and logistic regression models were used to assess the relationship between uptake of HIV testing and respondents' baseline characteristics and contraceptive methods. In the total sample and in Mozambique, women who used modern forms of contraception were more likely to be tested for HIV compared to those who did not use contraception. This positive association was not demonstrated in Congo, Nigeria, or Uganda. That many women who access modern contraception are not tested for HIV in high HIV burden areas highlights a missed opportunity to deliver an important intervention to promote maternal and child health. Given the increasing popularity of hormonal contraception methods in low-income countries, there is an urgent need to integrate HIV counseling, testing, and treatment into family planning programs. Women on hormonal contraceptives should be encouraged to continue to use condoms for HIV-prevention.

摘要

相似文献

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Contraceptive Use and Uptake of HIV-Testing among Sub-Saharan African Women.

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[2]
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[8]
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引用本文的文献

[1]
HIV testing and counselling among women in Benin: a cross-sectional analysis of prevalence and predictors from demographic and health survey data.

BMJ Open. 2023-4-13

[2]
HIV screening in men and women in Senegal: coverage and associated factors; analysis of the 2017 demographic and health survey.

BMC Infect Dis. 2019-12-31

[3]
Prevalence and correlates of HIV testing among adolescents 10-19 years in a post-conflict pastoralist community of Karamoja region, Uganda.

BMC Public Health. 2018-5-10

[4]
Association between Measures of Women's Empowerment and Use of Modern Contraceptives: An Analysis of Nigeria's Demographic and Health Surveys.

Front Public Health. 2017-1-9

本文引用的文献

[1]
Hormonal contraception and the risk of HIV acquisition: an individual participant data meta-analysis.

PLoS Med. 2015-1-22

[2]
Trend in the use of modern contraception in sub-Saharan Africa: Does women's education matter?

Contraception. 2014-8

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Our bodies are our own: resistance to ABC-based HIV-prevention programmes in northern Tanzanian conservation organisations.

Cult Health Sex. 2014

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Tracking changes in states of contraceptive use over time in sub-Saharan Africa through cohort and period analyses.

J Biosoc Sci. 2015-5

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AIDS stigma as an obstacle to uptake of HIV testing: evidence from a Zimbabwean national population-based survey.

AIDS Care. 2010-2

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Reprod Health. 2009-2-19

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Sexual abstinence, contraception, and condom use by young African women: a secondary analysis of survey data.

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