Wagner Glenn J, Linnemayr Sebastian, Goggin Kathy, Mindry Deborah, Beyeza-Kashesya Jolly, Finocchario-Kessler Sarah, Robinson Eric, Birungi Josephine, Wanyenze Rhoda K
RAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA.
Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, USA.
AIDS Behav. 2017 Aug;21(8):2479-2487. doi: 10.1007/s10461-017-1732-7.
We examined the prevalence and correlates of safer conception methods (SCM) use in HIV-affected couples with fertility intentions. A prospective cohort of 400 HIV clients in Uganda who had fertility intentions with their partner was surveyed every 6 months for 24 months. Logistic regression analysis was used to determine individual, relationship and provider level predictors of SCM use. Over one-third (35%) reported any use of timed unprotected intercourse (TUI) during the study; use of other SCM was rare. Baseline predictors of any TUI use included lower social support, greater perceived provider stigma of childbearing, greater SCM awareness, greater control over sexual decision making in the relationship, inconsistent condom use, and the belief that a desire for childbearing impedes condom use. These findings highlight the need for policy and provider training regarding integration of safer conception counselling into family planning and reproductive health services for people living with HIV.
我们调查了有生育意愿的受艾滋病毒影响的夫妇使用更安全受孕方法（SCM）的情况及其相关因素。对乌干达400名有生育意愿的艾滋病毒感染者及其伴侣组成的前瞻性队列进行了为期24个月的调查，每6个月进行一次。采用逻辑回归分析来确定使用SCM的个体、关系和提供者层面的预测因素。超过三分之一（35%）的人报告在研究期间有过任何时间的无保护性交（TUI）；很少有人使用其他SCM。任何TUI使用的基线预测因素包括社会支持较低、提供者对生育的耻辱感较强、对SCM的认识较高、在关系中对性决策的控制较强、避孕套使用不一致，以及认为生育愿望会妨碍避孕套使用。这些发现凸显了针对将更安全受孕咨询纳入艾滋病毒感染者的计划生育和生殖健康服务的政策和提供者培训的必要性。
