Samba Ali, Mumuni Kareem, Adu Joseph A, Sefogah Promise E, Kudzi William, Nartey Edmund T
Department of Obstetrics and Gynecology, School of Medicine and Dentistry, College of Health Sciences, Accra, Ghana.
Department of Obstetrics and Gynecology, Korle Bu Teaching Hospital, Accra, Ghana.
Int J Gynaecol Obstet. 2018 Apr;141(1):26-31. doi: 10.1002/ijgo.12440. Epub 2018 Jan 31.
To examine factors influencing contraceptive use among women living with HIV/AIDS.
The present cross-sectional study included a randomly selected sample of sexually active females aged 15-60 years who were living with HIV/AIDS and receiving care at the HIV Clinic, Korle Bu Teaching Hospital, Accra, Ghana, between September 1 and November 31, 2016. Data were collected via a structured interviewer-administered questionnaire.
Among 202 women who completed the survey, 50 (24.7%) were using contraceptives. Of the women using contraception, 39 (78%) were married and 6 (12%) were cohabiting. Twenty-eight (56%) reported that their primary sexual partners were HIV-positive, 14 (28%) had HIV-negative partners, and 8 (16%) did not know their partner's HIV status. Condoms were used by 42 (84%) women and the majority (41 [82%]) wanted to have more children; almost all (47 [94%]) had received counseling on contraceptive use. Overall, 133 (65.8%) and 45 (22.3%) women reported that they would prefer to share their family planning concerns with a doctor and nurse, respectively, at the HIV clinic.
Women living with HIV/AIDS desired more children but preferred to share their family planning concerns with their clinician at the HIV clinic. Integrating HIV care and reproductive health services could help these women achieve childbearing goals safely.
研究影响感染艾滋病毒/艾滋病女性使用避孕措施的因素。
本横断面研究随机选取了2016年9月1日至11月31日期间在加纳阿克拉科尔勒布教学医院艾滋病毒诊所接受治疗的15至60岁性活跃感染艾滋病毒/艾滋病女性作为样本。通过结构化访谈问卷收集数据。
在202名完成调查的女性中，50名（24.7%）正在使用避孕措施。在使用避孕措施的女性中，39名（78%）已婚，6名（12%）同居。28名（56%）报告其主要性伴侣为艾滋病毒阳性，14名（28%）伴侣为艾滋病毒阴性，8名（16%）不知道其伴侣的艾滋病毒感染状况。42名（84%）女性使用避孕套，大多数（41名[82%]）希望生育更多子女；几乎所有（47名[94%]）都接受过避孕措施咨询。总体而言，133名（65.8%）和45名（22.3%）女性分别表示更愿意在艾滋病毒诊所与医生和护士讨论她们的计划生育问题。
感染艾滋病毒/艾滋病的女性希望生育更多子女，但更愿意在艾滋病毒诊所与临床医生讨论她们的计划生育问题。整合艾滋病毒护理和生殖健康服务有助于这些女性安全实现生育目标。
