多米尼加共和国感染艾滋病毒的女性性工作者的生育意愿相关因素。
Factors related to fertility desire among female sex workers living with HIV in the Dominican Republic.
作者信息
Cernigliaro Dana, Barrington Clare, Perez Martha, Donastorg Yeycy, Kerrigan Deanna
机构信息
The Johns Hopkins Bloomberg School of Public Health, 624 N Broadway HH 257, Baltimore, MD, 21205, USA.
The University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA.
出版信息
BMC Womens Health. 2018 Jul 3;18(1):117. doi: 10.1186/s12905-018-0613-1.
BACKGROUND
Female sex workers living with HIV are at increased risk for negative health outcomes and multiple levels of stigma. However, there is limited research on female sex workers living with HIV and even less focused on reproductive health.
METHODS
We analyzed data using logistic regression from a cohort of 247 female sex workers of reproductive age living with HIV in Santo Domingo, Dominican Republic to assess factors associated with fertility desire.
RESULTS
Most participants had children (93.1%; mean: 2.8; range: 1,8) and 28.3% reported fertility desire. Bivariate regression analysis uncovered that participants who desired children were less likely to report being on antiretroviral treatment and more likely to have a detectable viral load. Multivariate regression results showed participants who desired more children were: less likely to be older, have higher levels of HIV-related internalized stigma, have a history of pregnancy loss, have fewer children and have a perception that their partner has negative feelings about pregnancy.
CONCLUSIONS
Individual and interpersonal characteristics were found to be associated with fertility desire in this study. Additional in-depth research is needed to understand how the role of stigma, partner dynamics and reproductive history as it relates to fertility desire, in order to ensure the reproductive health and wellbeing of this population.
背景
感染艾滋病毒的女性性工作者出现负面健康结果和遭受多重污名化的风险更高。然而，关于感染艾滋病毒的女性性工作者的研究有限，对生殖健康的关注甚至更少。
方法
我们使用逻辑回归分析了来自多米尼加共和国圣多明各的247名感染艾滋病毒的育龄女性性工作者队列的数据，以评估与生育意愿相关的因素。
结果
大多数参与者有孩子（93.1%；平均：2.8个；范围：从1到8个），28.3%的人表示有生育意愿。双变量回归分析发现，想要孩子的参与者报告接受抗逆转录病毒治疗的可能性较小，病毒载量可检测到的可能性较大。多变量回归结果显示，想要更多孩子的参与者：年龄较大的可能性较小，与艾滋病毒相关的内化污名程度较高，有流产史，孩子较少，并且认为伴侣对怀孕有负面情绪。
结论
本研究发现个体和人际特征与生育意愿有关。需要进行更多深入研究，以了解污名、伴侣关系动态和生殖史与生育意愿的关系，以确保这一人群的生殖健康和福祉。
Zotero 插件