Department of Public Health, Faculty of Medicine, Gulu University, P. O. Box 166, Gulu, Uganda.
Biomed Res Int. 2018 Jun 10;2018:9680514. doi: 10.1155/2018/9680514. eCollection 2018.
Reproductive planning by HIV-infected women is essential, as it helps to prevent transmission of HIV to their unborn babies. Integrating contraceptive services to routine HIV care significantly increases the use of modern contraceptive methods, thus reducing vertical transmission of HIV.
To determine the prevalence and factors associated with contraceptive use among HIV-infected women attending Infectious Disease Clinic (IDC) at Gulu Regional Referral Hospital (GRRH) in Northern Uganda.
A hospital-based cross-sectional study was performed. We used simple random sampling to recruit HIV-infected women receiving routine care from IDC, GRRH, into our study. Sample size was estimated using modified Kish-Leslie formula and semistructured questionnaire was used for data collection. Data was entered into EpiData version 3.1 and analysed using Stata v11.0. We used logistic regression model to assess the associations and any factor with p≤0.05 was considered statistically significant.
The prevalence of contraceptive use was found to be 36% (95% CI 31 - 40%). Factors which promoted contraceptive use were as follows: being married (aOR=2.68, 95% CI 1.54-4.65, p<0.001) and monthly income of $35 -250 (aOR= 2.38, 95% CI: 1.39- 4.09, p=0.002). Factors that hindered contraceptive use were having no child (nulliparity) (aOR= 0.16; 95% CI: 0.05-0.49; p=0.002) and age range of 31-49 years (aOR= 0.53; 95% CI: 0.33 - 0.84; p=0.007).
In this study, just over a third of sexually active HIV-infected women reported use of modern contraceptives. This is a low level of usage and, therefore, clinicians and stakeholders should sensitise HIV-infected women on the importance of contraceptive use in the fight against HIV/AIDS and encourage them to use contraceptives to avoid vertical transmission of HIV through unintended pregnancy.
感染 HIV 的女性进行生殖规划至关重要，因为这有助于防止 HIV 传播给未出生的婴儿。将避孕服务纳入常规 HIV 护理可显著增加现代避孕方法的使用，从而降低 HIV 的垂直传播。
确定在乌干达北部古卢地区转诊医院传染病科（IDC）就诊的 HIV 感染女性使用避孕措施的流行率和相关因素。
本研究为一项基于医院的横断面研究。我们采用简单随机抽样，招募在 IDC 接受常规护理的 HIV 感染女性参与本研究。使用改良的 Kish-Leslie 公式估计样本量，并使用半结构式问卷收集数据。数据录入 EpiData 版本 3.1，使用 Stata v11.0 进行分析。我们使用逻辑回归模型评估关联，任何 p 值≤0.05 的因素均被认为具有统计学意义。
研究发现，避孕措施的使用率为 36%（95%CI 31-40%）。促进避孕措施使用的因素如下：已婚（比值比 [OR]=2.68，95%CI 1.54-4.65，p<0.001）和每月收入为 35-250 美元（OR=2.38，95%CI：1.39-4.09，p=0.002）。阻碍避孕措施使用的因素包括没有孩子（nulliparity）（OR=0.16；95%CI：0.05-0.49；p=0.002）和年龄在 31-49 岁之间（OR=0.53；95%CI：0.33-0.84；p=0.007）。
在这项研究中，超过三分之一有性行为的 HIV 感染女性报告使用了现代避孕药具。这一使用率较低，因此临床医生和利益相关者应向 HIV 感染女性宣传避孕在防治 HIV/AIDS 中的重要性，并鼓励她们使用避孕药具，以避免因意外怀孕而导致 HIV 的垂直传播。
