喀麦隆女性的艾滋病毒感染状况与避孕措施使用情况
HIV Status and Contraceptive Utilization among Women in Cameroon.
作者信息
Budhwani Henna, Hearld Kristine Ria, Dionne-Odom Jodie, Manga Simon, Nulah Kathleen, Khan Michelle, Welty Thomas, Welty Edith, Tita Alan Thevenet
机构信息
1 Department of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL, USA.
2 Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA.
出版信息
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219826596. doi: 10.1177/2325958219826596.
OBJECTIVE
We examined patterns of contraceptive utilization by HIV status among women in Cameroon, hypothesizing that women living with HIV would utilize contraception at higher rates than their HIV-negative peers.
METHODS
Deidentified, clinical data from the Cameroon Baptist Convention Health Services (2007-2013) were analyzed (N = 8995). Frequencies compared outcomes between women living with HIV (15.1%) and uninfected women. Multivariate analyses examined associates of contraceptive utilization and desire to become pregnant.
RESULTS
Contraceptive utilization was associated with higher education, living with HIV, monogamy, and higher parity ( P < .001). Women living with HIV had 66% higher odds of using contraceptives than their negative peers (odds ratio [OR]: 1.66, confidence interval [CI]: 1.45-1.91, P < .001). Polygamous women had 37% lower odds of using contraceptives compared to monogamous women (OR: 0.63, 95% CI: 0.52-0.75, P < .001).
CONCLUSION
Increasing contraceptive utilization in resource-constrained settings should be a priority for clinicians and researchers. Doing so could improve population health by reducing HIV transmission between partners and from mother to child.
目的
我们研究了喀麦隆女性中按艾滋病毒感染状况划分的避孕措施使用模式，假设感染艾滋病毒的女性比未感染艾滋病毒的同龄人使用避孕措施的比例更高。
方法
对喀麦隆浸信会健康服务机构（2007 - 2013年）的匿名临床数据进行了分析（N = 8995）。对感染艾滋病毒的女性（15.1%）和未感染女性的结果进行了频率比较。多变量分析研究了避孕措施使用情况及怀孕意愿的相关因素。
结果
避孕措施的使用与高等教育程度、感染艾滋病毒、一夫一妻制以及较高的生育次数相关（P < .001）。感染艾滋病毒的女性使用避孕措施的几率比未感染的同龄人高66%（优势比[OR]：1.66，置信区间[CI]：1.45 - 1.91，P < .001）。与一夫一妻制女性相比，一夫多妻制女性使用避孕措施的几率低37%（OR：0.63，95% CI：0.52 - 0.75，P < .001）。
结论
在资源有限的环境中提高避孕措施的使用率应成为临床医生和研究人员的优先事项。这样做可以通过减少伴侣之间以及母婴之间的艾滋病毒传播来改善人群健康。
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