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埃塞俄比亚西南部吉马镇接受抗逆转录病毒治疗的育龄期女性的生育意愿及相关因素

Fertility desire and associated factors among women on the reproductive age group of Antiretroviral treatment users in Jimma Town, South West Ethiopia.

作者信息

Shiferaw Teshome, Kiros Getachew, Birhanu Zewdie, Gebreyesus Hailay, Berhe Tesfay, Teweldemedhin Mebrahtu

机构信息

Department of Health Education and Behavioral Sciences, Jimma University, Jimama, Ethiopia.

Department of Public Health, College of Health Science, Aksum University, P. O. Box: 298, Aksum, Ethiopia.

出版信息

BMC Res Notes. 2019 Mar 20;12(1):158. doi: 10.1186/s13104-019-4190-7.

Abstract

OBJECTIVES

HIV remained the major cause of death in women of reproductive age worldwide. There is limited evidence regarding the fertility desire of HIV positive women receiving HIV care in the study area. Therefore, facility based cross-sectional study was conducted from March to April 2017 to assess fertility desire of HIV positive women and associated factors among mothers in receiving HIV care Jimma town, Southwest Ethiopia. Simple random sampling technique was taken to draw the sample after stratification. Data were analyzed using SPSS version 21 and statistical significance was declared at P value less than 0.05.

RESULTS

This finding showed that, 175 (46.8%) of the Antiretroviral therapy users had fertility desire with those significantly associated factors; women in the age 18-29 years [AOR = 4.05, 95% CI 1.24-13.33], being married [AOR = 0.32, 95% CI (0.13-0.78)], having diploma educational level [AOR = 5.34, 95% CI 1.10, 15.60], having only boys or girls children [AOR = 2.79, 95% CI (1.24-6.25)], having 18-36$ monthly income [AOR = 1.27, 95% CI (1.56-10.67)], Partner's HIV status [AOR = 3.56, 95% CI (3.02-9.33)] and non use of contraceptives [AOR = 2.57, 95% CI (1.08-6.13)]. Fertility desire in the study area was high. Strengthening PMTCT service should consider fertility desire of mothers living with HIV.

摘要

目的

在全球范围内,艾滋病毒仍然是育龄妇女的主要死因。在研究地区,接受艾滋病毒护理的艾滋病毒阳性妇女的生育意愿相关证据有限。因此,于2017年3月至4月开展了一项基于机构的横断面研究,以评估埃塞俄比亚西南部吉马镇接受艾滋病毒护理的母亲中艾滋病毒阳性妇女的生育意愿及相关因素。分层后采用简单随机抽样技术抽取样本。使用SPSS 21版对数据进行分析,P值小于0.05时具有统计学意义。

结果

该研究结果显示,175名(46.8%)接受抗逆转录病毒治疗的使用者有生育意愿,且与以下显著相关因素有关;年龄在18 - 29岁的女性[AOR = 4.05,95% CI 1.24 - 13.33],已婚[AOR = 0.32,95% CI(0.13 - 0.78)],具有大专学历[AOR = 5.34,95% CI 1.10,15.60],只有男孩或女孩[AOR = 2.79,95% CI(1.24 - 6.25)],月收入为18 - 36美元[AOR = 1.27,95% CI(1.56 - 10.67)],伴侣的艾滋病毒感染状况[AOR = 3.56,95% CI(3.02 - 9.33)]以及未使用避孕药具[AOR = 2.57,95% CI(1.08 - 6.13)]。研究地区的生育意愿较高。加强预防母婴传播服务应考虑感染艾滋病毒母亲的生育意愿。

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