Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, E7133A, Baltimore, MD, 21205, USA.
Wits RHI, University of the Witwatersrand, Johannesburg, South Africa.
AIDS Behav. 2020 Jun;24(6):1585-1591. doi: 10.1007/s10461-019-02564-y.
Poor HIV care retention impedes optimal treatment outcomes in persons living with HIV. Women trying to become pregnant may be motivated by periconception horizontal and vertical transmission concerns and thus more likely to attend HIV care visits than women not trying to conceive. We estimated the effect of fertility intentions on HIV care attendance over 12 months among non-pregnant, HIV-positive women aged 18-35 years who were on or initiating antiretroviral therapy in Johannesburg, South Africa. The percentage of women attending an HIV care visit decreased from 93.4% in the first quarter to 82.8% in the fourth quarter. Fertility intentions were not strongly associated with care attendance in this cohort of reproductive-aged women; however, attendance declined over time irrespective of childbearing plans. These findings suggest a need for reinforced efforts to support care engagement and risk reduction, including safer conception practices for women wishing to conceive.
较差的艾滋病毒护理保留率阻碍了艾滋病毒感染者获得最佳治疗效果。因考虑到围孕期水平和垂直传播的问题，准备怀孕的妇女可能更有动力接受艾滋病毒护理就诊，因此她们比不打算怀孕的妇女更有可能参加艾滋病毒护理就诊。我们评估了生育意愿对南非约翰内斯堡 18-35 岁、已怀孕或正在开始接受抗逆转录病毒治疗的艾滋病毒阳性非孕妇 12 个月内的艾滋病毒护理就诊率的影响。在第一个季度，就诊的妇女比例从 93.4%下降到第四个季度的 82.8%。在这个育龄妇女队列中，生育意愿与护理就诊率没有很强的相关性；然而，无论生育计划如何，就诊率都随着时间的推移而下降。这些发现表明，需要加强努力，支持护理参与和降低风险，包括为希望怀孕的妇女提供更安全的受孕方法。
