School of Public Health and Community Medicine, B.P. Koirala Institute of Health Sciences, Dharan Nepal.
Department of Obs/Gyne, Maharajgunj Medical College, Institute of Medicine, Kathmandu, Nepal.
J Nepal Health Res Counc. 2020 Apr 19;18(1):10-15. doi: 10.33314/jnhrc.v18i1.1775.
Family planning among people living with Human Immuno Deficiency Virus/Acquired Immune Deficiency Syndrome is proved to be effective in preventing Human Immuno Deficiency Virus transmission through sexual and mother to child transmission.We studied family planning practice among people living with Human Immuno Deficiency Virus/Acquired Immune Deficiency Syndrome at reproductive age and its associated factors.
We conducted a cross-sectional study in four anti retro viral therapy centers in eastern Nepal from September 2015 to February 2016. Data was collected among 200 samples by face to face interview using pretested semi-structured questionnaire. Bivariate analysis and logistic regression was performed to analyze the associated factors.
Fifty one percent (51%) of participants in reproductive age were currently using family planning methods with male condom being the most common. On bivariate analysis, higher income, higher education, having living children, involvement in decision making, low fertility desire, longer duration in anti-retroviral therapy, family planning knowledge and past counseling were found to be statistically significant in having higher family planning practice. In multivariate analysis,participants with duration in anti-retroviral therapy for 1- 4 years(AOR: 9.2, 95% CI: 1.7-47.5), both spousal involvement in decision making (AOR:37.1, 95% CI: 6.5-211.9) and family planning counseling (AOR: 3.4, 95% CI: 1.0-11.3) were found to have higher odds of family planning practice.
Male condom is the most common method of family planning practice among HIV patients. Higher income, education status of both partners and having living childrens are the encouraging factor for better practice. Involvement of both partners is associated with higher use of family planning practices. Duration of anti-retroviral therapy use has positive impact on use of family planning practices.
已证实计划生育在艾滋病毒感染者/艾滋病患者中可有效防止艾滋病毒经性传播和母婴传播。我们研究了育龄艾滋病毒感染者/艾滋病患者的计划生育实践及其相关因素。
我们于 2015 年 9 月至 2016 年 2 月在尼泊尔东部的 4 个抗逆转录病毒治疗中心进行了一项横断面研究。通过面对面访谈，使用预测试的半结构式问卷收集了 200 名样本的数据。采用双变量分析和逻辑回归分析相关因素。
在育龄期的参与者中，有 51%（51%）目前正在使用计划生育方法，其中男用避孕套最为常见。在双变量分析中，较高的收入、较高的教育程度、有活产子女、参与决策、较低的生育愿望、接受抗逆转录病毒治疗的时间较长、计划生育知识和以往咨询均与较高的计划生育实践呈统计学相关。在多变量分析中，接受抗逆转录病毒治疗 1-4 年的参与者（AOR：9.2，95%CI：1.7-47.5）、配偶双方均参与决策（AOR：37.1，95%CI：6.5-211.9）和计划生育咨询（AOR：3.4，95%CI：1.0-11.3）的参与者，其计划生育实践的可能性更高。
男用避孕套是艾滋病毒感染者中最常见的计划生育方法。较高的收入、双方的教育程度和有活产子女是促进更好实践的因素。双方的参与与更高的计划生育实践相关。抗逆转录病毒治疗的持续时间对计划生育实践的使用有积极影响。
