Department of Public Health, Faculty of Health Sciences, Busitema University, Mbale, Uganda.
Department of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Sci Rep. 2020 Oct 1;10(1):16319. doi: 10.1038/s41598-020-73490-6.
Prevention of unintended pregnancies is a global strategy to eliminate mother-to-child transmission of HIV. Factors surrounding unintended pregnancy among women living with HIV are not well understood. We aimed to determine the prevalence and predictors for unintended pregnancy among these women in Northern Uganda. We conducted a cross-sectional survey among 518 women using a structured questionnaire. We asked questions on socio-demographic, reproductive-related and HIV-related characteristics. We conducted multivariable logistic regression and reported adjusted odds ratios. The prevalence of unintended pregnancy was 41.1%. The predictors for unintended pregnancy were: being single (not living with a partner or being in a marital union), having five or more children and taking antiretroviral drugs for long periods of time. HIV counselling services should target women living with HIV who are not in a marital union, those having a higher parity and those who have taken ART for longer periods.
预防非意愿妊娠是消除艾滋病毒母婴传播的全球战略。艾滋病毒感染者中非意愿妊娠的相关因素尚不清楚。我们旨在确定乌干达北部艾滋病毒感染者中非意愿妊娠的发生率和预测因素。我们使用结构化问卷对 518 名妇女进行了横断面调查。我们询问了社会人口统计学、生殖相关和艾滋病毒相关特征方面的问题。我们进行了多变量逻辑回归，并报告了调整后的优势比。非意愿妊娠的发生率为 41.1%。非意愿妊娠的预测因素为：单身（不与伴侣生活或处于婚姻关系中）、有五个或更多孩子以及长期服用抗逆转录病毒药物。艾滋病毒咨询服务应针对未处于婚姻关系中的艾滋病毒感染者、生育多子女的妇女以及已接受抗逆转录病毒治疗较长时间的妇女。
