Department of Midwifery, College of Health Sciences, Woldia University, P.O. Box: 400, Woldia, Ethiopia.
Department of Nursing, College of Health Sciences, Woldia University, P.O. Box: 400, Woldia, Ethiopia.
Biomed Res Int. 2020 Sep 18;2020:6465242. doi: 10.1155/2020/6465242. eCollection 2020.
Preventing unintended pregnancies among HIV positive women has a vital role to prevent mother to child transmission. Besides, increasing access to contraceptives has a number of economical importance and reducing the costs for mitigating the unintended pregnancy consequences. Therefore, this study is aimed at assessing the contraceptive use and method of preference among HIV positive women in Ethiopia.
A systematic review and meta-analysis reporting guideline was applied. Articles searched from the Scopus, Pubmed/MEDLINE, EMBASE, AJOL, Hinari, and Google scholar were included in this review. The Stata 11 software was used to compute the analysis. Heterogeneity of the studies was detected using the Cochran test and test statistics. Egger's test was used to check the evidence of publication bias within the studies. Subgroup analysis and sensitivity analysis was computed with the evidence of heterogeneity.
Ten thousand one hundred twenty one (10121) women living with HIV/AIDS were recruited in this study. The national estimated prevalence of contraceptive use among HIV positive women in Ethiopia was 57.78% (95% CI: 48.53-67.03). Injectables and male condom were the most preferred contraceptives accounted for 36.00% (95% CI: 6.64-45.35) and 32.74% (95% CI: 21.08-44.40), respectively. Discussion with husband/partner (AOR: 4.70, 95% CI: 2.18-10.12), disclosure of HIV status to spouse/partner (AOR: 2.18, 95% CI: 1.55-3.06), ever counseled for modern contraceptives (AOR: 2.79, 95% CI: 2.01-3.88), attending secondary and above education (AOR: 3.12, 95% CI: 2.15-4.51), and having more than one live child (AOR: 2.61, 95% CI: 1.86-3.66) were increasing the likelihood of contraceptive use whereas not currently married women (AOR: 0.23, 95% CI: 0.16-0.34) was decreases the odds of contraceptive use.
In Ethiopia, more than half of the women living with HIV/AIDS were using contraceptives. Discussion with husband/partner, disclosure of HIV status to spouse/partner, ever counseled for modern contraceptives, attending secondary and above education, and having more than one live child were increasing the uptake of contraceptives among HIV positive women. Partner discussion, having adequate information towards contraceptive use, and having desired number of child could increase the utilization; as a result, obstetric complication with HIV positive women due to unintended pregnancy is significantly decreasing.
预防 HIV 阳性妇女的意外怀孕对于预防母婴传播至关重要。此外，增加避孕药具的可及性具有重要的经济意义，并降低减轻意外怀孕后果的成本。因此，本研究旨在评估埃塞俄比亚 HIV 阳性妇女的避孕措施使用情况和首选方法。
应用系统评价和荟萃分析报告指南。从 Scopus、PubMed/MEDLINE、EMBASE、AJOL、Hinari 和 Google 学者中搜索的文章被纳入本综述。使用 Stata 11 软件进行分析。使用 Cochran 检验和 Q 检验统计量检测研究的异质性。Egger 检验用于检查研究内的发表偏倚证据。进行亚组分析和敏感性分析，以评估异质性的证据。
本研究共纳入 10121 名 HIV/AIDS 女性。埃塞俄比亚全国 HIV 阳性女性避孕措施使用率的估计值为 57.78%（95%CI：48.53-67.03）。注射剂和男用避孕套是最受欢迎的避孕药具，分别占 36.00%（95%CI：6.64-45.35）和 32.74%（95%CI：21.08-44.40）。与丈夫/伴侣讨论（AOR：4.70，95%CI：2.18-10.12）、向配偶/伴侣透露 HIV 状况（AOR：2.18，95%CI：1.55-3.06）、曾接受现代避孕药具咨询（AOR：2.79，95%CI：2.01-3.88）、接受过中学及以上教育（AOR：3.12，95%CI：2.15-4.51）、有一个以上活产子女（AOR：2.61，95%CI：1.86-3.66）都增加了避孕措施的使用可能性，而目前未婚女性（AOR：0.23，95%CI：0.16-0.34）则降低了避孕措施的使用几率。
在埃塞俄比亚，超过一半的 HIV 阳性妇女使用避孕药具。与丈夫/伴侣讨论、向配偶/伴侣透露 HIV 状况、曾接受现代避孕药具咨询、接受中学及以上教育以及有一个以上活产子女，这些因素都增加了 HIV 阳性妇女对避孕药具的使用。夫妻之间的讨论、对避孕药具使用的充分了解以及想要的子女数量，都可能增加避孕措施的使用，从而显著降低因意外怀孕而导致的 HIV 阳性妇女的产科并发症。
