Teklu Tigist, Belina Sena, Chemir Fantaye, Tessema Martha, Yismaw Worke
Nursing Department, Mettu University, Mettu, Oromia, Ethiopia.
Institute of Health, Jimma University, Jimma, Oromia, Ethiopia.
HIV AIDS (Auckl). 2021 Feb 16;13:197-203. doi: 10.2147/HIV.S288373. eCollection 2021.
Unintended pregnancy reflects the existence of unprotected sex. Understanding factors associated with unintended pregnancy among HIV-positive women is very important to design strategies for the prevention of further transmission and infection with the virus. However, there is scarce information in this regard. Given the degree of HIV prevalence among women and the current antiretroviral therapy scale up in Ethiopia, it is important to understand factors associated with un-intended pregnancy in order to prevent mother to child HIV transmission (MTCT).
An institution-based cross-sectional study design was employed. The sample size was 353; all HIV/AIDS sero-positive reproductive age group (15-49) women having any pregnancy history after their diagnosis and having started HAART were included and simple random sampling was used to select study participants. Data collection period was from March 9 to April 13, 2019.
The prevalence of unintended pregnancy among the participants was 40.9%. In the multivariate logistic regression, unemployment (AOR, 3.36; 95% CI: 1.55-7.26), not being knowledgeable on MTCT and prevention of MTCT (PMTCT) (AOR, 3.18; 95% CI: 1.92-5.24), and having had no discussion on reproductive health issues (AOR, 1.83; 95% CI: 1.09-3.07) are factors significantly associated with unintended pregnancy occurrence among HIV-positive women on antiretroviral therapy.
The prevalence of unintended pregnancy among the women in the study is high. To avoid unintended pregnancies, HIV-infected women need access to effective family planning services and risk reduction discussions during routine care visits.
意外怀孕反映了无保护性行为的存在。了解与艾滋病毒阳性女性意外怀孕相关的因素对于制定预防病毒进一步传播和感染的策略非常重要。然而，这方面的信息很少。鉴于埃塞俄比亚女性中艾滋病毒的流行程度以及目前抗逆转录病毒疗法的扩大规模，了解与意外怀孕相关的因素对于预防母婴艾滋病毒传播（MTCT）很重要。
采用基于机构的横断面研究设计。样本量为353；纳入所有诊断后有任何怀孕史且已开始接受高效抗逆转录病毒治疗（HAART）的艾滋病毒/艾滋病血清阳性育龄期（15 - 49岁）女性，并使用简单随机抽样来选择研究参与者。数据收集期为2019年3月9日至4月13日。
参与者中意外怀孕的患病率为40.9%。在多因素逻辑回归中，失业（调整后比值比[AOR]，3.36；95%置信区间[CI]：1.55 - 7.26）、对母婴传播及预防母婴传播（PMTCT）缺乏了解（AOR，3.18；95% CI：1.92 - 5.24）以及未就生殖健康问题进行讨论（AOR，1.83；95% CI：1.09 - 3.07）是与接受抗逆转录病毒治疗的艾滋病毒阳性女性意外怀孕发生显著相关的因素。
该研究中女性意外怀孕的患病率较高。为避免意外怀孕，感染艾滋病毒的女性在常规就诊期间需要获得有效的计划生育服务和风险降低讨论。
