Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Demography and Population Studies, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Afr J AIDS Res. 2021 Mar;20(1):15-24. doi: 10.2989/16085906.2020.1853187. Epub 2021 Feb 25.
In view of sociocultural norms surrounding marriage and childbearing in South West Nigeria, fertility desire may be stronger among remarried women living with HIV. This article describes the characteristics of remarriage and its relationship to fertility desire. A cross-sectional study was conducted among HIV-positive women aged 18-49 years at the Antiretroviral Treatment (ART) clinic, College of Medicine/University College Hospital, Ibadan, Nigeria between November and December 2015. Data were analysed using descriptive statistics and generalised linear models. Overall, 123 (17.3%) of 711 women had experienced remarriage. Significant factors among remarried women were a lack of formal education (OR = 3.35, CI: 1.46-7.72); polygamous family (OR = 2.65, CI: 1.71-4.12), and serodiscordant union (OR = 1.97, CI: 1.14-3.41). Fertility desire was expressed by 410 women (57.7%). After controlling for demographic, socio-economic, and HIV-care characteristics, remarried women were 2.5 times as likely to have fertility desire compared to their counterparts who never remarried (OR = 2.49, CI: 1.43-4.33). Younger age was significantly associated with higher odds of fertility desire. Other factors negatively associated with fertility desire were education (OR = 0.30, CI: 0.12-0.74) and number of surviving children (OR = 0.28, CI: 0.22-0.34). HIV-care and treatment programmes need to pay attention to reproductive concerns, especially among women in second and higher order marriages.
鉴于尼日利亚西南部围绕婚姻和生育的社会文化规范，与艾滋病毒共存的再婚妇女的生育愿望可能更强。本文描述了再婚的特征及其与生育愿望的关系。2015 年 11 月至 12 月期间，在尼日利亚伊巴丹大学医学学院/大学学院医院的抗逆转录病毒治疗 (ART) 诊所对 18-49 岁的艾滋病毒阳性妇女进行了一项横断面研究。使用描述性统计和广义线性模型对数据进行了分析。总体而言，在 711 名妇女中，有 123 名（17.3%）经历过再婚。再婚妇女的显著因素包括缺乏正规教育（OR = 3.35，CI：1.46-7.72）；多配偶家庭（OR = 2.65，CI：1.71-4.12）和血清不一致的结合（OR = 1.97，CI：1.14-3.41）。有 410 名妇女（57.7%）表达了生育愿望。在控制人口统计学、社会经济和艾滋病毒护理特征后，与从未再婚的妇女相比，再婚妇女的生育愿望是其 2.5 倍（OR = 2.49，CI：1.43-4.33）。年龄较小与生育愿望的可能性较高显著相关。与生育愿望呈负相关的其他因素是教育（OR = 0.30，CI：0.12-0.74）和存活子女数（OR = 0.28，CI：0.22-0.34）。艾滋病毒护理和治疗方案需要关注生殖问题，特别是在二婚和多婚的妇女中。
