埃塞俄比亚南部 Hawassa 市一家公立医疗机构中接受抗逆转录病毒治疗人群的生育意愿及其相关因素。

Fertility desire and associated factors among people on antiretroviral treatment at a public health facility in Hawassa city, Southern Ethiopia.

机构信息

Department of Midwifery, College of medicine and health sciences, Wolkite University, Wolkite, Ethiopia.

Department of Public health, College of medicine and health sciences, Hawassa University, Hawassa, Ethiopia.

出版信息

Afr Health Sci. 2022 Sep;22(3):24-33. doi: 10.4314/ahs.v22i3.5.

DOI:10.4314/ahs.v22i3.5

PMID:36910367

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9993251/

Abstract

BACKGROUND

Fertility desire is the plan of people to have a child or more children in the face of being diagnosed with HIV and plan to a commitment to implement the desire.

METHODS

An institutional-based cross-sectional study was conducted in Hawassa city public health facilities from May 09 -July 07/07/2019. Four hundred (400) study participants were selected using a simple random sampling technique. Data were collected by using interviewer-administered pre-tested structured questionnaires and chart review. The collected data were entered into EPI data version 3.1 software and then transported to SPSS version 20 for cleaning and data analysis. Bivariate and multivariate logistic regression was used to identify associated factors at p<0.05 was taken as a significant value with a 95% confidence level.

RESULTS

A total of 400 clients were included in the study giving a response rate of 97 %. The overall fertility desire was 53.6 %(95%CI: 48.7%, 58.2%). Age, sexual practice in the last six months and discussing reproductive health with ART providers were significantly associated with fertility desire. Younger age was positively associated with fertility desire, age group (18-29), [Adjust odds ratio = 5.75 95%CI (2.85, 11.57)] , age group(30-39), [Adjust odds ratio= 4.71 95%CI:(2.55, 8.71)] Sexual practice in the last six months [Adjust odds ratio = 3.00 95%CI(1.46 , 6.16)] and counseling reproductive health with ART provider[Adjust odds ratio = 3.10 95%CI:(1.86,5.15)].

CONCLUSION

The prevalence of fertility desire in this study was higher than previous studies while factors associated with fertility desire were age, sexual practice in the last six months, and discussing reproductive health with ART providers.

摘要

背景

生育愿望是指人们在被诊断出 HIV 后，计划生育一个或多个孩子，并承诺实施这一愿望。

方法

本研究于 2019 年 5 月 9 日至 7 月 7 日在 Hawassa 市公共卫生机构进行了一项基于机构的横断面研究。采用简单随机抽样技术，选择了 400 名研究参与者。通过使用访谈者管理的预测试结构化问卷和图表审查收集数据。收集的数据输入 EPI data 版本 3.1 软件，然后传输到 SPSS 版本 20 进行清理和数据分析。采用双变量和多变量逻辑回归来确定相关因素，p<0.05 被认为是具有 95%置信水平的显著值。

结果

共有 400 名患者参加了这项研究，应答率为 97%。总体生育愿望为 53.6%（95%CI：48.7%，58.2%）。年龄、过去六个月的性行为和与 ART 提供者讨论生殖健康问题与生育愿望显著相关。年轻的年龄与生育愿望呈正相关，年龄组（18-29）[调整优势比=5.75 95%CI（2.85，11.57）]，年龄组（30-39）[调整优势比=4.71 95%CI：（2.55，8.71）]过去六个月的性行为[调整优势比=3.00 95%CI（1.46，6.16）]和与 ART 提供者讨论生殖健康问题[调整优势比=3.10 95%CI：（1.86，5.15）]。