Abera Legesse, Mengistu Betelhem, Hailu Mickiale, Adem Mawerdi, Tadesse Daniel
Department of Public Health, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Eastern Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Eastern Ethiopia.
Womens Health (Lond). 2025 Jan-Dec;21:17455057251320481. doi: 10.1177/17455057251320481. Epub 2025 Mar 25.
Human immune virus (HIV) remains a major cause of death in children and women worldwide. Women's desire to have children in the future has significant implications for the transmission of the human immune deficiency virus to sexual partners and newborns. People living with HIV desire to have children, and counseling by their healthcare providers plays a critical role in ensuring planned pregnancies and minimizing mother-to-child transmission. However, in many settings, a large majority of HIV-positive women who desire more children do not discuss reproductive health and childbearing with their healthcare providers. The objective of this study was to assess fertility desire and associated factors among reproductive age women living with a HIV attending antiretroviral therapy (ART) in public hospitals in Eastern Ethiopia.
Cross-sectional study.
A facility-based cross-sectional study was conducted on November 01-30, 2022 among 598 reproductive age women attending ART clinics in public hospitals in Eastern Ethiopia. A systematic random sampling technique was used to select the participants. Data were collected from five female nurses through face-to-face interviews using a structured and pre-tested questionnaire. Data were entered into Epi-Data 3.1 and analyzed using IBM SPSS version 24. Bivariate and multivariable logistic regression analyses were performed. Variables with a -value <0.25 in bivariate analysis were included in the multivariable logistic regression analysis. Variables associated with desire for fertility were declared at -value <0.05, with adjusted odds ratio (AOR) and 95% confidence intervals (95% CI).
This study showed that 42.0% (95% CI: 31.7%-52.28%) of women had a desire for fertility. Women aged (15-24) (AOR = 2.52, 95% CI: 1.58-3.50), married women (AOR = 3.21, 95% CI 1.42-5.11), having no children (AOR = 1.94, 95% CI: 1.51-2.52), and desire to have children (AOR = 2.98, 95% CI: 1.84-4.12) were significantly associated with desire for fertility.
This study revealed that a significant proportion of women desire fertility despite their positive status. Moreover, being young, married, having no child, and having a partner's desire to have children were factors associated with the desire for fertility.
人类免疫缺陷病毒（HIV）仍是全球儿童和妇女死亡的主要原因。女性未来生育子女的愿望对人类免疫缺陷病毒向性伴侣和新生儿的传播具有重大影响。感染HIV的人渴望生育子女，医疗服务提供者提供的咨询在确保计划妊娠和尽量减少母婴传播方面发挥着关键作用。然而，在许多地区，绝大多数希望生育更多子女的HIV阳性女性并未与医疗服务提供者讨论生殖健康和生育问题。本研究的目的是评估在埃塞俄比亚东部公立医院接受抗逆转录病毒治疗（ART）的育龄HIV感染女性的生育愿望及相关因素。
横断面研究。
2022年11月1日至30日，在埃塞俄比亚东部公立医院的ART诊所对598名育龄女性进行了一项基于机构的横断面研究。采用系统随机抽样技术选取参与者。通过面对面访谈，使用结构化且经过预测试的问卷，从五名女护士处收集数据。数据录入Epi-Data 3.1，并使用IBM SPSS 24版进行分析。进行了二元和多变量逻辑回归分析。二元分析中P值<0.25的变量纳入多变量逻辑回归分析。与生育愿望相关的变量在P值<0.05时被确定，同时给出调整后的优势比（AOR）和95%置信区间（95%CI）。
本研究表明，42.0%（95%CI：31.7%-52.28%）的女性有生育愿望。年龄在（15-24）岁的女性（AOR = 2.52，95%CI：1.58-3.50）、已婚女性（AOR = 3.21，95%CI 1.42-5.11）、没有子女的女性（AOR = 1.94，95%CI：1.51-2.52）以及希望生育子女的女性（AOR = 2.98，95%CI：1.84-4.12）与生育愿望显著相关。
本研究表明，尽管感染HIV呈阳性，但仍有相当比例的女性有生育愿望。此外，年轻、已婚、没有子女以及伴侣希望生育子女是与生育愿望相关的因素。
