Fikadu Worku
Department of Public Health, Institute of Health Science, Wollega University, Nekemt, Ethiopia.
Front Reprod Health. 2025 Jun 12;7:1449392. doi: 10.3389/frph.2025.1449392. eCollection 2025.
Fertility desire in people living with HIV is the desire of people to have children in the future despite a diagnosis of HIV. The desire to have children among reproductive-age women living with HIV has significant implications for the transmission of HIV to sexual partners and newborns in the future. There is no study conducted to determine the magnitude of the fertility desire among women of reproductive age living with HIV in East Wollega western Ethiopia. Therefore this study aimed to determine fertility desire and associated factors among women of reproductive age living with HIV receiving ART.
To assess fertility desire and associated factors among reproductive-aged women on antiretroviral treatment in East Wollega, West Ethiopia, 2023.
A facility-based cross-sectional study was conducted in East Wollega from January 01/2023 to 30/2023. Data was collected from 419 study participants using interviewer-administered structured questionnaires by employing systematic random sampling techniques. Data entry and analysis were performed using Epi Data version 3.1 and SPSS version 23, respectively. Both bivariate and multivariate analyses were carried out using binary logistic regression. Statistical significance was established for variables with < 0.05 in the multivariate analysis.
Among the 419 respondents, 166 (39.62%) reported that they desired to have children in the future. Age between 18 and 24 years (AOR = 2.49, 95% CI; 1.16, 5.35), having partner Living with HIV: (AOR = 0.50, 95% CI; 0.25, 0.9), and being married (AOR = 2.69, 95% CI; 1.65, 4.39) were significantly associated with fertility desire.
The proportion of women of reproductive age living with HIV who desired children was high in this cohort. Understanding the fertility desire among women living with HIV/AIDS has a significant role in reducing perinatal transmission of HIV. Hence, Health care workers should provide intensive counselling regarding the possibility of the mother-to-child transmission of HIV.
感染艾滋病毒者的生育意愿是指尽管被诊断出感染艾滋病毒，但人们仍希望在未来生育子女。感染艾滋病毒的育龄妇女的生育意愿对未来艾滋病毒向性伴侣和新生儿的传播具有重大影响。在埃塞俄比亚西部沃莱加东部，尚未开展研究来确定感染艾滋病毒的育龄妇女的生育意愿程度。因此，本研究旨在确定接受抗逆转录病毒治疗的感染艾滋病毒的育龄妇女的生育意愿及相关因素。
评估2023年埃塞俄比亚西部沃莱加东部接受抗逆转录病毒治疗的育龄妇女的生育意愿及相关因素。
2023年1月1日至30日在沃莱加东部开展了一项基于机构的横断面研究。采用系统随机抽样技术，通过访谈员管理的结构化问卷从419名研究参与者中收集数据。分别使用Epi Data 版本3.1和SPSS版本23进行数据录入和分析。采用二元逻辑回归进行双变量和多变量分析。在多变量分析中，对P<0.05的变量确定具有统计学意义。
在419名受访者中，166名（39.62%）报告称她们希望未来生育子女。年龄在18至24岁之间（调整后比值比[AOR]=2.49，95%置信区间[CI]：1.16，5.35）、伴侣感染艾滋病毒（AOR=0.50，95%CI：0.25，0.9）以及已婚（AOR=2.69，95%CI：1.65，4.39）与生育意愿显著相关。
在该队列中，感染艾滋病毒的育龄妇女希望生育子女的比例较高。了解感染艾滋病毒/艾滋病妇女的生育意愿对减少艾滋病毒的围产期传播具有重要作用。因此，医护人员应就艾滋病毒母婴传播的可能性提供强化咨询。
