Dual contraceptive method use and pregnancy intention among people living with HIV receiving HIV care at six hospitals in Thailand
Published Date:Feb 03 2016
Source:Reprod Health. 13.
Attitude To Health
Contraceptive Prevalence Surveys
Dual Contraceptive Use
Family Planning Services
Lost To Follow-Up
Patient Acceptance Of Health Care
Patient Education As Topic
Practice Guidelines As Topic
Referral And Consultation
Tertiary Care Centers
Pubmed Central ID:PMC4739396
Funding:U19 GH000004/GH/CGH CDC HHS/United States
3U19GH000004-03/GH/CGH CDC HHS/United States
Describe dual contraceptive method use and the intention to become pregnant of people living with HIV (PLHIV) and their partners in Thailand.
From January 2008–March 2009, we systematically selected a cohort of PLHIV from PLHIV seeking care at five tertiary care hospitals and one community hospital to complete a questionnaire assessing sexual activity, intention to become pregnant, and contraceptive practices at baseline and 12 months after enrollment. Participants received short family planning messages every 2–3 months to promote the use of dual contraceptives and were offered family planning services.
A total of 1,388 PLHIV enrolled, their median age was 37 years (IQR 33–43), 898 (64.7 %) had a steady partner, and 737 (53.1 %) were male. Among those with a steady partner, 862 (96.0 %) did not intend to become pregnant; 709 (82.3 %) had sex during the previous 3 months, 683 (96.3 %) used at least one contraceptive method, and 202 (29.6 %) used dual contraceptive methods. Of the 317 PLHIV who used a single contraceptive method at baseline, 66 (20.8 %) reported using dual methods at 12 months. Participants at two tertiary care hospitals where coordinators facilitated PLHIV referral between HIV and OB/GYN clinics were more likely than participants at the other hospitals to change from single method to dual method (p ≤ 0.03).
Few PLHIV in this study intended to become pregnant; however, only one-fourth used dual contraceptive methods. Integrating an assessment of the intention to become pregnant and strengthening the PLHIV referral systems in family planning services may contribute to higher rates of dual contraceptive use.
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