Fertility intentions and clinical care attendance among women living with HIV in South Africa

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Rucinski, Katherine B. ; Schwartz, Sheree R. ; Powers, Kimberly A. ; Pence, Brian W. ; Chi, Benjamin H. ; Black, Vivian ; Rees, Helen ; Pettifor, Audrey E.
• Description:
  Poor HIV care retention impedes optimal treatment outcomes in persons living with HIV. Women trying to become pregnant may be motivated by periconception horizontal and vertical transmission concerns and thus more likely to attend HIV care visits than women not trying to conceive. We estimated the effect of fertility intentions on HIV care attendance over 12 months among non-pregnant, HIV-positive women aged 18-35 years who were on or initiating antiretroviral therapy in Johannesburg, South Africa. The percentage of women attending an HIV care visit decreased from 93.4% in the first quarter to 82.8% in the fourth quarter. Fertility intentions were not strongly associated with care attendance in this cohort of reproductive-aged women; however, attendance declined over time irrespective of childbearing plans. These findings suggest a need for reinforced efforts to support care engagement and risk reduction, including safer conception practices for women wishing to conceive.
• Keywords:
  Adolescent Adult Antiretroviral Therapy Antiretroviral Therapy, Highly Active Cohort Studies Engagement In Care Female Fertility Fertility Intentions Fertilization HIV Infections Humans Infectious Disease Transmission, Vertical Intention Male Patient Participation Pregnancy Reproduction Retention Risk Reduction Behavior Safer Conception South Africa Young Adult

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• Source:
  AIDS Behav. 24(6):1585-1591
• Pubmed ID:
  31228024
• Pubmed Central ID:
  PMC6925340
• Document Type:
  Journal Article
• Funding:
  K24 AI120796/AI/NIAID NIH HHSUnited States/ ; 2T32AI102623-06/National Institute of Allergy and Infectious Diseases/ ; SFPRF11-T8/Society of Family Planning/ ; R36 PS001584/PS/NCHHSTP CDC HHSUnited States/ ; P30 AI050410/AI/NIAID NIH HHSUnited States/ ; T32 AI102623/AI/NIAID NIH HHSUnited States/ ; 1R36PS001584-01/CC/CDC HHSUnited States/ ; P2C HD050924/HD/NICHD NIH HHSUnited States/ ; 5K24AI12079-3/National Institute of Allergy and Infectious Diseases/
• Volume:
  24
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:0120cbe03f2909bd88c35e2a6cc9a8a2a8e1582ef7dfcd5075ff00dae5155a29
• Download URL:
  https://stacks.cdc.gov/view/cdc/83716/cdc_83716_DS1.pdf
• File Type:
  [PDF - 75.71 KB ]