1. Induced abortion incidence and associated factors in a cohort of women living with HIV in Rio De Janeiro, Brazil, 1996–2016
- Author
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Rosa Maria Soares Madeira Domingues, Marcel de Souza Borges Quintana, Lara Esteves Coelho, Ruth Khalili Friedman, Emilia M. Jalil, Angela Cristina Vasconcelos de Andrade Rabello, Vania Rocha, and Beatriz Grinsztejn
- Subjects
abortion, induced ,hiv infections ,incidence ,cohort studies ,brazil ,Infectious and parasitic diseases ,RC109-216 - Abstract
Background Abortion is a public health problem in Latin America and is more common among women living with HIV. Objective to verify the incidence and factors associated with induced abortion in a cohort of women living with HIV assisted in a reference service for care for individuals with HIV/AIDS in Rio de Janeiro/Brazil. Methods Prospective cohort during the period 1996–2016. We estimated the incidence of induced abortions during follow-up in the cohort by calculating person-time incidence rates [per 100 persons-years (PY)] and investigated the factors associated with the outcome “induced abortion” using a generalized linear mixed model. Results 753 women and 210 pregnancies were included in the present analysis. We estimated an induced abortion incidence rate of 0.68/100 persons-years (95% confidence interval [CI]: 0.47; 0.94) in the study period, with a significant reduction after 2006. The main factors associated with an induced abortion were currently living with a partner (adjusted OR [AdjOR] 0.32 95% CI: 0.10–0.98), number of children (2 children AdjOR 0.12, 95% CI: 0.02–0.95) and the type of antiretroviral treatment used (regimen without Efavirenz: AdjOR: 0.11, 95% CI 0.02–0.70). Conclusions We showed a significant reduction in the incidence of induced abortions in a cohort of women living with HIV in Rio de Janeiro, Brazil, probably due to a decrease in the incidence of pregnancies observed in the same period. The factors associated with a lower occurrence of induced abortion suggest a good integration between the clinical and reproductive assistance offered to those women.
- Published
- 2024
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