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Neglect of attention to reproductive health in women with HIV infection: contraceptive use and unintended pregnancies in the Swiss HIV Cohort Study.
- Source :
-
HIV medicine [HIV Med] 2018 May; Vol. 19 (5), pp. 339-346. Date of Electronic Publication: 2018 Jan 16. - Publication Year :
- 2018
-
Abstract
- Objectives: Women with HIV infection are mainly of reproductive age and need safe, effective and affordable contraception to avoid unintended pregnancies. The aim of this study was to evaluate contraceptive use and unintended pregnancies in this population in Switzerland.<br />Methods: A self-report anonymous questionnaire on contraceptive methods, adherence to them, and unintended pregnancies was completed by women included in the Swiss HIV Cohort Study (SHCS) between November 2013 and June 2014. Sociodemographic characteristics and information related to combined antiretroviral therapy and HIV disease status were obtained from the SHCS database.<br />Results: Of 462 women included, 164 (35.5%) reported not using any contraception. Among these, 65 (39.6%) reported being sexually active, although 29 (44.6%) were not planning a pregnancy. Of 298 women using contraception, the following methods were reported: condoms, 219 (73.5%); oral hormonal contraception, 32 (10.7%); and intrauterine devices, 28 (9.4%). Among all women on contraception, 32 (10.7%) reported using more than one contraceptive method and 48 (16%) had an unintended pregnancy while on contraception (18, condoms; 16, oral contraception; four, other methods). Of these, 68.1% terminated the pregnancy and almost half (43.7%) continued using the same contraceptive method after the event.<br />Conclusions: Family planning needs in HIV-positive women are not fully addressed because male condoms remained the predominant reported contraceptive method, with a high rate of unintended pregnancies. It is of utmost importance to provide effective contraception such as long-acting reversible contraceptives for women living with HIV.<br /> (© 2018 British HIV Association.)
- Subjects :
- Adolescent
Adult
Cross-Sectional Studies
Family Planning Services methods
Family Planning Services organization & administration
Female
Humans
Middle Aged
Pregnancy
Surveys and Questionnaires
Switzerland
Young Adult
Contraceptive Agents therapeutic use
Drug Utilization statistics & numerical data
HIV Infections
Health Services Research
Pregnancy, Unplanned
Subjects
Details
- Language :
- English
- ISSN :
- 1468-1293
- Volume :
- 19
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- HIV medicine
- Publication Type :
- Academic Journal
- Accession number :
- 29336516
- Full Text :
- https://doi.org/10.1111/hiv.12582