Neglect of attention to reproductive health in women withHIV infection: contraceptive use and unintended pregnancies in the SwissHIV Cohort Study
| العنوان: | Neglect of attention to reproductive health in women with |
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| المؤلفون: | K, Aebi-Popp, V, Mercanti, C, Voide, J, Nemeth, A, Cusini, B, Jakopp, D, Nicca, M, Rasi, A, Bruno, A, Calmy, B, Martinez de Tejada, S, Yerly |
| المصدر: | HIV Medicine, Vol. 19, No 5 (2018) pp. 339-346 |
| بيانات النشر: | Wiley, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Adolescent, media_common.quotation_subject, Population, HIV Infections, Neglect, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Contraceptive Agents, Pregnancy, Surveys and Questionnaires, Humans, Medicine, Pharmacology (medical), 030212 general & internal medicine, 610 Medicine & health, education, Reproductive health, media_common, education.field_of_study, ddc:618, 030219 obstetrics & reproductive medicine, business.industry, Obstetrics, Health Policy, Pregnancy, Unplanned, Middle Aged, medicine.disease, Drug Utilization, Cross-Sectional Studies, Infectious Diseases, Family planning, Hormonal contraception, Family Planning Services, Female, Health Services Research, business, Switzerland, Unintended pregnancy, Cohort study |
| الوصف: | 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. 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. 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. 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. |
| تدمد: | 1468-1293 1464-2662 |
| DOI: | 10.1111/hiv.12582 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8bc9fc57da812e9e142e2acad5253e19 https://doi.org/10.1111/hiv.12582 |
| Rights: | RESTRICTED |
| رقم الانضمام: | edsair.doi.dedup.....8bc9fc57da812e9e142e2acad5253e19 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14681293 14642662 |
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| DOI: | 10.1111/hiv.12582 |