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Predictors of Safer Conception Practices Among HIV-Infected Women in Northern Nigeria

Background: Persons living with HIV often face discrimination in safe sex and reproductive choices, especially in lowresource settings. This study assessed fertility desires and intentions, risk perception and correlates of ever use of at least one safer conception method among HIV-infected women at...

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Autores principales: Iliyasu, Zubairu, Galadanci, Hadiza S., Oladimeji, Alfa I., Babashani, Musa, Gajida, Auwalu U., Aliyu, Muktar H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kerman University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706964/
https://www.ncbi.nlm.nih.gov/pubmed/31441288
http://dx.doi.org/10.15171/ijhpm.2019.27
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author Iliyasu, Zubairu
Galadanci, Hadiza S.
Oladimeji, Alfa I.
Babashani, Musa
Gajida, Auwalu U.
Aliyu, Muktar H.
author_facet Iliyasu, Zubairu
Galadanci, Hadiza S.
Oladimeji, Alfa I.
Babashani, Musa
Gajida, Auwalu U.
Aliyu, Muktar H.
author_sort Iliyasu, Zubairu
collection PubMed
description Background: Persons living with HIV often face discrimination in safe sex and reproductive choices, especially in lowresource settings. This study assessed fertility desires and intentions, risk perception and correlates of ever use of at least one safer conception method among HIV-infected women attending a tertiary health facility in Kano, Nigeria. Methods: Structured questionnaires were administered to a cross section of 328 of 427 eligible HIV-infected women. Fertility desires and intentions, risk perception and safer conception practice were analyzed. Logistic regression was employed to assess for predictors. Results: Of the 328 respondents, 150 respondents (45.7%) wanted more children. The proportions of respondents aware of their transmission risk during pregnancy, delivery, and breastfeeding were 69.5%, 75.3%, and 78.9%, respectively. Further, 68.9% of respondents were aware of the prospects of bearing HIV-negative children without infecting their partners. About 64.8% of women were aware of at least one safer conception method. Safer conception methods everused by the participants include: antiretroviral therapy (ART) (36.7%), timed unprotected intercourse with (10.9%), and without pre-exposure prophylaxis (PrEP) (17.2%), intravaginal insemination (7.3%) and intrauterine insemination (4.7%). Safer conception practice was predicted by marital status (married versus single, adjusted odds ratio [AOR]=1.50, 95% CI =1.10-3.55), parity (2-4 versus 0, AOR=12.1, 95% CI=3.7-39.8), occupation (civil servants versus traders, AOR=0.37, 95% CI=0.16-0.86), husband’s serostatus (seroconcordant versus serodiscordant) (AOR=1.51, 95% CI=1.13-4.64), couple contraceptive use (users versus non-users) (AOR=1.62, 95% CI=1.16-5.83) and transmission risk perception (high risk versus low/no risk) (AOR=2.14, 95% CI=1.18-3.90). Conclusion: We found high levels of fertility desires and intentions and moderate risk perception among a cohort of HIV-infected women in urban Kano, Nigeria. The use of safer conception practices was not common. Our findings underscore the need for healthcare provider capacity building to enhance safer conception counseling and service delivery.
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spelling pubmed-67069642019-08-28 Predictors of Safer Conception Practices Among HIV-Infected Women in Northern Nigeria Iliyasu, Zubairu Galadanci, Hadiza S. Oladimeji, Alfa I. Babashani, Musa Gajida, Auwalu U. Aliyu, Muktar H. Int J Health Policy Manag Original Article Background: Persons living with HIV often face discrimination in safe sex and reproductive choices, especially in lowresource settings. This study assessed fertility desires and intentions, risk perception and correlates of ever use of at least one safer conception method among HIV-infected women attending a tertiary health facility in Kano, Nigeria. Methods: Structured questionnaires were administered to a cross section of 328 of 427 eligible HIV-infected women. Fertility desires and intentions, risk perception and safer conception practice were analyzed. Logistic regression was employed to assess for predictors. Results: Of the 328 respondents, 150 respondents (45.7%) wanted more children. The proportions of respondents aware of their transmission risk during pregnancy, delivery, and breastfeeding were 69.5%, 75.3%, and 78.9%, respectively. Further, 68.9% of respondents were aware of the prospects of bearing HIV-negative children without infecting their partners. About 64.8% of women were aware of at least one safer conception method. Safer conception methods everused by the participants include: antiretroviral therapy (ART) (36.7%), timed unprotected intercourse with (10.9%), and without pre-exposure prophylaxis (PrEP) (17.2%), intravaginal insemination (7.3%) and intrauterine insemination (4.7%). Safer conception practice was predicted by marital status (married versus single, adjusted odds ratio [AOR]=1.50, 95% CI =1.10-3.55), parity (2-4 versus 0, AOR=12.1, 95% CI=3.7-39.8), occupation (civil servants versus traders, AOR=0.37, 95% CI=0.16-0.86), husband’s serostatus (seroconcordant versus serodiscordant) (AOR=1.51, 95% CI=1.13-4.64), couple contraceptive use (users versus non-users) (AOR=1.62, 95% CI=1.16-5.83) and transmission risk perception (high risk versus low/no risk) (AOR=2.14, 95% CI=1.18-3.90). Conclusion: We found high levels of fertility desires and intentions and moderate risk perception among a cohort of HIV-infected women in urban Kano, Nigeria. The use of safer conception practices was not common. Our findings underscore the need for healthcare provider capacity building to enhance safer conception counseling and service delivery. Kerman University of Medical Sciences 2019-05-18 /pmc/articles/PMC6706964/ /pubmed/31441288 http://dx.doi.org/10.15171/ijhpm.2019.27 Text en © 2019 The Author(s); Published by Kerman University of Medical Sciences This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Iliyasu, Zubairu
Galadanci, Hadiza S.
Oladimeji, Alfa I.
Babashani, Musa
Gajida, Auwalu U.
Aliyu, Muktar H.
Predictors of Safer Conception Practices Among HIV-Infected Women in Northern Nigeria
title Predictors of Safer Conception Practices Among HIV-Infected Women in Northern Nigeria
title_full Predictors of Safer Conception Practices Among HIV-Infected Women in Northern Nigeria
title_fullStr Predictors of Safer Conception Practices Among HIV-Infected Women in Northern Nigeria
title_full_unstemmed Predictors of Safer Conception Practices Among HIV-Infected Women in Northern Nigeria
title_short Predictors of Safer Conception Practices Among HIV-Infected Women in Northern Nigeria
title_sort predictors of safer conception practices among hiv-infected women in northern nigeria
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6706964/
https://www.ncbi.nlm.nih.gov/pubmed/31441288
http://dx.doi.org/10.15171/ijhpm.2019.27
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