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HIV Status and Contraceptive Utilization among Women in Cameroon

OBJECTIVE: We examined patterns of contraceptive utilization by HIV status among women in Cameroon, hypothesizing that women living with HIV would utilize contraception at higher rates than their HIV-negative peers. METHODS: Deidentified, clinical data from the Cameroon Baptist Convention Health Ser...

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Autores principales: Budhwani, Henna, Hearld, Kristine Ria, Dionne-Odom, Jodie, Manga, Simon, Nulah, Kathleen, Khan, Michelle, Welty, Thomas, Welty, Edith, Tita, Alan Thevenet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748529/
https://www.ncbi.nlm.nih.gov/pubmed/30776955
http://dx.doi.org/10.1177/2325958219826596
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author Budhwani, Henna
Hearld, Kristine Ria
Dionne-Odom, Jodie
Manga, Simon
Nulah, Kathleen
Khan, Michelle
Welty, Thomas
Welty, Edith
Tita, Alan Thevenet
author_facet Budhwani, Henna
Hearld, Kristine Ria
Dionne-Odom, Jodie
Manga, Simon
Nulah, Kathleen
Khan, Michelle
Welty, Thomas
Welty, Edith
Tita, Alan Thevenet
author_sort Budhwani, Henna
collection PubMed
description OBJECTIVE: We examined patterns of contraceptive utilization by HIV status among women in Cameroon, hypothesizing that women living with HIV would utilize contraception at higher rates than their HIV-negative peers. METHODS: Deidentified, clinical data from the Cameroon Baptist Convention Health Services (2007-2013) were analyzed (N = 8995). Frequencies compared outcomes between women living with HIV (15.1%) and uninfected women. Multivariate analyses examined associates of contraceptive utilization and desire to become pregnant. RESULTS: Contraceptive utilization was associated with higher education, living with HIV, monogamy, and higher parity (P < .001). Women living with HIV had 66% higher odds of using contraceptives than their negative peers (odds ratio [OR]: 1.66, confidence interval [CI]: 1.45-1.91, P < .001). Polygamous women had 37% lower odds of using contraceptives compared to monogamous women (OR: 0.63, 95% CI: 0.52-0.75, P < .001). CONCLUSION: Increasing contraceptive utilization in resource-constrained settings should be a priority for clinicians and researchers. Doing so could improve population health by reducing HIV transmission between partners and from mother to child.
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spelling pubmed-67485292019-11-04 HIV Status and Contraceptive Utilization among Women in Cameroon Budhwani, Henna Hearld, Kristine Ria Dionne-Odom, Jodie Manga, Simon Nulah, Kathleen Khan, Michelle Welty, Thomas Welty, Edith Tita, Alan Thevenet J Int Assoc Provid AIDS Care Original Article OBJECTIVE: We examined patterns of contraceptive utilization by HIV status among women in Cameroon, hypothesizing that women living with HIV would utilize contraception at higher rates than their HIV-negative peers. METHODS: Deidentified, clinical data from the Cameroon Baptist Convention Health Services (2007-2013) were analyzed (N = 8995). Frequencies compared outcomes between women living with HIV (15.1%) and uninfected women. Multivariate analyses examined associates of contraceptive utilization and desire to become pregnant. RESULTS: Contraceptive utilization was associated with higher education, living with HIV, monogamy, and higher parity (P < .001). Women living with HIV had 66% higher odds of using contraceptives than their negative peers (odds ratio [OR]: 1.66, confidence interval [CI]: 1.45-1.91, P < .001). Polygamous women had 37% lower odds of using contraceptives compared to monogamous women (OR: 0.63, 95% CI: 0.52-0.75, P < .001). CONCLUSION: Increasing contraceptive utilization in resource-constrained settings should be a priority for clinicians and researchers. Doing so could improve population health by reducing HIV transmission between partners and from mother to child. SAGE Publications 2019-02-19 /pmc/articles/PMC6748529/ /pubmed/30776955 http://dx.doi.org/10.1177/2325958219826596 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Budhwani, Henna
Hearld, Kristine Ria
Dionne-Odom, Jodie
Manga, Simon
Nulah, Kathleen
Khan, Michelle
Welty, Thomas
Welty, Edith
Tita, Alan Thevenet
HIV Status and Contraceptive Utilization among Women in Cameroon
title HIV Status and Contraceptive Utilization among Women in Cameroon
title_full HIV Status and Contraceptive Utilization among Women in Cameroon
title_fullStr HIV Status and Contraceptive Utilization among Women in Cameroon
title_full_unstemmed HIV Status and Contraceptive Utilization among Women in Cameroon
title_short HIV Status and Contraceptive Utilization among Women in Cameroon
title_sort hiv status and contraceptive utilization among women in cameroon
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748529/
https://www.ncbi.nlm.nih.gov/pubmed/30776955
http://dx.doi.org/10.1177/2325958219826596
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