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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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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. |
format | Online Article Text |
id | pubmed-6748529 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
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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