Neglect of attention to reproductive health in women with HIV infection: contraceptive use and unintended pregnancies in the Swiss HIV Cohort Study.

Details

Serval ID
serval:BIB_540122475742
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Neglect of attention to reproductive health in women with HIV infection: contraceptive use and unintended pregnancies in the Swiss HIV Cohort Study.
Journal
HIV medicine
Author(s)
Aebi-Popp K., Mercanti V., Voide C., Nemeth J., Cusini A., Jakopp B., Nicca D., Rasi M., Bruno A., Calmy A., Martinez de Tejada B.
Working group(s)
Swiss HIV Cohort Study
Contributor(s)
Aubert V., Battegay M., Bernasconi E., Böni J., Braun L., Bucher C., Cavassini M., Ciuffi A., Dollenmaier G., Egger M., Elzi L., Fehr J., Fellay J., Furrer H., Fux A., Günthard F., Haerry D., Hasse B., Hirsch H., Hoffmann M., Hösli I., Kahlert C., Kaiser L., Keiser O., Klimkait T., Kouyos D., Kovari H., Ledergerber B., Martinetti G., Marzolini C., Metzner J., Müller N., Pantaleo G., Paioni P., Rauch A., Rudin C., Scherrer U., Schmid P., Speck R., Stöckle M., Tarr P., Trkola A., Vernazza P., Wandeler G., Weber R., Yerly S.
ISSN
1468-1293 (Electronic)
ISSN-L
1464-2662
Publication state
Published
Issued date
05/2018
Peer-reviewed
Oui
Volume
19
Number
5
Pages
339-346
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
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.
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.
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.
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.
Keywords
Adolescent, Adult, Contraceptive Agents/therapeutic use, Cross-Sectional Studies, Drug Utilization/statistics & numerical data, Family Planning Services/methods, Family Planning Services/organization & administration, Female, HIV Infections, Health Services Research, Humans, Middle Aged, Pregnancy, Pregnancy, Unplanned, Surveys and Questionnaires, Switzerland, Young Adult, HIV infection, contraception, unintended pregnancy, women
Pubmed
Web of science
Create date
25/01/2018 20:46
Last modification date
20/08/2019 14:09
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