Title |
Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
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Published in |
HIV/AIDS (Auckland, N.Z.), February 2018
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DOI | 10.2147/hiv.s153212 |
Pubmed ID | |
Authors |
Karl Peltzer, Sibusiso Sifunda, Lissa N Mandell, Violeta J Rodriguez, Tae Kyoung Lee, Ryan Cook, Stephen M Weiss, Deborah L Jones |
Abstract |
This study aimed to assess fertility intentions (planning to have more children in the future) and associated factors among pregnant and postpartum HIV positive women in rural South Africa. In a longitudinal study, as part of a prevention of mother to child transmission (PMTCT) intervention trial, 699 HIV positive prenatal women, were systematically recruited and followed up at 6 months and 12 months postpartum (retention rate = 59.5%). At baseline, 32.9% of the women indicated fertility intentions and at 12 months postnatal, 120 (28.0%) reported fertility intentions. In longitudinal analyses, which included time-invariant baseline characteristics predicting fertility intention over time, not having children, having a partner with unknown/HIV-negative status, and having disclosed their HIV status to their partner, were associated with fertility intentions. In a model with time-varying covariates, decreased family planning knowledge, talking to a provider about a future pregnancy, and increased male involvement were associated with fertility intentions. Results support ongoing perinatal family planning and PMTCT education. |
X Demographics
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United States | 1 | 33% |
Unknown | 2 | 67% |
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Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
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Unknown | 84 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 15 | 18% |
Researcher | 12 | 14% |
Student > Ph. D. Student | 5 | 6% |
Student > Doctoral Student | 4 | 5% |
Student > Bachelor | 3 | 4% |
Other | 11 | 13% |
Unknown | 34 | 40% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 13 | 15% |
Nursing and Health Professions | 11 | 13% |
Social Sciences | 9 | 11% |
Psychology | 4 | 5% |
Biochemistry, Genetics and Molecular Biology | 3 | 4% |
Other | 8 | 10% |
Unknown | 36 | 43% |