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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Fertility intentions of HIV-1 infected and uninfected women in Malawi: a longitudinal study

TitleFertility intentions of HIV-1 infected and uninfected women in Malawi: a longitudinal study
Publication TypeJournal Article
Year of Publication2009
AuthorsTaulo, F, Berry, M, Tsui, A, Makanani, B, Kafulafula, G, Li, Q, Nkhoma, C, Kumwenda, JJ, Kumwenda, N, Taha, TE
JournalAIDS and behavior
Volume13 Suppl 1
Pagination20-27
Date PublishedJun
ISBN Number1573-3254; 1090-7165
Accession Number19308718
KeywordsAdult, Anti-Bacterial Agents/administration & dosage/therapeutic use, Family Planning Services, Female, Fertility, HIV Infections/psychology, HIV-1, Humans, Intention, Longitudinal Studies, Malawi, Metronidazole/administration & dosage/therapeutic use, Pregnancy, Pregnancy Rate, Treatment Outcome, Vaginal Creams, Foams, and Jellies/administration & dosage/therapeutic use, Vaginosis, Bacterial/drug therapy, Women's Health, Young Adult
Abstract

This study aimed to determine changes in fertility intentions of HIV-1 infected and uninfected reproductive age women in Blantyre, Malawi. Participants were asked about their fertility intentions at baseline and at 3-month visits for 1 year. Time-to-event statistical models were used to determine factors associated with changes in fertility intentions. Overall, 842 HIV uninfected and 844 HIV infected women were enrolled. The hazard of changing from wanting no more children at baseline to wanting more children at follow-up was 61% lower among HIV infected women compared to HIV uninfected women (P < 0.01) after adjusting for other factors, while HIV infected women were approximately 3 times more likely to change to wanting no more children. The overall pregnancy rate after 12 months was 14.9 per 100 person-years and did not differ among 102 HIV uninfected and 100 infected women who became pregnant. HIV infection is a significant predictor of fertility intentions over time.