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Factors that predict fertility desires for people living with HIV infection at a support and treatment centre in Kabale, Uganda

DOI: 10.1186/1742-4755-7-27

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Abstract:

From January to August 2009, we interviewed 400 HIV positive patients seeking care using an interviewer-administered questionnaire. We assessed socio-demographic variables, reproductive history, sexuality and fertility desires. At bivariate and multivariate analysis, characteristics of participants who reported or did not report desire to have a child in the near future were compared.Of the 400 respondents, (25.3%) were male, 47.3% were aged 25-34 years, over 85% were currently married or had ever been married, and the 62% had primary level of education or less. Over 17% had produced a child since the HIV diagnosis was made, and 28.6% reported that they would like to have a child in the near future. Age of the respondent, being single (versus being ever-married) and whether any of the respondents' children had died were inversely associated with fertility intentions.Factors inversely associated with fertility intentions were age of the respondent, marital status and whether any of the respondents' children had died. Use of antiretroviral therapy was not associated with fertility intentions.The majority of new human immunodeficiency virus (HIV) infections that occur in children worldwide occur among children born to HIV positive mothers, who acquire the HIV infection from their mothers [1]. Through HIV treatment and support centres, HIV-infected persons and their partners are provided with the required information about the HIV prevention and treatment strategies available [2]. Despite counseling, studies from different contexts worldwide in both developed countries [3-7]and developing countries [8,9]in the era of wide access to antiretroviral drugs [10-13]indicate that many HIV positive individuals continue to exhibit high risk sexual behavior characterized by fertility intentions. Studies from Uganda indicate that 3-20% of married or cohabitating couples are HIV sero-discordant [14-16]. Within a given socio-cultural context, measuring fertility intentions among HIV

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