دورية أكاديمية
أعرض في EDS

Modern contraceptive use among HIV-infected women attending HIV care centres in Togo: a cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: Modern contraceptive use among HIV-infected women attending HIV care centres in Togo: a cross-sectional study.
المؤلفون: Yaya I; Aix Marseille University, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France.; ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France., Patassi AA; Service de maladies infectieuses, CHU Sylvanus Olympio, Université de Lomé, Lomé, Togo., Landoh DE; World Health Organization, Country Office of Togo, Lomé, Togo., Bignandi EM; Service de médecine générale, CHR Tomdè, Kara, Togo., Kolani K; Service de gynécologie-obstétrique, Clinique Biasa, Lomé, Togo., Namoro AD; Gynécologie-obstétrique, Évaluation de programmes, Québec, Canada., Patchali PM; Division de la Santé Communautaire, Ministère de la Santé, Lomé, Togo., Djalogue L; Service de médecine interne, CHU, Kara, Togo., Ekouevi DK; Département de Sante Publique, Université de Lomé, Lomé, Togo.; Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo., Saka B; Service de dermatologie, CHU Sylvanus Olympio, Lomé, Togo.
المصدر: BMJ open [BMJ Open] 2018 Apr 24; Vol. 8 (4), pp. e019006. Date of Electronic Publication: 2018 Apr 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Contraception Behavior* , Contraceptive Agents*/therapeutic use , HIV Infections*, Adolescent ; Adult ; Contraception ; Cross-Sectional Studies ; Female ; Humans ; Middle Aged ; Togo ; Young Adult
مستخلص: Introduction: Contraceptive use among HIV-infected women in Togo is poorly documented. We aim at assessing the prevalence of modern contraceptive use and associated factors among HIV-infected women in Togo.
Design: Cross-sectional study.
Setting: The study was conducted in five HIV care centres in the Centrale and Kara regions in Togo.
Participants: We included 461 HIV-positive women aged between 15 and 49 years and who were sexually active.
Main Outcome Measure: The outcome variable was HIV-infected women who were using modern contraceptive methods.
Results: A total of 461 HIV-infected women were interviewed, with an average age of 34.3 (±7.1). Among them, 332 (73.1%) women reported using contraceptive methods, mostly condom alone (74.7%) or in combination with hormonal contraceptive (16.9%). In multivariate analysis, education level (primary: adjusted OR (aOR)=1.99, 95% CI (1.05 to 3.76); secondary level and higher: aOR=3.95, 95% CI (2.03 to 7.67)), WHO clinical stage (stage II: aOR=0.7, 95% CI (0.37 to 1.33)), follow-up in private care facilities (aOR=2.54, 95% CI (1.22 to 5.29)) and having a child (aOR=2.51, 95% CI (1.41 to 4.5)) were associated with higher contraceptive use, while marital status (living in union: aOR=0.45, 95% CI (0.28 to 0.74)) and WHO stages III and IV (aOR=0.47, 95% CI (0.24 to 0.94)) were associated with lower contraceptive use.
Conclusion: About three-quarters of sexually active HIV-infected women in Togo were using contraceptive methods, and private health facilities favoured this contraceptive use. It is important to strengthen the implementation of interventions to increase the incentives for HIV-infected women to use contraception in Togo.
Competing Interests: Competing interests: None declared.
(© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
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معلومات مُعتمدة: 001 International WHO_ World Health Organization
فهرسة مساهمة: Keywords: HIV-infected women; Togo; contraception use
المشرفين على المادة: 0 (Contraceptive Agents)
تواريخ الأحداث: Date Created: 20180426 Date Completed: 20190213 Latest Revision: 20220129
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC5922471
DOI: 10.1136/bmjopen-2017-019006
PMID: 29691241
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2017-019006