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AIDS Research and Treatment
Volume 2012 (2012), Article ID 367604, 11 pages
http://dx.doi.org/10.1155/2012/367604
Research Article

Differences in the Nonuse of any Contraception and Use of Specific Contraceptive Methods in HIV Positive and HIV Negative Rwandan Women

1Centre for Public Health Sciences, Albert Einstein College of Medicine, Mazer 515, 1300 Morris Park Avenue, Bronx, NY 10461, USA
2Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA
3Department of Statistics and Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brusnwick, NJ 08901, USA
4New York Medical College, Valhalla, NY 10595, USA
5Department of Medicine, Stroger (Cook County) Hospital and Rush University, Chicago, IL 60612, USA
6Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY 10461, USA
7Department of Medicine, Montefiore Medical Centre, Bronx, NY 10467, USA

Received 21 March 2012; Accepted 25 October 2012

Academic Editor: Elizabeth Bukusi

Copyright © 2012 Adebola A. Adedimeji et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Contraception can reduce the dual burden of high fertility and high HIV prevalence in sub-Sahara Africa, but significant barriers remain regarding access and use. We describe factors associated with nonuse of contraception and with use of specific contraceptive methods in HIV positive and HIV negative Rwandan women. Data from 395 HIV-positive and 76 HIV-negative women who desired no pregnancy in the previous 6 months were analyzed using univariate and multivariate logistic regression models to identify clinical and demographic characteristics that predict contraceptive use. Differences in contraceptive methods used were dependent on marital/partner status, partner’s knowledge of a woman’s HIV status, and age. Overall, condoms, abstinence, and hormonal methods were the most used, though differences existed by HIV status. Less than 10% of women both HIV+ and HIV− used no contraception. Important differences exist between HIV-positive and HIV-negative women with regard to contraceptive method use that should be addressed by interventions seeking to improve contraceptive prevalence.