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Infectious Diseases in Obstetrics and Gynecology
Volume 2012, Article ID 107878, 6 pages
http://dx.doi.org/10.1155/2012/107878
Research Article

Reproductive Healthcare Needs and Desires in a Cohort of HIV-Positive Women

Department of Gynecology and Obstetrics, Emory University, 69 Jesse Hill Jr. Dr. SE, Atlanta, GA 30306, USA

Received 20 January 2012; Accepted 20 April 2012

Academic Editor: Deborah Cohan

Copyright © 2012 Martina L. Badell 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

Background. The aim of this study was to determine current contraceptive use, contraceptive desires and knowledge, future fertility desires, and sterilization regret in a cohort of HIV-positive women. Study Design. 127 HIV-positive women receiving care at an urban infectious disease clinic completed a survey addressing their contraceptive and reproductive histories as well as their future contraceptive and fertility desires. Results. The most common forms of contraception used were sterilization (44.4%) and condoms (41.3%). Less than 1% used a long-term reversible method of contraception (LARC) despite these being the methods that best fit their desired attributes of a contraceptive method. Overall, 29.4% desired future fertility. Only 50.6% of those sexually active had spoken with a provider within the last year regarding their contraceptive plans. There was a high degree of sterilization regret (36.4%), and 18.2% of sterilized women desired future fertility. Multivariate analysis found women in a monogamous relationship had a statistically increased rate of regret compared to women who were not sexually active (OR 13.8, 95% CI 1.6–119, 𝑃 = 0 . 1 7 ). Conclusion. Given the diversity in contraceptive and fertility desires, coupled with a higher rate of sterilization regret than is seen in the general population, integration of comprehensive family planning services into HIV care via increased contraceptive education and access is imperative.