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Infectious Diseases in Obstetrics and Gynecology
Volume 2012 (2012), Article ID 956145, 8 pages
http://dx.doi.org/10.1155/2012/956145
Clinical Study

Awareness and Interest in Intrauterine Contraceptive Device Use among HIV-Positive Women in Cape Town, South Africa

1Department of Obstetrics and Gynecology, Columbia University, PH16-69, New York, NY 10032, USA
2City University of New York School of Public Health, Hunter College, 2180 Third Avenue, New York, NY 10035, USA
3Desmond Tutu HIV Centre, Institute for Infectious Diseases and Molecular Medicine, and Department of Medicine, University of Cape Town, Anzio Road, Observatory 7925, Cape Town, South Africa
4School of Public Health and Family Medicine, University of Cape Town, Anzio Road, Observatory 7925, Cape Town, South Africa

Received 20 January 2012; Accepted 14 April 2012

Academic Editor: Jean R. Anderson

Copyright © 2012 Catherine S. Todd 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

Objective. To assess awareness of and interest in intrauterine contraceptive device (IUCD) use among HIV-positive women in Cape Town, South Africa. Design. Cross-sectional survey. Methods. HIV-positive women aged 18 through 45 years presenting for care at a primary health care clinic in Cape Town, South Africa participated in this study. Consented participants completed a staff-administered questionnaire in a private setting. Descriptive statistics were generated. Comparisons between demographic and reproductive health-related variables and IUCD awareness and interest were performed with multiple logistic regression. Analyses for IUCD interest excluded women with prior surgical sterilization. Results. Of 277 HIV-positive women, 37% were aware of the IUCD; awareness was independently associated with greater age (adjusted odds ratio (AOR) = 1.15, 95%; confidence interval (CI): 1.10–1.20) and not switching contraceptive methods in the last year (AOR = 2.45, 95% CI: 1.03–5.83). Following an IUCD information session, 86% of women ( 𝑛 = 2 0 6 / 2 4 0 ) were interested in IUCD use. IUCD interest was inversely associated with age (AOR = 0.91, 95% CI: 0.86–0.97) and marginally positively associated with current menstrual bleeding pattern complaints (AOR = 2.14, 95% CI: 0.98–4.68). Conclusions. Despite low levels of method awareness, HIV-positive women in this setting are frequently interested in IUCD use, indicating need for programming to expand method access.