Prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design

Takele Menna Adilo,1 Hirut Megerssa Wordofa2 1Department of Public Health, 2School of Nursing, St Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia Background: The magnitude of unprotected sex to satisfy the desire for fertility among people living with HIV/AIDS (PLHIV) may...

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Autores principales:	Adilo TM, Wordofa HM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Fertility desire People living with HIV Reproductive age Risky Sexual behavior Ethiopia Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/13abb8306ae34caba9af44edd73ecbe9
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spelling	oai:doaj.org-article:13abb8306ae34caba9af44edd73ecbe92021-12-02T00:02:45ZPrevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design1179-1373https://doaj.org/article/13abb8306ae34caba9af44edd73ecbe92017-08-01T00:00:00Zhttps://www.dovepress.com/prevalence-of-fertility-desire-and-its-associated-factors-among-15--to-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Takele Menna Adilo,1 Hirut Megerssa Wordofa2 1Department of Public Health, 2School of Nursing, St Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia Background: The magnitude of unprotected sex to satisfy the desire for fertility among people living with HIV/AIDS (PLHIV) may rise more due to the availability of antiretroviral therapy (ART) in most HIV-affected countries. This could, however, have the risk of passing on HIV to sexual partners and children. The aim of this study, therefore, was to determine the magnitude and factors associated with the fertility desire of reproductive-age PLHIV in Addis Ababa, Ethiopia, for research-based and timely actions.Methods: A cross-sectional study was carried out from April to June 2016 among 442 randomly selected, reproductive-age PLHIV who had been attending ART clinics in Addis Ababa. Twelve experienced and trained nurses collected the data. The questionnaire was pretested and interviewer-administered, and the interview was executed after obtaining voluntary consent from each study subject. The data were then cleaned and analyzed by using Epi Info version 3.5.4 and SPSS version 20.0, respectively. Binary logistic regression was done in order to describe the association of fertility desire with some sociodemographic and sexual behavior-related factors.Results: Among the total 441 respondents, 54.6% reported the desire for fertility, 87% disclosed their HIV status, 24.3% had two or more sexual partners in the earlier year, and only 55.6% used a condom during their last sexual intercourse. In addition, current health status (AOR=2.03; 95% CI: 1.01–4.07) and partner being tested for HIV (AOR=6.31; 95% CI: 1.35–29.64) showed statistically significant associations with fertility desire during multivariate logistic regression analysis.Conclusion: A considerable number of PLHIV in the study area reported a desire for having children. Current health status and partner being tested for HIV were found to be factors associated with the fertility desire among PLHIV. Thus, more efforts to effectively address the health concerns related to fertility desire and risky sexual behavior among HIV-infected people of reproductive age could play a significant role in prevention and control measures against HIV/AIDS epidemic. Keywords: fertility desire, PLHIV, reproductive age, risky sexual behavior, EthiopiaAdilo TMWordofa HMDove Medical PressarticleFertility desirePeople living with HIVReproductive ageRisky Sexual behaviorEthiopiaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 9, Pp 167-176 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Fertility desire People living with HIV Reproductive age Risky Sexual behavior Ethiopia Immunologic diseases. Allergy RC581-607
spellingShingle	Fertility desire People living with HIV Reproductive age Risky Sexual behavior Ethiopia Immunologic diseases. Allergy RC581-607 Adilo TM Wordofa HM Prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design
description	Takele Menna Adilo,1 Hirut Megerssa Wordofa2 1Department of Public Health, 2School of Nursing, St Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia Background: The magnitude of unprotected sex to satisfy the desire for fertility among people living with HIV/AIDS (PLHIV) may rise more due to the availability of antiretroviral therapy (ART) in most HIV-affected countries. This could, however, have the risk of passing on HIV to sexual partners and children. The aim of this study, therefore, was to determine the magnitude and factors associated with the fertility desire of reproductive-age PLHIV in Addis Ababa, Ethiopia, for research-based and timely actions.Methods: A cross-sectional study was carried out from April to June 2016 among 442 randomly selected, reproductive-age PLHIV who had been attending ART clinics in Addis Ababa. Twelve experienced and trained nurses collected the data. The questionnaire was pretested and interviewer-administered, and the interview was executed after obtaining voluntary consent from each study subject. The data were then cleaned and analyzed by using Epi Info version 3.5.4 and SPSS version 20.0, respectively. Binary logistic regression was done in order to describe the association of fertility desire with some sociodemographic and sexual behavior-related factors.Results: Among the total 441 respondents, 54.6% reported the desire for fertility, 87% disclosed their HIV status, 24.3% had two or more sexual partners in the earlier year, and only 55.6% used a condom during their last sexual intercourse. In addition, current health status (AOR=2.03; 95% CI: 1.01–4.07) and partner being tested for HIV (AOR=6.31; 95% CI: 1.35–29.64) showed statistically significant associations with fertility desire during multivariate logistic regression analysis.Conclusion: A considerable number of PLHIV in the study area reported a desire for having children. Current health status and partner being tested for HIV were found to be factors associated with the fertility desire among PLHIV. Thus, more efforts to effectively address the health concerns related to fertility desire and risky sexual behavior among HIV-infected people of reproductive age could play a significant role in prevention and control measures against HIV/AIDS epidemic. Keywords: fertility desire, PLHIV, reproductive age, risky sexual behavior, Ethiopia
format	article
author	Adilo TM Wordofa HM
author_facet	Adilo TM Wordofa HM
author_sort	Adilo TM
title	Prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design
title_short	Prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design
title_full	Prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design
title_fullStr	Prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design
title_full_unstemmed	Prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design
title_sort	prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with hiv/aids in addis ababa, ethiopia: a cross-sectional study design
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/13abb8306ae34caba9af44edd73ecbe9
work_keys_str_mv	AT adilotm prevalenceoffertilitydesireanditsassociatedfactorsamong15to49yearoldpeoplelivingwithhivaidsinaddisababaethiopiaacrosssectionalstudydesign AT wordofahm prevalenceoffertilitydesireanditsassociatedfactorsamong15to49yearoldpeoplelivingwithhivaidsinaddisababaethiopiaacrosssectionalstudydesign
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Prevalence of fertility desire and its associated factors among 15- to 49-year-old people living with HIV/AIDS in Addis Ababa, Ethiopia: a cross-sectional study design

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