Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study

Karl Peltzer,1,2 Sibusiso Sifunda,1 Lissa N Mandell,3 Violeta J Rodriguez,3 Tae Kyoung Lee,4 Ryan Cook,5 Stephen M Weiss,3 Deborah L Jones3 1HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa; 2Department of Research and Innovation, University of...

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Autores principales:	Peltzer K, Sifunda S, Mandell LN, Rodriguez VJ, Lee TK, Cook R, Weiss SM, Jones DL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Fertility intentions Family planning HIV infection Pregnancy South Africa Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/8182db5fa4f44376ae634173ef6cdaf1
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spelling	oai:doaj.org-article:8182db5fa4f44376ae634173ef6cdaf12021-12-02T03:04:46ZFertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study1179-1373https://doaj.org/article/8182db5fa4f44376ae634173ef6cdaf12018-02-01T00:00:00Zhttps://www.dovepress.com/fertility-intentions-of-prenatal-and-postpartum-hiv-positive-women-in--peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Karl Peltzer,1,2 Sibusiso Sifunda,1 Lissa N Mandell,3 Violeta J Rodriguez,3 Tae Kyoung Lee,4 Ryan Cook,5 Stephen M Weiss,3 Deborah L Jones3 1HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa; 2Department of Research and Innovation, University of Limpopo, Sovenga, South Africa; 3Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; 4Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; 5School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA Introduction: This study aimed to assess fertility intentions (planning to have more children in the future) and associated factors among pregnant and postpartum HIV positive women in rural South Africa. Methods: In a longitudinal study, as part of a prevention of mother to child transmission (PMTCT) intervention trial, 699 HIV positive prenatal women, were systematically recruited and followed up at 6 months and 12 months postpartum (retention rate = 59.5%). Results: At baseline, 32.9% of the women indicated fertility intentions and at 12 months postnatal, 120 (28.0%) reported fertility intentions. In longitudinal analyses, which included time-invariant baseline characteristics predicting fertility intention over time, not having children, having a partner with unknown/HIV-negative status, and having disclosed their HIV status to their partner, were associated with fertility intentions. In a model with time-varying covariates, decreased family planning knowledge, talking to a provider about a future pregnancy, and increased male involvement were associated with fertility intentions. Conclusion: Results support ongoing perinatal family planning and PMTCT education. Keywords: fertility intentions, family planning, HIV infection, pregnancy, South Africa, male involvementPeltzer KSifunda SMandell LNRodriguez VJLee TKCook RWeiss SMJones DLDove Medical PressarticleFertility intentionsFamily planningHIV infectionPregnancySouth AfricaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 10, Pp 9-17 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Fertility intentions Family planning HIV infection Pregnancy South Africa Immunologic diseases. Allergy RC581-607
spellingShingle	Fertility intentions Family planning HIV infection Pregnancy South Africa Immunologic diseases. Allergy RC581-607 Peltzer K Sifunda S Mandell LN Rodriguez VJ Lee TK Cook R Weiss SM Jones DL Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
description	Karl Peltzer,1,2 Sibusiso Sifunda,1 Lissa N Mandell,3 Violeta J Rodriguez,3 Tae Kyoung Lee,4 Ryan Cook,5 Stephen M Weiss,3 Deborah L Jones3 1HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa; 2Department of Research and Innovation, University of Limpopo, Sovenga, South Africa; 3Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; 4Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; 5School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA Introduction: This study aimed to assess fertility intentions (planning to have more children in the future) and associated factors among pregnant and postpartum HIV positive women in rural South Africa. Methods: In a longitudinal study, as part of a prevention of mother to child transmission (PMTCT) intervention trial, 699 HIV positive prenatal women, were systematically recruited and followed up at 6 months and 12 months postpartum (retention rate = 59.5%). Results: At baseline, 32.9% of the women indicated fertility intentions and at 12 months postnatal, 120 (28.0%) reported fertility intentions. In longitudinal analyses, which included time-invariant baseline characteristics predicting fertility intention over time, not having children, having a partner with unknown/HIV-negative status, and having disclosed their HIV status to their partner, were associated with fertility intentions. In a model with time-varying covariates, decreased family planning knowledge, talking to a provider about a future pregnancy, and increased male involvement were associated with fertility intentions. Conclusion: Results support ongoing perinatal family planning and PMTCT education. Keywords: fertility intentions, family planning, HIV infection, pregnancy, South Africa, male involvement
format	article
author	Peltzer K Sifunda S Mandell LN Rodriguez VJ Lee TK Cook R Weiss SM Jones DL
author_facet	Peltzer K Sifunda S Mandell LN Rodriguez VJ Lee TK Cook R Weiss SM Jones DL
author_sort	Peltzer K
title	Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
title_short	Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
title_full	Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
title_fullStr	Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
title_full_unstemmed	Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study
title_sort	fertility intentions of prenatal and postpartum hiv-positive women in primary care in mpumalanga province, south africa: a longitudinal study
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/8182db5fa4f44376ae634173ef6cdaf1
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Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study

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