Fertility desire and associated factors among reproductive age women on anti-retroviral therapy in East Wollega public health facilities, west Ethiopia: facility based cross-sectional study.

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Frontiers in reproductive health Pub Date : 2025-06-12 eCollection Date: 2025-01-01 DOI:10.3389/frph.2025.1449392
Worku Fikadu
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Abstract

Background: Fertility desire in people living with HIV is the desire of people to have children in the future despite a diagnosis of HIV. The desire to have children among reproductive-age women living with HIV has significant implications for the transmission of HIV to sexual partners and newborns in the future. There is no study conducted to determine the magnitude of the fertility desire among women of reproductive age living with HIV in East Wollega western Ethiopia. Therefore this study aimed to determine fertility desire and associated factors among women of reproductive age living with HIV receiving ART.

Objectives: To assess fertility desire and associated factors among reproductive-aged women on antiretroviral treatment in East Wollega, West Ethiopia, 2023.

Methods: A facility-based cross-sectional study was conducted in East Wollega from January 01/2023 to 30/2023. Data was collected from 419 study participants using interviewer-administered structured questionnaires by employing systematic random sampling techniques. Data entry and analysis were performed using Epi Data version 3.1 and SPSS version 23, respectively. Both bivariate and multivariate analyses were carried out using binary logistic regression. Statistical significance was established for variables with P < 0.05 in the multivariate analysis.

Results: Among the 419 respondents, 166 (39.62%) reported that they desired to have children in the future. Age between 18 and 24 years (AOR = 2.49, 95% CI; 1.16, 5.35), having partner Living with HIV: (AOR = 0.50, 95% CI; 0.25, 0.9), and being married (AOR = 2.69, 95% CI; 1.65, 4.39) were significantly associated with fertility desire.

Conclusion: The proportion of women of reproductive age living with HIV who desired children was high in this cohort. Understanding the fertility desire among women living with HIV/AIDS has a significant role in reducing perinatal transmission of HIV. Hence, Health care workers should provide intensive counselling regarding the possibility of the mother-to-child transmission of HIV.

埃塞俄比亚西部东沃勒加公共卫生设施中接受抗逆转录病毒治疗的育龄妇女的生育意愿及相关因素:基于设施的横断面研究。
背景:艾滋病毒感染者的生育愿望是人们在未来有孩子的愿望,尽管被诊断为艾滋病毒。感染艾滋病毒的育龄妇女想要孩子的愿望对今后将艾滋病毒传染给性伴侣和新生儿具有重大影响。目前还没有研究确定埃塞俄比亚西部东沃勒加地区携带艾滋病毒的育龄妇女生育意愿的大小。因此,本研究旨在确定接受抗逆转录病毒治疗的感染艾滋病毒的育龄妇女的生育意愿及其相关因素。目的:评估2023年西埃塞俄比亚东沃勒加地区接受抗逆转录病毒治疗的育龄妇女的生育意愿及其相关因素。方法:于2023年1月1日至2023年1月30日在东沃勒加进行了基于设施的横断面研究。采用系统随机抽样技术,对419名研究参与者进行结构化问卷调查。数据录入和分析分别使用Epi Data 3.1版本和SPSS 23版本。采用二元逻辑回归进行双变量和多变量分析。结果:在419名受访者中,有166人(39.62%)表示希望将来有孩子。年龄18 ~ 24岁(AOR = 2.49, 95% CI;1.16, 5.35),伴侣感染艾滋病毒:(AOR = 0.50, 95% CI;0.25, 0.9),已婚(AOR = 2.69, 95% CI;1.65, 4.39)与生育意愿显著相关。结论:该队列中携带HIV病毒的育龄妇女想要孩子的比例较高。了解感染艾滋病毒/艾滋病的妇女的生育愿望对减少艾滋病毒的围产期传播具有重要作用。因此,保健工作者应就艾滋病毒母婴传播的可能性提供深入咨询。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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