Dual Contraceptive Use and Factor Associated with People Living with HIV/AIDS: A Systematic Review and Meta-Analysis.

Q2 Medicine

Infectious Diseases in Obstetrics and Gynecology Pub Date : 2021-08-16 eCollection Date: 2021-01-01 DOI:10.1155/2021/5440722

Yibeltal Mesfin, Muche Argaw, Shegaw Geze, Bitew Tefera

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引用次数: 2

Abstract

Introduction: A dual contraceptive method is the usage of any modern contraceptive method with male or female condoms which could lower sexually transmitted diseases and unwanted pregnancy. Ethiopian standard utilization of dual contraceptive is low. The hassle is more severe for HIV/AIDS-infected people. Therefore, this review was aimed at assessing dual contraceptive utilization and factor associated with people living with HIV/AIDS in Ethiopia.

Method: International databases (PubMed/MEDLINE, Hinari, Embase, African Journals Online, Scopus, and Google Scholar) and Ethiopian university repository online have been covered in this review. Microsoft Excel was used for extraction, and the Stata 14 software program was used for analysis. We detected the heterogeneity between studies using the Cochran Q statistic and I ² test. Publication bias was assessed by funnel plot and Egger's and Begg's tests.

Result: The overall prevalence of dual contraceptive use among people living with HIV/AIDS was 27.73% (95% CI: 20.26-35.19) in Ethiopia. Discussion with the partner (OR: 3.78, 95% CI: 3.08-4.69), HIV status disclosure to the spouse/partner (OR: 2.810, 95% CI: 2.26-3.48), postdiagnosis counseling (OR: 5.00, 95% CI: 3.71-6.75), schooling in secondary and above education (OR: 3.78, 95% CI: 2.41-5.93), partner involvement in counseling (OR: 2.76, 95% CI: 1.99-3.82), urban residence (OR: 2.84, 95% CI 2.03-3.94), and having no fertility desire (OR: 4.01, 95% CI 2.91-5.57) were significantly associated with dual contraceptive use.

Conclusion: Dual contraceptive utilization among people living with HIV/AIDS was found to be low in Ethiopia. This will be a significant concern unless future intervention focuses on rural residence, involvement of the partner in postdiagnosis counseling, encouraging the people living with HIV/AIDS to disclose HIV status, and discussion with the partner. Providing counseling during the antenatal and postnatal period also enhances dual contraceptive use.

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双重避孕药的使用及其与HIV/AIDS感染者相关的因素:一项系统综述和荟萃分析。

简介:双重避孕方法是指使用男用或女用避孕套的任何现代避孕方法，可以降低性传播疾病和意外怀孕。埃塞俄比亚双重避孕药的标准使用率很低。对于艾滋病毒/艾滋病感染者来说，麻烦更加严重。因此，本综述旨在评估埃塞俄比亚双重避孕药具的使用情况及其与艾滋病毒/艾滋病感染者相关的因素。方法:本综述涵盖了国际数据库(PubMed/MEDLINE、Hinari、Embase、African Journals Online、Scopus和Google Scholar)和埃塞俄比亚大学在线数据库。采用Microsoft Excel进行提取，Stata 14软件程序进行分析。我们使用Cochran Q统计量和i2检验来检测研究之间的异质性。发表偏倚采用漏斗图和Egger’s和Begg’s检验进行评估。结果:埃塞俄比亚艾滋病毒/艾滋病感染者双重避孕药具使用率为27.73% (95% CI: 20.26-35.19)。与伴侣讨论(OR: 3.78, 95% CI: 3.08-4.69)、向配偶/伴侣披露艾滋病毒状况(OR: 2.810, 95% CI: 2.26-3.48)、诊断后咨询(OR: 5.00, 95% CI: 3.71-6.75)、中学及以上教育程度(OR: 3.78, 95% CI: 2.41-5.93)、伴侣参与咨询(OR: 2.76, 95% CI: 1.99-3.82)、城市居住(OR: 2.84, 95% CI 2.03-3.94)和无生育意愿(OR: 4.01, 95% CI 2.91-5.57)与双重避孕措施的使用显著相关。结论:埃塞俄比亚艾滋病毒/艾滋病感染者双重避孕药具使用率较低。这将是一个重大问题，除非未来的干预措施侧重于农村居住、伴侣参与诊断后咨询、鼓励艾滋病毒/艾滋病感染者披露艾滋病毒状况以及与伴侣讨论。在产前和产后期间提供咨询也促进了双重避孕药的使用。

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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来源期刊

Infectious Diseases in Obstetrics and Gynecology Medicine-Obstetrics and Gynecology

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Infectious Diseases in Obstetrics and Gynecology aims to disseminate new and important information to clinicians and other health care providers, scientists, and researchers involved in the study or treatment of infectious diseases, especially those affecting the female patient. Its ultimate aim is to advance knowledge and encourage research, thereby improving the prevention or diagnosis and treatment of patients affected by such diseases.