Frontiers in global women's health最新文献

{"title":"Barriers to postnatal care utilization during the COVID-19 pandemic: a cross-sectional study of sociodemographic and spatial factors in Mexico City.","authors":"Magalhi Robledo-Clemente, Juan Carlos Silva Godínez, Lucía Daniela García Montes, Jorge Valencia-Ortega, Renata Saucedo","doi":"10.3389/fgwh.2025.1538565","DOIUrl":"10.3389/fgwh.2025.1538565","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has disrupted maternal and postnatal care globally, particularly in low- and middle-income countries. This study investigated sociodemographic, geographic, psychosocial, and obstetric factors associated with inadequate postnatal care utilization in Mexico City during the pandemic.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey among 719 postpartum women at a major obstetric hospital in Mexico City. Maternal sociodemographic data, social support (MOS survey), prenatal care quality (Kessner Index), postnatal depression (Edinburgh Scale), care satisfaction (SERVQUAL), and obstetric history were assessed. Spatial regression models evaluated associations between maternal factors, socioeconomic status (AMAI Index), and postnatal visits, incorporating geographic dependencies.</p><p><strong>Results: </strong>Significant spatial autocorrelation in postnatal visit frequency was observed (<i>χ</i> ² = 14.07; <i>p</i> < 0.001) indicating geographic dependencies in healthcare utilization. Higher consultation rates were associated with being a non-qualified worker (<i>β</i> = 0.252), living with a domestic partner (<i>β</i> = 0.196), and belonging to the medium-low socioeconomic group (<i>β</i> = 0.297). Maternal education showed no significant association. The spatial error term confirmed significant geographic dependencies (<i>β</i> = -0.153, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Geographic location, occupation, and socioeconomic status significantly influence postnatal visit frequency during public health crises, while education plays a lesser role. These findings suggest the need for targeted interventions addressing geographic barriers and incorporating mental health support to enhance maternal healthcare access among vulnerable populations. Future research should focus on developing integrated care frameworks that can better withstand disruptions during public health emergencies.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1538565"},"PeriodicalIF":2.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Status and innovation needed to address health disparities in opioid use disorders among hispanic pregnant individuals.","authors":"Karen G Martinez-Gonzalez, Darlene I Santiago","doi":"10.3389/fgwh.2025.1575164","DOIUrl":"10.3389/fgwh.2025.1575164","url":null,"abstract":"<p><p>Although opioid use disorder (OUD) in pregnancy has increased significantly in the last years, there are still significant gaps in scientific data and in access to evidence-based treatments. OUD in pregnancy is associated with negative health outcomes in the pregnant person, the fetus, and the newborn. To prevent these consequences, it is imperative to identify OUD and provide treatment as soon as possible in the pregnancy. Effective treatments, such as medication for opioid use disorder (MOUD), are safe in pregnancy but not routinely prescribed. For Hispanic pregnant people, these evidence-based treatments are less likely to be prescribed, are less consistently used and are less likely to be continued during the first year postpartum. Increasing access to high quality evidence-based treatments for OUD in Hispanic pregnant people is a public health emergency. This article will offer an overview of the known health disparities of treating perinatal OUD in Hispanics and propose strategies to address these disparities.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1575164"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global, regional and national burden of inflammatory bowel disease in females from 1990 to 2021: an analysis of the global burden of disease study 2021.","authors":"Jingyi Peng, Yuan Yuan, Jie Zhang, Yang Ding, Xingxing He","doi":"10.3389/fgwh.2025.1580451","DOIUrl":"10.3389/fgwh.2025.1580451","url":null,"abstract":"<p><strong>Background & aims: </strong>The global incidence of inflammatory bowel disease (IBD) has markedly increased over past several decades. Gender-specific differences have been observed in the epidemiology, manifestation, and prognosis of IBD. Given these distinctions, a focused analysis of the latest epidemiological trends in female patients is essential for advancing targeted healthcare.</p><p><strong>Methods: </strong>A comprehensive analysis of IBD incidence, mortality, and disability-adjusted life years (DALYs) in females was performed using data from the Global Burden of Disease (GBD) study from 1990 to 2021, with stratifications by age, region, country, and sociodemographic index (SDI).</p><p><strong>Results: </strong>In 2021, approximately 187,134 females were diagnosed with IBD globally. Incidence rates were highest among females aged 30-60, with disease burden increasing significantly with age in older populations. Geographically, High-Income North America had the highest IBD burden in females in 2021, while Australasia experienced the most significant increase from 1990 to 2021 (estimated average percentage changes (EAPC) = 1.13, 95% CI 0.8-1.46). Nationally, 75 countries and territories showed upward trends in the age-standardized DALYs (disability-adjusted life years) rate (ASDR), with the steepest rise observed in Mauritius (EAPC = 2.28, 95% CI 0.82-3.76). DALYs due to IBD in females also increased across all SDI regions, showing a positive correlation between SDI and ASDR.</p><p><strong>Conclusions: </strong>The global burden of IBD in females has significantly risen from 1990 to 2021, with marked age, regional and SDI-based differences. Incidence rates are higher in high-income regions in Europe and North America, with the sharpest increases observed in East Asia, highlighting the need for age and region-specific IBD management strategies.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1580451"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antenatal care visits and associated factors in Senegal: a multilevel poisson regression analysis of the 2023 DHS survey.","authors":"Habtu Kifle Negash, Ashebir Mamay Gebiru, Mihret Getnet, Mihret Melese, Berihun Agegn Mengistie, Desalegn Anmut Bitew, Tilahun Nega Godana, Yosef Belay Bizuneh, Amare Belete Getahun, Mikias Mered Tilahun, Nebebe Demis Baykemagn, Worku Chekol Tassew","doi":"10.3389/fgwh.2025.1524361","DOIUrl":"10.3389/fgwh.2025.1524361","url":null,"abstract":"<p><strong>Background: </strong>Maternal health is crucial for women's well-being during pregnancy, childbirth, and postpartum. Antenatal care (ANC) is essential for monitoring health and preventing complications, yet only 35.5% of women in low- and middle-income regions attend the recommended ANC visits. This study explores the socioeconomic and regional factors influencing ANC visits in Senegal.</p><p><strong>Methods: </strong>Data from the 2023 Senegal Demographic and Health Survey (DHS) on maternal health were analyzed. A stratified two-stage sampling design selected 400 enumeration areas, and 4,543 women aged 15-49 participated. Independent variables included age, education, wealth, healthcare access, and region. Multilevel Poisson regression in Stata 17 was used to assess factors affecting ANC visits, considering both individual and community-level variables to examine regional disparities and healthcare access.</p><p><strong>Results: </strong>Among the 4,543 women, 97.63% attended at least one ANC visit, but only 7.69% completed eight or more. Wealth, media access, education, and regional location significantly influenced ANC attendance. Women from middle-income households attended 6% more visits (AIRR: 1.06, 95% CI: 1.02-1.11), and those from wealthy households attended 8% more (AIRR: 1.08, 95% CI: 1.03-1.14). Women with media access attended 11% more visits (AIRR: 1.11, 95% CI: 1.06-1.15). Regional disparities were evident, with women in Thiès (AIRR: 0.80, 95% CI: 0.73-0.87), Matam (AIRR: 0.83, 95% CI: 0.75-0.92), and Kédougou (AIRR: 0.83, 95% CI: 0.75-0.91) attending fewer visits compared to those in Dakar.</p><p><strong>Conclusions: </strong>This study identifies significant socioeconomic and regional disparities in ANC utilization in Senegal. Wealth, education, media access, and regional location strongly influence ANC attendance. Targeted policies focusing on maternal health education, healthcare infrastructure, and financial support, particularly in underserved areas, are necessary to improve ANC access and maternal and child health outcomes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1524361"},"PeriodicalIF":2.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12175156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between dietary carotenoid intakes and the risk of heart failure in males and females: a cross-sectional study of NHANES, 2009-2018.","authors":"Juan Gao, Yan-You Xie, Yi-Chen Zang, Kai Tan, Pei-Hui Li, Hai-Yang Yu, Zhe-Xun Lian, Jian-Xun Wang","doi":"10.3389/fgwh.2025.1568812","DOIUrl":"10.3389/fgwh.2025.1568812","url":null,"abstract":"<p><strong>Purpose: </strong>Heart failure (HF) is a major contributor to morbidity and mortality among males and females worldwide. However, the difference in predisposition, progression, and management of HF between males and females remains underexplored. This study aimed to investigate the association between dietary carotenoid intake and HF using data from a nationally representative sample of adults in the US.</p><p><strong>Patients and methods: </strong>The National Health and Nutrition Examination Survey was conducted from 2009 to 2018. A total of 22,119 participants (10,519 males and 11,600 females) aged 20-80 years were included in this study. Logistic regression analyses and smooth curve fitting were used to explore the association between carotenoid intake and the risk of HF in males and females.</p><p><strong>Results: </strong>The odd ratios with 95% confidence intervals of dietary carotenoid intake for individuals with current HF, after adjusting for confounders in the model were 0.34 (0.13, 0.85; <i>P</i> for trend = 0.016) in females and 1.35 (0.74, 2.44; <i>P</i> for trend = 0.255) in males, comparing the highest to the lowest quartile. Smooth curve fitting suggested that total carotenoid intake was negatively associated with the risk of HF in females. The sex-based difference in this association was statistically significant.</p><p><strong>Conclusions: </strong>Higher dietary carotenoid intake was associated with lower odds of having current HF in US females but not in males. However, this was a cross-sectional study, no causal relationship could be drawn, and the results should be interpreted with caution.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1568812"},"PeriodicalIF":2.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving contraceptive agency through peer social support: findings from a longitudinal qualitative evaluation of the I-CAN intervention in Uganda.","authors":"Erica Sedlander, Beth Phillips, Isabelle Thapar, Catherine Birabwa, Lauren Suchman, Madeline Griffith, Dinah Amongin, Ronald Wasswa, Lynn Atuyambe, Jenny Liu, Peter Waiswa, Kelsey Holt","doi":"10.3389/fgwh.2025.1544333","DOIUrl":"10.3389/fgwh.2025.1544333","url":null,"abstract":"<p><strong>Background: </strong>Sexual and reproductive health organizations have been advocating for a human rights-based approach to contraceptive programming for many years, but progress has been slow. Peer social support shows promise to address structural and social barriers limiting women's agency to make and act on decisions related to contraception, but evidence-based models are lacking. Informed by Social Support Theory and the Contraceptive Agency Framework, we used human-centered design to develop \"I-CAN\", a community-based peer mentorship intervention in which experienced contraception users in Uganda provide tailored support to peers to promote agency and self-efficacy to use self-injectable contraception among women interested in this method. We conducted a six-month pilot of I-CAN and report here on qualitative findings from a longitudinal study exploring I-CAN's social support mechanisms.</p><p><strong>Methods: </strong>We conducted serial in-depth interviews with <i>n</i> = 25 women who received mentorship at baseline, three months, and six months in 2023. We conducted parallel interviews with a comparison group (<i>n</i> = 15) without the intervention. Women were purposefully sampled for diversity in contraceptive use, district, and age. We analyzed interviews using a codebook informed by I-CAN's theory of action.</p><p><strong>Results: </strong>We identified two primary ways in which I-CAN peer social support appeared to improve mentee agency more than existing social support in the control group: (1) improved contraceptive knowledge, particularly allaying side effect concerns, and (2) improved ability to act on contraceptive preferences via communication with unsupportive partners, covert use, or accessing contraceptive services or products. Less prominent changes compared to the control included improved self-efficacy to self-inject and perceived control over and consciousness of the right to contraceptive choice.</p><p><strong>Conclusions: </strong>Underpinned by a human rights-based approach to contraception, the I-CAN intervention, shows promise that locally tailored peer social support models can effectively improve contraceptive agency, particularly related to knowledge and partner communication.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1544333"},"PeriodicalIF":2.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Through a gender lens: a scoping review of gendered experiences of AMR causes, burden and workforce in Nigeria.","authors":"Ayodele Oluwakemi Majekodunmi, Mabel Kamweli Aworh, Esteller Mbadiwe, Kikiope Oluwafikemi Oluwarore, Mwapu Dika Ndahi, Dooshima Kwange","doi":"10.3389/fgwh.2025.1523901","DOIUrl":"10.3389/fgwh.2025.1523901","url":null,"abstract":"<p><strong>Background: </strong>Nigeria is among the countries with the top 10 highest burdens of infectious and zoonotic diseases worldwide. There is a correspondingly high rate of antimicrobial use and misuse in humans and animals, leading to antimicrobial resistance (AMR). Antimicrobial Resistance has a very high impact on women and girls as they form the majority of health workers at community level as well as being the main care givers and livestock custodians in the home, most likely to prescribe, purchase or administer antibiotics. However, there is very little information about gendered aspects of AMR in Nigeria. This paper undertakes a scoping review of antimicrobial resistance in Nigeria through a gender lens, looking at how sex and gender interact with antimicrobial resistance and efforts to mitigate its negative effects.</p><p><strong>Methods: </strong>A PRISMA scoping review was conducted for peer-reviewed articles published from the year 2000, describing studies in Nigeria on AMR, infectious disease treatment (including treatment seeking behaviour) and access and experiences of healthcare, which either take an explicit gender approach or include sex/gender as a key variable.</p><p><strong>Results: </strong>Studies show clear gender differences in levels of disease risk/resistance, health-seeking behaviour and patterns of access to healthcare (including antimicrobials). Despite the fact that these patterns are clearly recognised across multiple publications in different settings, we did not find evidence of a corresponding analysis of how gender might reinforce these vulnerabilities.</p><p><strong>Conclusions: </strong>Gendered aspects of infectious diseases, antimicrobial access and resistance are documented in Nigeria, albeit often incidentally. This data should be taken into account when considering the AMR problem and in the design of various interventions and the design of various interventions towards improving AMR and One Health in Nigeria.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1523901"},"PeriodicalIF":2.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between the perception of disrespectful treatment and abuse during childbirth and the risk of postpartum post-traumatic stress disorder: a PPQ-based study.","authors":"Inmaculada Ortiz-Esquinas, Ana Rubio-Álvarez, Ana Ballesta-Castillejos, Julián Rodríguez-Almagro, Juan Miguel Martínez-Galiano, Antonio Hernández-Martínez","doi":"10.3389/fgwh.2025.1568446","DOIUrl":"10.3389/fgwh.2025.1568446","url":null,"abstract":"<p><strong>Problem: </strong>Childbirth is often portrayed as a positive and empowering experience, yet for many women, it can result in negative emotional outcomes, which may contribute to the development of postpartum Post-Traumatic Stress Disorder (PTSD). Understanding the association between perceived abuse during childbirth and PTSD is crucial for improving maternal care.</p><p><strong>Background: </strong>Research shows that disrespectful and abusive treatment during childbirth is linked to psychological distress and PTSD. However, the correlation between perceived abuse and PTSD in postpartum women remains underexplored.</p><p><strong>Aim: </strong>To determine the association between the woman's perception of abuse during childbirth and the risk of developing PTSD postpartum, as well as to analyze related risk factors.</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted with 2,912 women in Spain who gave birth in the last 18 months. The Childbirth Abuse and Respect Evaluation- Maternal Questionnaire (CARE-MQ) assessed perceived abuse, while the Perinatal PTSD Questionnaire (PPQ) measured PTSD risk. Logistic regression was used to adjust for confounders.</p><p><strong>Findings: </strong>Higher CARE-MQ scores were positively correlated with PTSD risk, especially in the \"inadequate treatment by professionals\" dimension (<i>r</i> = 0.56). Extreme perception of abuse (≥95th percentile) increased the PTSD risk (aOR = 34.72). Additional risk factors included extremely premature birth, unrespected birth plans, complications, type of birth and emergency cesarean sections.</p><p><strong>Discussion: </strong>Perceived mistreatment and inadequate professional care strongly correlate with PTSD risk.</p><p><strong>Conclusion: </strong>Addressing these factors-along with other identified risks-may help reduce PTSD prevalence and improve maternal care experiences.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1568446"},"PeriodicalIF":2.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intimate partner violence related to disclosure of sickle cell disease during pregnancy: evidence from the sickle cell belt of central India.","authors":"Nafisa Halim, Archana Patel, Janet M Turan, Anuradha V Shrikhande, Patricia L Kavanagh, Mari-Lynn Drainoni, David Henderson, Shweta Murali Anand, Nandini Agarwal, Patricia L Hibberd","doi":"10.3389/fgwh.2025.1525168","DOIUrl":"10.3389/fgwh.2025.1525168","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) negatively impacts pregnant women and their unborn children. Globally, an estimated 19%, 9%, and 6% of women experience psychological, physical, and sexual IPV, respectively, during pregnancy. These rates are higher among pregnant women living with a stigmatizing disease. In this study, we examined the effect of antenatal screening for sickle cell disease (SCD) using the sickle cell solubility test on the risk of IPV among pregnant women in the city of Nagpur in Maharashtra state of India. We hypothesized that a positive solubility test increases the risk of IPV via partner disclosure.</p><p><strong>Methods: </strong>We conducted a cohort study comparing IPV in 182 pregnant women, before (baseline) and after (endline) having a solubility test. Of the 182 participants, 91 were pregnant women with a positive solubility test and 91 with a negative solubility test. We used the 49-item Indian Family Violence and Control Scale (<i>α</i> = 0.88) to measure IPV and estimated associations using binomial logistic regressions with robust standard errors.</p><p><strong>Results: </strong>Pregnant women with a positive solubility test were at least twice as likely to experience physical, sexual, or psychological IPV as pregnant women with a negative solubility test, even after adjusting for baseline differences between these two groups on common IPV risk factors including the lower level of education and scheduled-caste membership.</p><p><strong>Conclusion: </strong>Pregnant women who have a positive solubility test are at risk of IPV after following routine instructions to disclose their test results to their male partners, so that they can undergo further testing to determine the baby's risk of SCD, sickle cell trait, or no risk.</p><p><strong>Implications: </strong>In resource-poor settings with high SCD prevalence, antenatal clinics are increasingly screening pregnant women to prevent mother-to-child transmission of SCD. There is a need to integrate strategies for women to disclose sickle cell screening test results and prevention of IPV caused by male partners.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1525168"},"PeriodicalIF":2.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proportion and factors associated with fertility desires among human immunodeficiency virus-positive adults receiving antiretroviral therapy in Northeast Ethiopia.","authors":"Abel Endawkie, Biresaw Derese, Kidist Adamu, Getaw Walle","doi":"10.3389/fgwh.2025.1470570","DOIUrl":"10.3389/fgwh.2025.1470570","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The desire to have children can become a significant consideration for many people living with HIV (PLHIV), both men and women, particularly as access to antiretroviral therapy (ART) increases and rates of mother-to-child transmission (MTCT) decline. With the life-prolonging benefits and positive clinical outcomes associated with ART, HIV-positive adults may experience an increased desire to parenting. Nevertheless, research on fertility desires among this demographic remains sparse, especially in Northeast Ethiopia. This study aims to assess the proportion of fertility desires and identify the associated factors among HIV-positive adults receiving care in ART units in Northeast Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;A cross-sectional study was conducted from 15 May to 15 June 2022, among 406 individuals living with HIV who were receiving ART in healthcare facilities located in the Meket District of Northeast Ethiopia. The study population consisted of reproductive-age men (18-60 years) and women (15-49 years) who had at least one visit to the ART care units during the study period. Participants were selected through systematic random sampling. Data were collected using self-administered questionnaires. Data entry and analysis were performed using EpiData version 3.1 and Stata version 14.0, respectively. Multivariable logistic regression was employed to identify factors significantly associated with fertility desire, with a &lt;i&gt;p&lt;/i&gt;-value of &lt;0.05 indicating statistical significance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study found that 52.1% of participants expressed a desire for children (95% CI: 47.9, 57.6). Several key factors were associated with fertility desire; specifically, widowed individuals had lower odds of desiring children, while those aged 18-29 had higher odds (AOR: 2.3, 95% CI: 1.1-4.8) compared with those aged 41 and older. Participants aged 30-40 also showed increased odds (AOR: 2.1, 95% CI: 1.3-3.3). Additionally, individuals with one or fewer children had significantly higher odds of fertility desire (AOR: 2.4, 95% CI: 1.2-4.6), and those with 2-3 children had an AOR of 1.9 (95% CI: 1-3.5). A lack of awareness regarding MTCT was linked to an AOR of 2.1 (95% CI: 1-4.4) for expressing a desire for children.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The findings demonstrate a relatively high proportion of fertility desire among HIV-positive adult men and women on ART in Northeast Ethiopia from the national prevalence. This finding underscores efforts that should be directed at individuals aged 18-29 years, who show significantly higher odds of wanting children, along with those aged 30-40 years, those with one or fewer children, and those with two to three children to enhance fertility desire. It is also important to address the needs of widowed individuals, who have lower odds of desiring children, by providing tailored supportive services. The study underscores the necessity for awareness-raising ini","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1470570"},"PeriodicalIF":2.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}