{"title":"尼日利亚中北部二级卫生机构中艾滋病毒感染者的生育意愿及其预测因素","authors":"Chikwendu Amaike, Tolulope Olumide Afolaranmi, Blessing Adaku Amaike, Hadiza Abigail Agbo, Olumide Abiodun","doi":"10.4103/jgid.jgid_6_22","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Among people living with HIV (PLHIV), fertility desire which is the desire to have more children is increasing due to the improvement in quality of life and survival resulting from anti-retroviral treatment and also improved sexual and reproductive health services. Fertility desires can result in increased risk of HIV transmission, especially in unprotected heterosexual intercourse. There is limited information regarding the fertility desires and predictors among PLHIV in our environment.</p><p><strong>Methods: </strong>This study was aimed at assessing the fertility desires and predictors in PLHIV in Northcentral Nigeria. Study was descriptive cross-sectional. Semi-structured interviewer administered pretested questionnaires was used to get information from 170 PLHIV accessing care in a secondary health-care facility selected by the systematic sampling technique. Data were analyzed using the SPSS software version 23.0. At 95% confidence interval (CI), a <i>P</i> < 0.05 was considered to be statistically significant. Chi-square and logistic regression.</p><p><strong>Results: </strong>Fertility desire was found among 64.1% of the respondents. Younger age (odds ratio [OR] = 0.2270; 95% CI = 0.0662-0.7791, <i>P</i> = 0.0184), having no child or a smaller number of children (OR = 0.0432; CI = 0.0046-0.4050; <i>P</i> = 0.0059) and suppressed viral loads (OR = 4.1069; CI = 1.1650-14.4784; <i>P</i> = 0.0280) were the predictors for fertility desire.</p><p><strong>Conclusion: </strong>This study showed that PLHIV had high fertility desires but do not know any safe method of conception, hence intensified effort should be made by primary care providers and other health-care workers to include sexual and reproductive health counselling during routine HIV clinic visits to enable PLHIV make informed decision about their fertility desires.</p>","PeriodicalId":51581,"journal":{"name":"Journal of Global Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/1d/JGID-14-106.PMC9552346.pdf","citationCount":"1","resultStr":"{\"title\":\"Fertility Desires and its Predictors among Persons Living with HIV in a Secondary Health Facility in Northcentral Nigeria.\",\"authors\":\"Chikwendu Amaike, Tolulope Olumide Afolaranmi, Blessing Adaku Amaike, Hadiza Abigail Agbo, Olumide Abiodun\",\"doi\":\"10.4103/jgid.jgid_6_22\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Among people living with HIV (PLHIV), fertility desire which is the desire to have more children is increasing due to the improvement in quality of life and survival resulting from anti-retroviral treatment and also improved sexual and reproductive health services. Fertility desires can result in increased risk of HIV transmission, especially in unprotected heterosexual intercourse. There is limited information regarding the fertility desires and predictors among PLHIV in our environment.</p><p><strong>Methods: </strong>This study was aimed at assessing the fertility desires and predictors in PLHIV in Northcentral Nigeria. Study was descriptive cross-sectional. Semi-structured interviewer administered pretested questionnaires was used to get information from 170 PLHIV accessing care in a secondary health-care facility selected by the systematic sampling technique. Data were analyzed using the SPSS software version 23.0. At 95% confidence interval (CI), a <i>P</i> < 0.05 was considered to be statistically significant. Chi-square and logistic regression.</p><p><strong>Results: </strong>Fertility desire was found among 64.1% of the respondents. Younger age (odds ratio [OR] = 0.2270; 95% CI = 0.0662-0.7791, <i>P</i> = 0.0184), having no child or a smaller number of children (OR = 0.0432; CI = 0.0046-0.4050; <i>P</i> = 0.0059) and suppressed viral loads (OR = 4.1069; CI = 1.1650-14.4784; <i>P</i> = 0.0280) were the predictors for fertility desire.</p><p><strong>Conclusion: </strong>This study showed that PLHIV had high fertility desires but do not know any safe method of conception, hence intensified effort should be made by primary care providers and other health-care workers to include sexual and reproductive health counselling during routine HIV clinic visits to enable PLHIV make informed decision about their fertility desires.</p>\",\"PeriodicalId\":51581,\"journal\":{\"name\":\"Journal of Global Infectious Diseases\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2022-08-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/1d/JGID-14-106.PMC9552346.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Global Infectious Diseases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jgid.jgid_6_22\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/7/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Global Infectious Diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jgid.jgid_6_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/7/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 1
摘要
导言:在艾滋病毒感染者中，由于抗逆转录病毒治疗改善了生活质量和生存率，以及性健康和生殖健康服务的改善，生育愿望(即生育更多孩子的愿望)正在增加。生育欲望会增加艾滋病毒传播的风险，特别是在无保护的异性性交中。在我们的环境中，关于PLHIV的生育愿望和预测因素的信息有限。方法:本研究旨在评估尼日利亚中北部艾滋病毒感染者的生育意愿和预测因素。研究采用描述性横断面。采用半结构化采访者管理的预测问卷，通过系统抽样技术从170名在二级卫生保健机构获得护理的艾滋病毒感染者中获取信息。数据采用SPSS软件23.0进行分析。在95%置信区间(CI)， P < 0.05被认为具有统计学意义。卡方回归和逻辑回归。结果:64.1%的被调查者存在生育愿望。年龄较小(优势比[OR] = 0.2270;95% CI = 0.0662-0.7791, P = 0.0184)，无子女或子女数量较少(or = 0.0432;Ci = 0.0046-0.4050;P = 0.0059)和抑制病毒载量(OR = 4.1069;Ci = 1.1650-14.4784;P = 0.0280)是生育意愿的预测因子。结论:本研究表明，艾滋病毒感染者有较高的生育愿望，但不知道任何安全的受孕方法，因此，应加强初级保健提供者和其他卫生保健工作者的努力，在常规艾滋病毒门诊就诊时纳入性健康和生殖健康咨询，使艾滋病毒感染者对其生育愿望作出知情决定。
Fertility Desires and its Predictors among Persons Living with HIV in a Secondary Health Facility in Northcentral Nigeria.
Introduction: Among people living with HIV (PLHIV), fertility desire which is the desire to have more children is increasing due to the improvement in quality of life and survival resulting from anti-retroviral treatment and also improved sexual and reproductive health services. Fertility desires can result in increased risk of HIV transmission, especially in unprotected heterosexual intercourse. There is limited information regarding the fertility desires and predictors among PLHIV in our environment.
Methods: This study was aimed at assessing the fertility desires and predictors in PLHIV in Northcentral Nigeria. Study was descriptive cross-sectional. Semi-structured interviewer administered pretested questionnaires was used to get information from 170 PLHIV accessing care in a secondary health-care facility selected by the systematic sampling technique. Data were analyzed using the SPSS software version 23.0. At 95% confidence interval (CI), a P < 0.05 was considered to be statistically significant. Chi-square and logistic regression.
Results: Fertility desire was found among 64.1% of the respondents. Younger age (odds ratio [OR] = 0.2270; 95% CI = 0.0662-0.7791, P = 0.0184), having no child or a smaller number of children (OR = 0.0432; CI = 0.0046-0.4050; P = 0.0059) and suppressed viral loads (OR = 4.1069; CI = 1.1650-14.4784; P = 0.0280) were the predictors for fertility desire.
Conclusion: This study showed that PLHIV had high fertility desires but do not know any safe method of conception, hence intensified effort should be made by primary care providers and other health-care workers to include sexual and reproductive health counselling during routine HIV clinic visits to enable PLHIV make informed decision about their fertility desires.
期刊介绍：
JGID encourages research, education and dissemination of knowledge in the field of Infectious Diseases across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in Infectious Diseases to promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.
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