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Use of Effective Family Planning Methods and Frequency of Sex among HIV-infected and HIV-uninfected African Women

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dc.contributor.author Aizire, Jim
dc.contributor.author Dadabhai, Sufia
dc.contributor.author Taulo, Frank
dc.contributor.author Makanani, Bonus
dc.contributor.author Gadama, Luis
dc.contributor.author Sun, Jin
dc.contributor.author Tsui, Amy
dc.contributor.author Taha, Taha E.
dc.date.accessioned 2019-02-13T11:33:21Z
dc.date.available 2019-02-13T11:33:21Z
dc.date.issued 2018
dc.identifier.uri http://awdflibrary.org:8080/xmlui/handle/123456789/767
dc.description.abstract Background: Frequency of sex, contraceptive use and HIV infection are key determinants of fertility. Use of an effective family planning (EFP) method (injectable, oral, intra-uterine contraceptive device (IUCD), or Norplant) potentially eliminates women’s concerns of unintended pregnancy. We report the association between EFP and frequency of sex among HIV-infected and HIV-uninfected non-pregnant African women. Methods: Prospective fertility intentions study nested within a phase 3 randomized double-masked placebo-controlled trial (2003-2005) to treat genital tract infections in HIV-infected and HIV-uninfected non-pregnant women. Enrollment of study participants was stratified by HIV infection status. Data on demographics, family planning and sexual history were obtained at baseline and at 3, 6, 9 and 12 months. Chi square and Wilcoxon Rank-Sum tests were used to compare categorical and continuous variables, respectively. Generalized Estimating Equations method was used to estimate relative risk (RR) of frequent sex (≥ 2 acts/week) among users of different EFP methods (injectable, oral, implant or intra-uterine contraceptive device). Results: After adjusting for age, current health status, and fertility intentions, EFP use was significantly associated with frequent sex among HIV-infected women (RR 1.32; 95% Confidence Interval [CI] 1.14-1.52); this association was not statistically significant among HIV-uninfected women (RR 1.10; 95% CI 0.96-1.24). Fertility intentions among HIV-infected, and education among HIV-uninfected womenwere independent predictors of sex frequency. Conclusion: These data suggest that the association between EFP use and frequency of sex among women varies by HIV infection status. Service-delivery of diverse EFP methods should be integrated within HIV counseling, testing and treatment facilities. en_US
dc.language.iso en en_US
dc.relation.ispartofseries Aizire et al. Contraception and Reproductive Medicine;3:10
dc.subject Contraception en_US
dc.subject HIV-uninfected African women en_US
dc.subject HIV/AIDS en_US
dc.subject Sub-Saharan Africa en_US
dc.subject Sexual behavior en_US
dc.subject Family planning en_US
dc.subject Sex en_US
dc.subject HIV-infected en_US
dc.title Use of Effective Family Planning Methods and Frequency of Sex among HIV-infected and HIV-uninfected African Women en_US
dc.type Article en_US


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