Facing HIV infection and unintended pregnancy: Rakai, Uganda, 2001-2013

BMC Women's Health
Stephanie Ann GriloJohn S Santelli

Abstract

Unintended pregnancy is a persistent and global issue with consequences for the health and well-being of mothers and babies. The aim of this paper is to examine unintended pregnancy over time in the context of substantial human immunodeficiency virus (HIV) prevalence and increasing access to anti-retro viral therapy (ART). Data are from the Rakai Community Cohort Study (RCCS) - a cohort of communities with 10,000-12,000 adults, ages 15-49, in Rakai District, Uganda. We examined prevalence of current pregnancies over time, intended pregnancy, and unintended pregnancies (unwanted, mistimed, ambivalent). We then examined risk factors for the different categories of unintended pregnancy among women who were currently pregnant. The full sample included 32,205 observations over 13 years. The prevalence of mistimed pregnancy and unwanted pregnancy both decreased significantly over time (p < .001). The prevalence of current pregnancies and intended pregnancy showed no significant changes over the thirteen year period. The same overall pattern was found when only examining HIV positive women in the sample; however, the trends were not significant. Out of the 2820 current pregnancies reported, 54.4% were intended, 29.8% were mistimed, 13...Continue Reading

References

May 6, 2003·Perspectives on Sexual and Reproductive Health·John SantelliUNKNOWN Unintended Pregnancy Working Group
May 23, 2006·AIDS and Behavior·Sylvia NakayiwaRebecca Bunnell
Nov 28, 2006·Lancet·David A GrimesIqbal H Shah
Jan 11, 2007·International Journal of STD & AIDS·Ruby H N NguyenRonald H Gray
Apr 25, 2007·Social Science & Medicine·Diane CooperVirginia Zweigenthal
Jun 11, 2008·Studies in Family Planning·Jessica D GipsonMichelle J Hindin
Apr 6, 2011·Studies in Family Planning·Tom LutaloRonald H Gray
Apr 6, 2011·Studies in Family Planning·Susheela SinghRubina Hussain
Jun 18, 2011·International Journal of STD & AIDS·S C KagulireS J Reynolds
Mar 29, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·John S SantelliDavid M Serwadda
Apr 16, 2013·Journal of Virological Methods·Ronald M GaliwangoGodfrey Kigozi
Sep 11, 2014·Studies in Family Planning·Gilda SedghRubina Hussain
Jun 16, 2015·Global Social Welfare : Research, Policy & Practice·John SantelliDavid M Serwadda
Nov 2, 2016·PloS One·Elena PradaAkinrinola Bankole
Aug 22, 2017·International Perspectives on Sexual and Reproductive Health·Mahesh PuriMarjorie Crowell

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Citations

Jan 22, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Heena BrahmbhattFrederick Makumbi

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Methods Mentioned

BETA
circumcision
enzyme-linked immunosorbent assays
PCR
contraception

Software Mentioned

Stat Pak
Determine

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