Unplanned pregnancies and contraceptive use among HIV- positive women in care

PloS One
Madeline Y SuttonEmma L Frazier

Abstract

Among 230,360 women with diagnosed HIV in the United States (U.S.), ~ 8,500 give birth annually, and unplanned pregnancies (as with HIV-negative women) are prevalent. However, unplanned pregnancies and contraceptive use among HIV-positive women have been understudied. To examine unplanned pregnancies and contraceptive use among HIV-positive women, we used 2013-2014 data from the Medical Monitoring Project (MMP), an HIV surveillance system that produces national estimates for HIV-positive adults in care in the U.S. (Pregnancy outcome dates were from years 1986-2015 for this cohort of women who were interviewed during 2013-2014; median year of reported pregnancy outcome was year 2003). Women in HIV care and diagnosed with HIV before age 45 (reproductive age) were included. We calculated adjusted prevalence ratios (aPR) of unplanned pregnancies with 95% confidence intervals (CI). For women who were aged 18-44 years at time of interview, we computed weighted prevalences of contraceptive use (previous 12 months) by method, including permanent (i.e., sterilization), short-acting (i.e., pills, depo-progesterone acetate (DMPA)), long-acting reversible contraceptives (LARC) (i.e., implants), and barriers (i.e., condoms). Six hundred sev...Continue Reading

References

May 6, 2003·Perspectives on Sexual and Reproductive Health·John SantelliUNKNOWN Unintended Pregnancy Working Group
Sep 14, 2007·American Journal of Obstetrics and Gynecology·Denise J JamiesonLynne M Mofenson
Jul 17, 2010·Human Reproduction Update·P D BlumenthalK Gemzell-Danielsson
Sep 5, 2012·Pediatrics·Steven NesheimJonathan Mermin
Sep 22, 2012·Obstetrics and Gynecology·Mengyang SunL Stewart Massad
Nov 6, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Madeline Y SuttonEmma L Frazier
Feb 15, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Lisa RahangdaleUNKNOWN HOPES (HIV and OB Pregnancy Education Study)
Mar 5, 2016·The New England Journal of Medicine·Katherine Luzuriaga, Lynne M Mofenson
Mar 11, 2016·The New England Journal of Medicine·Lawrence B Finer, Mia R Zolna
Jul 14, 2016·The New England Journal of Medicine·Katherine Luzuriaga, Lynne M Mofenson
Jul 28, 2016·JAMA : the Journal of the American Medical Association·Jared Fox, Wanda Barfield
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Jul 29, 2016·MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports·Kathryn M CurtisMaura K Whiteman

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Citations

Feb 7, 2019·PloS One·Clara E Van OmmenMelanie C M Murray
Feb 7, 2019·The Pediatric Infectious Disease Journal·Steven R NesheimMargaret A Lampe
Sep 8, 2020·BMC Public Health·Anthony Idowu Ajayi, Henrietta Chinelo Ezegbe
Dec 29, 2020·American Journal of Obstetrics & Gynecology MFM·Annie M DudeLynn M Yee
Feb 9, 2021·Current Obstetrics and Gynecology Reports·Gopika R Krishna, Lisa B Haddad

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Methods Mentioned

BETA
contraception
hysterectomy

Software Mentioned

SAS

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