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Titolo:
A FAMILY-PLANNING INTERVENTION TO REDUCE VERTICAL TRANSMISSION OF HIVIN RWANDA
Autore:
KING R; ESTEY J; ALLEN S; KEGELES S; WOLF W; VALENTINE C; SERUFILIRA A;
Indirizzi:
UNIV CALIF SAN FRANCISCO,CTR AIDS PREVENT STUDIES,SUITE 600,74 NEW MONTGOMERY ST SAN FRANCISCO CA 94105 UNIV CALIF SAN FRANCISCO,CTR AIDS PREVENT STUDIES SAN FRANCISCO CA 94105 PROJECT SAN FRANCISCO KIGALI RWANDA UNIV CALIF SAN FRANCISCO,DEPT EPIDEMIOL & BIOSTAT SAN FRANCISCO CA 94143
Titolo Testata:
AIDS
, volume: 9, anno: 1995, supplemento:, 1
pagine: 45 - 51
SICI:
0269-9370(1995)9:<45:AFITRV>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY-VIRUS; REPRESENTATIVE SAMPLE; CHILDBEARING WOMEN; INFECTION; KIGALI; IMPACT; AIDS; MORTALITY; CHILDREN; AFRICA;
Keywords:
HORMONAL CONTRACEPTION; HIV SEROSTATUS; RWANDA; FAMILY PLANNING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
R. King et al., "A FAMILY-PLANNING INTERVENTION TO REDUCE VERTICAL TRANSMISSION OF HIVIN RWANDA", AIDS, 9, 1995, pp. 45-51

Abstract

Objectives: Since contraception is an effective way of preventing thevertical transmission of HIV, we evaluated the impact of a family planning intervention on hormonal contraceptive use and incident pregnancy in a group of HIV-positive and HIV-negative urban Rwandan women. Subjects and methods: In a longitudinal cohort study, 502 women who were not pregnant or infertile and who had been previously HIV tested and counseled viewed an informational video about hormonal contraception followed by a facilitated discussion. They were given access to oral or injectable hormonal contraception and Norplant at the research clinic;those who used these methods were seen every 3 months. Results: Of the 330 HIV-positive and 172 HIV-negative women who underwent the intervention, 120 either became new hormonal method users (n = 40), continued their previous use of a hormonal method (n = 64), or switched to another hormonal method (n = 16) following the intervention. There was a shift to use of longer lasting hormonal methods, and the annualized attrition rate was <15%, compared to >50% prior to the intervention. Rates of oral and injectable contraceptive use were similar among HIV-positive and HIV-negative women. Nine per cent of HIV-positive women became pregnant in the year after the intervention compared to 22% in a prior 12 month period when contraceptives were not provided at the studysite. The corresponding proportions for HIV-negative women were 20% after the intervention versus 30% before the intervention. Conclusions:Access to and information about hormonal contraceptives resulted in increased use and reduced attrition among both HIV-positive and HIV-negative women in this study. The reduction. in incident pregnancy was greatest among HIV-positive women, suggesting that factors other than access to hormonal contraceptives may have influenced fertility outcomes. Knowledge of HIV serostatus may have an important influence on family planning decisions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 21:33:22