Factors Associated with Hormonal and Intrauterine Contraceptive Use among HIV-Infected Men and Women in Lilongwe, Malawi: A Cross-Sectional Study

Background. Understanding the factors associated with the use of hormonal and intrauterine contraception among HIV-infected men and women may lead to interventions that can help reduce high unintended pregnancy rates. Materials and Methods. This study is a subanalysis of a cross-sectional survey of...

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Bibliographic Details
Published in:Infectious Diseases in Obstetrics and Gynecology 2016, Vol.2016 (2016), p.120-127
Main Authors: Haddad, Lisa B., Hosseinipour, Mina C., Samala, Bernadette, Chaweza, Thom, Mlundira, Linly, Krashin, Jamie W., Ng’ambi, Wingston, Phiri, Sam, Tang, Jennifer H., Tweya, Hannock
Format: Article
Language:English
Subjects:
Adolescent
Adult
Contraception Behavior - statistics & numerical data
Contraceptive Agents, Female - therapeutic use
Cross-Sectional Studies
Female
Health aspects
HIV Infections - epidemiology
HIV patients
Humans
Intrauterine contraceptives
Intrauterine Devices - utilization
Malawi - epidemiology
Male
Young Adult
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Summary:Background. Understanding the factors associated with the use of hormonal and intrauterine contraception among HIV-infected men and women may lead to interventions that can help reduce high unintended pregnancy rates. Materials and Methods. This study is a subanalysis of a cross-sectional survey of 289 women and 241 men who were sexually active and HIV-infected and were attending HIV care visits in Lilongwe, Malawi. We estimated adjusted prevalence ratios (PRs) to evaluate factors associated with hormonal and intrauterine contraceptive use for men and women in separate models. Results and Discussion. 39.8% of women and 33.2% of men ( p = 0.117 ) reported that they were using hormonal or intrauterine contraception at last intercourse. Having greater than 3 children was the only factor associated with hormonal and intrauterine contraceptive use among men. Among women, younger age, not wanting a pregnancy in 2 years, being with their partner for more than 4 years, and being able to make family planning decisions by themselves were associated with hormonal and intrauterine contraceptive use. Conclusions. The men and women in our study population differed in the factors associated with hormonal and intrauterine contraceptive use. Understanding these differences may help decrease unmet FP needs among HIV-infected men and women.
ISSN:1064-7449
1098-0997
DOI:10.1155/2016/5429316