HIV-seropositivity is not important in childbearing decision-making among HIV-positive Ghanaian women receiving antiretroviral therapy

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dc.contributor.author Laar, A.K.
dc.contributor.author Taylor, A.E.
dc.contributor.author Akasoe, B.A.
dc.date.accessioned 2018-09-14T11:10:48Z
dc.date.available 2018-09-14T11:10:48Z
dc.date.issued 2015-02
dc.identifier.other Volume 27, Issue 7
dc.identifier.other https://doi.org/10.1080/09540121.2015.1007115
dc.identifier.uri http://ugspace.ug.edu.gh/handle/123456789/24179
dc.description.abstract Women in their reproductive years make up about 50% of all HIV-positive persons globally. These women, just as their HIV-negative counterparts, wield the right to procreate. However, HIV infection and lack of appropriate information on reproductive options may negatively impact women's procreative decision-making. This study assessed fertility intentions of HIV-positive women receiving antiretroviral therapy (ART) in southern Ghana. Quantitative methods were used to collect data from HIV-positive women receiving ART at four treatment centers. HIV-positive aged 18–49 years, and receiving ART were selected using systematic random sampling technique. Three hundred eighteen women were interviewed after informed consent. We used univariate analysis to generate descriptive tabulations for key variables. Bivariate analysis and logistic regression modeling respectively produced unadjusted and adjusted associations between background attributes of respondents and their childbearing decision-making. All analyses were performed using IBM SPSS Statistics for Windows, Version 20.0. Irrespective of age, reproductive history, and duration of HIV diagnosis, 46% of the women were desirous of procreating. The bivariate level analysis shows that women in their late reproductive ages (30–39 years) had the strongest desire to procreate (p < 0.001). After controlling for a number of covariates, primiparous and secundiparious women were about twice as likely to desire children (aOR = 2.553; 95% CI 1.480–4.401), and so were women aged 30–39 years (aOR = 2.149; 95% CI 1.202–3.843). Of 54% women who do not wish to procreate, achievement of desired family size (64.3%) was more popular a reason than fear of vertical transmission of HIV (7.5%), poor health status (5%), and pregnancy-related complications (1.6%). en_US
dc.language.iso en en_US
dc.publisher AIDS Care Psychological and Socio-medical Aspects of AIDS/HIV en_US
dc.subject fertility intentions en_US
dc.subject childbearing decision-making en_US
dc.subject HIV-seropositivity en_US
dc.subject ART en_US
dc.subject Ghana en_US
dc.title HIV-seropositivity is not important in childbearing decision-making among HIV-positive Ghanaian women receiving antiretroviral therapy en_US
dc.type Article en_US


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