Prevalence and Correlates of Use of Safer Conception Methods in a Prospective Cohort of Ugandan HIV-Affected Couples with Fertility Intentions.

Document Type

Article

Publication Date

8-2017

Identifier

DOI: 10.1007/s10461-017-1732-7; PMCID: PMC5536997

Abstract

We examined the prevalence and correlates of safer conception methods (SCM) use in HIV-affected couples with fertility intentions. A prospective cohort of 400 HIV clients in Uganda who had fertility intentions with their partner was surveyed every 6 months for 24 months. Logistic regression analysis was used to determine individual, relationship and provider level predictors of SCM use. Over one-third (35%) reported any use of timed unprotected intercourse (TUI) during the study; use of other SCM was rare. Baseline predictors of any TUI use included lower social support, greater perceived provider stigma of childbearing, greater SCM awareness, greater control over sexual decision making in the relationship, inconsistent condom use, and the belief that a desire for childbearing impedes condom use. These findings highlight the need for policy and provider training regarding integration of safer conception counselling into family planning and reproductive health services for people living with HIV.

Journal Title

AIDS and behavior

Volume

21

Issue

8

First Page

2479

Last Page

2487

MeSH Keywords

Adult; Counseling; Family Planning Services; Female; Fertility; Fertilization; HIV Infections; Humans; Intention; Logistic Models; Male; Prevalence; Prospective Studies; Reproductive Behavior; Safe Sex; Sexual Behavior; Sexual Partners; Social Stigma; Surveys and Questionnaires; Uganda

Keywords

HIV; Safer conception; Timed unprotected intercourse; Uganda

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