scholarly journals Factors associated with contraceptive use among women living with HIV in Canada: a controlled, cross-sectional study

2022 ◽  
Vol 19 (1) ◽  
Author(s):  
Chadni C. Khondoker ◽  
Angela Kaida ◽  
Anna Marquez ◽  
Amber R. Campbell ◽  
Hélène C. F. Côté ◽  
...  
Keyword(s):  
Drug Interactions ◽  
Contraceptive Use ◽  
Full Range ◽  
Hormonal Contraceptives ◽  
Healthcare Team ◽  
Care Providers ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
The Impact

Abstract Background Multiple contraindications to combined hormonal contraceptives (CHC) use exist. The impact of these factors on contraceptive choice, particularly among women living with HIV (WLWH), is not well understood. We measured and compared the prevalence of contraceptive use and contraindications among WLWH and women not living with HIV (controls). Methods We examined cross-sectional survey and medical chart data from 83 WLWH and 62 controls, aged 16–49 and sexually active, from 2013–2017. We compared the age-adjusted prevalence and types of contraceptives used in the last month and the proportion of women with CHC contraindications, including drug interactions, medical comorbidities, and smoking at ≥ 35 years old. All WLWH received care at an interdisciplinary, women-centred HIV clinic. Results Compared to controls, WLWH were older (median [IQR)] 39 [34–43] vs 31 [23–41] years; p = 0.003), had less post-secondary education (37% vs 73%; p < 0.001), and more often had household income < $15,000/year (49% vs 30%; p = 0.006). WLWH trended to higher contraceptive prevalence than controls (80% vs 63%; p = 0.06 adjusted for age). Overall hormonal contraceptive use was similar. However, despite controlling for age, WLWH used CHC less (4% vs 18%; p = 0.006) than controls, and had more frequently undergone tubal ligation (12% vs 2%; p = 0.03). WLWH also experienced more CHC contraindications (54% vs 13%; p = 0.0001), including smoking at ≥ 35 years old (30% vs 6%; p = 0.0003) or a CHC-related drug interaction (all antiretroviral related) (25% vs 0%; p = 0.0001). Conclusions WLWH attending our interdisciplinary clinic used hormonal contraception at similar rates as controls, though with different types. Differences may reflect different distributions of CHC contraindications. CHC contraindications present barriers to accessing the full range of contraceptive choices for WLWH. Guidelines and education for care providers and WLWH regarding contraceptive choices and drug interactions are needed, especially when care is provided without the benefit of an interdisciplinary women-centered healthcare team.

scholarly journals Prevalence of Drug–Drug Interactions with Hormonal Contraceptives and Antiretrovirals in Women Living with HIV

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S662-S662
Author(s):  
Milena M McLaughlin ◽  
Ashley Jensen ◽  
Susan Cohn ◽  
Kristin Darin
Keyword(s):  
Drug Interactions ◽  
Hormonal Contraceptives ◽  
Women Living With Hiv ◽  
Living With Hiv

scholarly journals Drug–Drug Interactions, Effectiveness, and Safety of Hormonal Contraceptives in Women Living with HIV

Drug Safety ◽  
2016 ◽  
Vol 39 (11) ◽  
pp. 1053-1072 ◽  
Author(s):  
Kimberly K. Scarsi ◽  
Kristin M. Darin ◽  
Catherine A. Chappell ◽  
Stephanie M. Nitz ◽  
Mohammed Lamorde
Keyword(s):  
Drug Interactions ◽  
Hormonal Contraceptives ◽  
Women Living With Hiv ◽  
Living With Hiv

Social Determinants of Depression Among Older Black Women Living With HIV

2019 ◽  
Vol 26 (6) ◽  
pp. 576-585 ◽  
Author(s):  
Giovanna C. De Oliveira ◽  
Rosina Cianelli ◽  
Natalia Villegas ◽  
Angel Solorzano Martinez ◽  
Kimberly Hires ◽  
...  
Keyword(s):  
Black Women ◽  
Social Determinants ◽  
Age Groups ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Prevalence Of Depression ◽  
Severity Of Depression ◽  
The Individual ◽  
Living With Hiv ◽  
The Impact

BACKGROUND: The prevalence of depression spans age-groups, but it can be particularly destructive for older people with chronic illness. Among older Black women living with HIV (OBWLH), multiple social determinants have been associated with the prevalence and severity of depression. A greater understanding of the impact of the social determinants at the individual, interpersonal, and community levels is needed. AIMS: To explore social determinants of depression among OBWLH at the intrapersonal, interpersonal, and community levels. METHOD: Cross-sectional descriptive design. RESULTS: A total of 118 OBWLH were analyzed in the study. Depression was prevalent among the participants. Approximately 89.8% of the participants had moderate to severe depressive symptoms. Health status, exercise, and social support were significant predictors of depression in the sample. CONCLUSION: Social determinants at multiple levels play a significant role in the occurrence and management of depression among OBWLH. Implications for practice, education, and research can be drawn from these findings.

scholarly journals Assessment of Modern Contraceptive Utilization and Associated Factors Among Women Living With HIV/AIDS In DTRH In Debre Tabor Town, South Gondar Zone, Ethiopia

2021 ◽  
Author(s):  
Endeshaw Chekol Abebe ◽  
Teklie Mengie Ayele ◽  
Tadesse Asmamaw Dejenie ◽  
Zelalem Tilahun Muche
Keyword(s):  
Associated Factors ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Global Public Health ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Contraceptive Utilization ◽  
Debre Tabor ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background: Preventing unintended pregnancy among HIV-positive women constitutes a critical global public health priority for addressing the desperate state of maternal and child health in HIV hyper endemic settings, yet few data exist on contraceptive use among women having ART follow up in Debre Tabor Referral Hospital (DTRH). Therefore, the main objective of this study was to assess contraceptive utilization and associated factors among women aged 15-49 years living with HIV/AIDS in DTRH, Ethiopia.Methods: Institution based cross-sectional study was conducted from January 02 to February 03, 2020 on women aged 15-49 years living with HIV/AIDS in DTRH. A total of 415 reproductive women living with HIV/AIDS were selected for the study using simple random sampling technique. Data was collected using structured questionnaires through face to face interview by two trained nurses assigned at ART clinic of DTRH during data collection period. The data was presented using descriptive statistics of frequency and percentage and the association between dependent and selected independent variables was determined by inferential statistics of chi-square test.Result: The study analysis shows that there is significant association (p<0.05) between educational status (p<0.001), knowledge about modern contraceptive (p<0.001), spouse approval (p<0.001) and receive counseling about modern contraceptive (p<0.001) with their modern contraceptive use.Conclusion: This study in generally showed lower utilization of modern contraceptive in the study area.

Patterns of cesarean birth among women living with HIV in Ontario: A cross‐sectional, population‐level study

Birth ◽  
2021 ◽  
Author(s):  
Esther S. Shoemaker ◽  
Tana Saiyin ◽  
Stephanie Smith ◽  
Mona Loutfy ◽  
Liz Darling ◽  
...  
Keyword(s):  
Population Level ◽  
Cross Sectional ◽  
Cesarean Birth ◽  
Women Living With Hiv ◽  
Living With Hiv

Quality of Life in People Living With HIV: An Exploratory Cross-Sectional Survey in Belgium

2021 ◽  
Vol 33 (3) ◽  
pp. 249-264
Author(s):  
Gert Scheerder ◽  
Sandra Van den Eynde ◽  
Patrick Reyntiens ◽  
Ria Koeck ◽  
Jessika Deblonde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Sexual Life ◽  
People Living With Hiv ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Related Stigma ◽  
Living With Hiv ◽  
The Impact

This cross-sectional survey explored the quality of life in 505 people living with HIV in Belgium. Several domains of quality of life were impaired: 26% had been diagnosed with depression and 43% had weak social support. HIV-related stigma is still widespread, with 49% believing most people with HIV are rejected and 65% having experienced discrimination due to HIV. The impact of HIV was limited on professional life, but 40% experienced a negative impact on life satisfaction and 41% a negative impact on sexual life. For several domains, people with a recent diagnosis of HIV and long-term survivors had significantly worse scores. This survey also uncovered strengths of people living with HIV, such as positive coping and HIV self-image. Expanding the scope of quality of life in people living with HIV may provide a more complete picture of relevant life domains that may be impacted by living with HIV, but this needs further validation.

scholarly journals Contraceptive use following unintended pregnancy among Ugandan women living with HIV

PLoS ONE ◽  
2018 ◽  
Vol 13 (10) ◽  
pp. e0206325
Author(s):  
Jana Jarolimova ◽  
Jerome Kabakyenga ◽  
Kara Bennett ◽  
Winnie Muyindike ◽  
Annet Kembabazi ◽  
...  
Keyword(s):  
Unintended Pregnancy ◽  
Contraceptive Use ◽  
Women Living With Hiv ◽  
Living With Hiv

scholarly journals Burden of HIV-Related Stigma and Post-Partum Depression: A Cross-Sectional Study of Patients Attending Prevention of Mother-to-Child Transmission Clinic at Kenyatta National Hospital in Nairobi

2021 ◽  
Vol 11 ◽  
Author(s):  
Obadia Yator ◽  
Muthoni Mathai ◽  
Tele Albert ◽  
Manasi Kumar
Keyword(s):  
Postpartum Depression ◽  
Post Partum ◽  
Internalized Stigma ◽  
Child Transmission ◽  
National Hospital ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Related Stigma ◽  
Living With Hiv ◽  
Mother To Child

Background: We look at how various HIV-related stigma subtypes, especially internalizing types, interact with postpartum depression (PPD) among women living with HIV. Additionally, we identify key psychosocial risk factors that influence stigma and PPD among women attending Prevention of Mother-to-Child Transmission (PMTCT) clinics.Methods: In this cross-sectional design, 123 women living with HIV were recruited. Participants ages between 18 and 50, who were at least 8 weeks postpartum seeking PMTCT services at Kenyatta National Hospital (KNH), between June and September 2014 participated in the study. HIV/AIDS Stigma Instrument—PLWHA (HASI–P) was used to assesses stigma and Postpartum depression was assessed by Edinburgh Postnatal Depression Scale (EPDS). Bivariate and multivariate regression models were used to determine the individual characteristics associated with the HIV-related stigma Scale. Post survey a few in-depth-interviews were conducted to explore individuals' stigma and depression experiences.Results: The mean age was 31.2 years (SD = 5.2). Fifty-nine (48%) women screened positive for significant depressive symptoms. Post-partum depression was a significant predictor of internalized stigma, enacted, and total stigma (P &lt; 0.05). Older age was associated with less internalized stigma. Living with a partner was associated with more internalized stigma. Having an income above 100 USD per month was protective against stigma. Having good family social support was protective against internalized stigma. A higher educational level was protective against enacted stigma. Being treated for STIs was a risk factor for both enacted and overall stigma.Conclusions: HIV-related stigma needs to be addressed through integrated mental health care programs in PMTCT. Postpartum depression requires comprehensive management to improve short- and long-term outcomes of women living with HIV.

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