Dataset Information
Unintended pregnancy among HIV positive couples receiving integrated HIV counseling, testing, and family planning services in Zambia.
Ontology highlight
ABSTRACT: Objective
We describe rates of unintended pregnancy among HIV positive couples in Lusaka, Zambia. We also identify factors associated with unintended pregnancy among oral contraceptive pill (OCP) using couples in this cohort.Design
Data were analyzed from couples randomized in a factorial design to two family planning intervention videos.Methods
Rates of unintended pregnancy were stratified by contraceptive method used at time of pregnancy. Predictors of time to unintended pregnancy among OCP users were determined via multivariate Cox modeling.Results
The highest rates of unintended pregnancy were observed among couples requesting condoms only (26.4/100CY) or OCPs (20.7/100CY); these rates were not significantly different. OCP users accounted for 37% of the couple-years (CY) observed and 87% of unintended pregnancies. Rates of unintended pregnancy for injectable (0.7/100CY) and intrauterine device (1.6/100CY) users were significantly lower relative to condom only users. No pregnancies occurred among contraceptive implant users or after tubal ligation. Factors associated (p<0.05) with time to unintended pregnancy among OCP users in multivariate analysis included the man wanting more children, the woman being HIV negative versus having stage IV HIV disease, and the woman reporting: younger age, no previous OCP use, missed OCPs, or sex without a condom.Conclusions
Long-acting reversible contraceptive methods were effective in the context of integrated couples HIV prevention and contraceptive services. Injectable methods were also effective in this context. Given the high user failure rate of OCPs, family planning efforts should promote longer-acting methods among OCP users wishing to avoid pregnancy. Where other methods are not available or acceptable, OCP adherence counseling is needed, especially among younger and new OCP users.Trial registration
ClinicalTrials.gov NCT00067522.
SUBMITTER: Wall KM
PROVIDER: S-EPMC3787093 | biostudies-literature | 2013
REPOSITORIES: biostudies-literature
Publications
Unintended pregnancy among HIV positive couples receiving integrated HIV counseling, testing, and family planning services in Zambia.
PloS one 20130930 9
<h4>Objective</h4>We describe rates of unintended pregnancy among HIV positive couples in Lusaka, Zambia. We also identify factors associated with unintended pregnancy among oral contraceptive pill (OCP) using couples in this cohort.<h4>Design</h4>Data were analyzed from couples randomized in a factorial design to two family planning intervention videos.<h4>Methods</h4>Rates of unintended pregnancy were stratified by contraceptive method used at time of pregnancy. Predictors of time to unintende ...[more]