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Use of effective family planning methods and frequency of sex among HIV-infected and HIV-uninfected African women.

ABSTRACT: Background:Frequency of sex, contraceptive use and HIV infection are key determinants of fertility. Use of an effective family planning (EFP) method (injectable, oral, intra-uterine contraceptive device (IUCD), or Norplant) potentially eliminates women's concerns of unintended pregnancy. We report the association between EFP and frequency of sex among HIV-infected and HIV-uninfected non-pregnant African women. Methods:Prospective fertility intentions study nested within a phase 3 randomized double-masked placebo-controlled trial (2003-2005) to treat genital tract infections in HIV-infected and HIV-uninfected non-pregnant women. Enrollment of study participants was stratified by HIV infection status. Data on demographics, family planning and sexual history were obtained at baseline and at 3, 6, 9 and 12 months. Chi square and Wilcoxon Rank-Sum tests were used to compare categorical and continuous variables, respectively. Generalized Estimating Equations method was used to estimate relative risk (RR) of frequent sex (? 2 acts/week) among users of different EFP methods (injectable, oral, implant or intra-uterine contraceptive device). Results:After adjusting for age, current health status, and fertility intentions, EFP use was significantly associated with frequent sex among HIV-infected women (RR 1.32; 95% Confidence Interval [CI] 1.14-1.52); this association was not statistically significant among HIV-uninfected women (RR 1.10; 95% CI 0.96-1.24). Fertility intentions among HIV-infected, and education among HIV-uninfected womenwere independent predictors of sex frequency. Conclusion:These data suggest that the association between EFP use and frequency of sex among women varies by HIV infection status. Service-delivery of diverse EFP methods should be integrated within HIV counseling, testing and treatment facilities. Trial registration:Registration number NCT00140764 under the clinicaltrials.gov, first Posted: September 1, 2005, last Update Posted: August 10, 2011.

SUBMITTER: Aizire J

PROVIDER: S-EPMC6036664 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Use of effective family planning methods and frequency of sex among HIV-infected and HIV-uninfected African women.

Aizire Jim J Dadabhai Sufia S Taulo Frank F Makanani Bonus B Gadama Luis L Sun Jin J Tsui Amy A Taha Taha E TE

Contraception and reproductive medicine 20180709

<h4>Background</h4>Frequency of sex, contraceptive use and HIV infection are key determinants of fertility. Use of an effective family planning (EFP) method (injectable, oral, intra-uterine contraceptive device (IUCD), or Norplant) potentially eliminates women's concerns of unintended pregnancy. We report the association between EFP and frequency of sex among HIV-infected and HIV-uninfected non-pregnant African women.<h4>Methods</h4>Prospective fertility intentions study nested within a phase 3 ...[more]

PMID: 30002871

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Dataset Information

Use of effective family planning methods and frequency of sex among HIV-infected and HIV-uninfected African women.

Publications

Use of effective family planning methods and frequency of sex among HIV-infected and HIV-uninfected African women.

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