Pregnancy Incidence and Fertility Desires Among Couples by HIV Status in Rakai, Uganda

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dc.contributor.authorBrahmbhatt, Heena
dc.contributor.authorSantelli, John
dc.contributor.authorKaagayi, Joseph
dc.contributor.authorLutalo, Tom
dc.contributor.authorSerwadda, David
dc.contributor.authorMakumbi, Frederick
dc.date.accessioned2021-12-17T12:13:42Z
dc.date.available2021-12-17T12:13:42Z
dc.date.issued2019
dc.description.abstractThe desire for more children and pregnancy rates are influenced by many relationship dynamics and HIV serostatus of couples.Rakai Community Cohort Study in Uganda.Couple data were retrospectively linked from survey rounds between 2007 and 2015 to assess drivers of fertility desire and pregnancy incidence by HIV status (M−F−; M+F+; M−F+; and M+F−). Multivariable modified Poisson regression was used to estimate prevalence ratios of fertility desire, whereas multivariable Poisson regression was used to estimate incidence rate ratios of pregnancy associated with couple characteristics.Six thousand six hundred forty-seven couples contributed to 7656 person-years. Approximately 40% of couples (where at least 1 HIV+) desired more children. Unmet need for family planning was evident; couples of mediumor low Socioeconomic status and with coresident children had lower fertility desires but higher pregnancy rates. Older age, being in a polygamous union, and having a HIV+ spouse in care were associated with lower fertility desire while having an older male partner was associated with higher fertility desire. Pregnancy incidence was lower with older age, among women using hormonal contraception and condoms, HIV+ concordant couples and couples where the HIV+ spouse was in care while pregnancy incidence were higher among women who desired more children, and serodiscordant couples (M−F+).There are many drivers of fertility desires and pregnancy rates, and HIV does not diminish the desire for more children. Unmet need for family planning was evident and highlighted the need to understand and meet the contraceptive needs of couples.en_US
dc.identifier.citationBrahmbhatt, H., Santelli, J., Kaagayi, J., Lutalo, T., Serwadda, D., & Makumbi, F. (2019). Pregnancy Incidence and Fertility Desires Among Couples by HIV Status in Rakai, Uganda. JAIDS Journal of Acquired Immune Deficiency Syndromes, 80(5), 494-502.doi: 10.1097/QAI.0000000000001951en_US
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/729
dc.language.isoenen_US
dc.publisherJAIDS Journal of Acquired Immune Deficiency Syndromesen_US
dc.subjectfertility desires; pregnancy incidence; HIV; serodiscordant couples; couples; contraceptivesen_US
dc.titlePregnancy Incidence and Fertility Desires Among Couples by HIV Status in Rakai, Ugandaen_US
dc.typeArticleen_US
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