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HIV/AIDS and contraceptive method choice : demographic and socio-economic correlates of contraceptive method choice among HIV-positive women practising family planning in Kenya

Magadi, Monica A.

Authors

Abstract

Introduction: As the generalized HIV epidemic in specific settings of sub-Saharan Africa continues to evolve, there is need for evidence-based response to address emerging challenges, which include enabling the large number of women living with HIV make informed choices to achieve their reproductive goals. Objectives: This paper seeks to (i) examine the effect of HIV/AIDS on contraceptive method choice among women using contraceptives in Kenya; and (ii) identify correlates of contraceptive method choice among HIV-positive women practising family planning. Material and Methods: We apply multinomial Logistic regression models to a sample of 3190 sexually-active women of reproductive age using contraceptives from the 2003 and 2008 Kenya Demographic and Health Surveys to examine the effect of HIV/AIDS on contraceptive method choice. The analysis of correlates of method choice among HIV-positive women is based on a sample of 255 HIV-positive women using contraceptives and involves bivariate cross-tabulations with Chi-Square tests. Result: Overall association between HIV status and contraceptive method choice is consistent with expected patterns, with women who are HIV-positive being more than twice as likely to use condoms rather than hormonal contraceptives, compared to their counterparts of similar characteristics who are HIV-negative (p<0.05). Among women infected with HIV, those who were previously tested for HIV were more likely to use condoms and less likely to use hormonal methods (p<0.05) than those who had never been tested. The higher use of condoms by HIV-positive women is only evident among those who had previously been tested for HIV. Significant correlates of contraceptive method choice among HIV-positive women include parity, marital status, age group, education and ethnicity. Overall trends suggest a notable shift from use of hormonal methods to condoms by HIV-positive women, but predominant use of hormonal methods (60%) and low use of condoms (23%) by HIV-positive young women aged 15-24 practising family planning is of potential concern. Conclusion: The findings have important implications for family planning policies/programs targeting young women living with HIV and underscore the need to intensify efforts towards improved HIV testing coverage to enable HIV-positive women make informed reproductive choices.

Journal Article Type Article
Publication Date Apr 18, 2016
Journal HIV/AIDS research and treatment : open journal
Print ISSN 2377-8377
Peer Reviewed Peer Reviewed
Volume 3
Issue 1
Pages 1-12
Institution Citation Magadi, M. A. (2016). HIV/AIDS and contraceptive method choice : demographic and socio-economic correlates of contraceptive method choice among HIV-positive women practising family planning in Kenya. HIV/AIDS research and treatment : open journal, 3(1), 1-12. doi:10.17140/HARTOJ-3-119
DOI https://doi.org/10.17140/HARTOJ-3-119
Keywords HIV-positive women, Contraceptive method choice, Demographic and socio-economic correlates, Multinomial regression analysis, Demographic and health survey, Kenya
Publisher URL http://openventio.org/Volume3_Issue1/HIV_AIDS_and_Contraceptive_Method_Choice_Demographic_and_Socio_Economic_Correlates_of_Contraceptive_Method_Choice_among_HIV_Positive_Women_Practising_Family_Planning_In_Kenya_HARTOJ_3_119.pdf
Additional Information Copy of article first published in: HIV/AIDS research and treatment : open journal, 2016, v.3, issue 1.

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Copyright Statement
©2016 Magadi MA. This is an open access article distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.




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