Skip to main content

Research Repository

Advanced Search

HIV/AIDS and contraceptive use: Factors associated with contraceptive use among sexually-active HIV-positive women in Kenya

Magadi, Monica A.; Magadi, Winnie A.


Monica A. Magadi

Winnie A. Magadi


Objectives: With increased availability of anti-retroviral therapy and improved survival for people living with HIV, more HIV-positive women are leading full reproductive lives. However, HIV-positive women have special contraceptive needs/concerns. This paper examines the individual and community-level HIV/AIDS factors associated with contraceptive use and compares predictors of contraceptive uptake between HIV-positive and HIV-negative women in Kenya. Study design: The study is based on secondary analysis of cross-sectional data of a sample of 9132 sexually-active women of reproductive age from the Kenya Demographic and Health Surveys collected in 2003 and 2008. Multilevel logistic regression models are used to examine individual and contextual community-level factors associated with current contraceptive use. Results: The study provides evidence of lower contraceptive uptake among women living in high HIV-prevalence communities. It further reveals striking differences in factors associated with contraceptive uptake between HIV-positive and HIV-negative women. Education and the desire to stop childbearing are strongly associated with contraceptive uptake among uninfected women, but both factors are not significant among HIV-positive women for whom wealth is the most important factor. While HIV-negative women in the richest wealth quintile are about twice as likely to use contraceptives as their counterparts of similar characteristics in the poorest quintile, this gap is about seven-fold among HIV-positive women. Conclusion: These findings suggest that having the desire and relevant knowledge to use contraceptives does not necessarily translate into expected contraceptive behavior for HIV-positive women in Kenya and that poor HIV-positive women may be particularly in need of increased access to contraceptive services.


Magadi, M. A., & Magadi, W. A. (2017). HIV/AIDS and contraceptive use: Factors associated with contraceptive use among sexually-active HIV-positive women in Kenya. Contraception, 95(3), 312-321.

Journal Article Type Article
Acceptance Date Oct 31, 2016
Online Publication Date Nov 9, 2016
Publication Date 2017-03
Deposit Date Nov 2, 2016
Publicly Available Date Oct 27, 2022
Journal Contraception
Print ISSN 0010-7824
Electronic ISSN 1879-0518
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 95
Issue 3
Pages 312-321
Keywords HIV-positive women; Contraceptive uptake; Kenya; Multilevel logistic regression
Public URL
Publisher URL
Additional Information Authors' accepted manuscript of article published in: Contraception, 2017, v.95 issue 3.


You might also like

Downloadable Citations