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High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India: need to emphasize dual method use?

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Title: High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India: need to emphasize dual method use?
Authors: Darak, Shrinivas (AUTHOR), Hutter, Inge (AUTHOR), Kulkarni, Vinay (AUTHOR), Kulkarni, Sanjeevani (AUTHOR), Janssen, Fanny (AUTHOR)
Source: AIDS Care. Jan2016, Vol. 28 Issue 1, p43-51. 9p. 4 Charts, 1 Graph.
Subjects: HIV prevention, Antiretroviral agents, Vertical transmission (Communicable diseases), Abortion, Chi-squared test, Confidence intervals, Counseling, Fisher exact test, HIV infections, HIV-positive persons, Interviewing, Unwanted pregnancy, Research funding, Logistic regression analysis, Disease prevalence, Retrospective studies, Health literacy, Family planning, Data analysis software, Descriptive statistics, Odds ratio, Prevention
Geographic Terms: India
Abstract: This study examines the prevalence, reasons, and predictors of unwanted pregnancies and induced abortions among ever married HIV-infected women attending a care facility in Maharashtra, Western India, and discusses its programmatic and policy implications. Retrospectively collected data of pregnancies conceived after the diagnosis of HIV were analyzed using descriptive and logistic regression techniques. Among the 622 women interviewed, 113 women had 158 pregnancies with known outcomes after HIV diagnosis. Among these pregnancies, 80 (51%) were unwanted and 79 (50%) were voluntarily terminated. Fear of transmitting HIV to the child was a frequently mentioned reason for an unwanted pregnancy (71.8%) and induced abortion (59.5%). Women from urban areas [OR 2.43 (95% CI 1.23–4.79)] and with two or more live births before HIV diagnosis [OR 3.33 (95% CI 1.36–8.20)] were significantly more likely to report an unwanted pregnancy. Women with two or more live births before HIV diagnosis [OR 3.16 (95% CI 1.20–8.35)], who did not know that HIV transmission to the baby can be prevented [OR 3.29 (95% CI 1.48–7.34)] and with an unwanted pregnancy [OR 4.82 (95% CI 2.33–10.00)], were significantly more likely to terminate the pregnancy. Despite increased coverage of antiretroviral treatment, effective provision of reproductive healthcare services to HIV-infected women remains challenging. A high prevalence of unwanted pregnancies and induced abortions and a low level of knowledge about prevention of mother to child transmission (PMTCT) underscore the need for preconception counseling and provision of comprehensive family planning services to HIV-infected women. Enrolling all HIV-infected pregnant women, irrespective of their decision to continue with their pregnancy, in the PMTCT program and discussing with HIV-infected women and their partners at HIV diagnosis a full array of contraceptive methods and not just consistent use of condoms might be helpful in reducing unwanted pregnancies. [ABSTRACT FROM PUBLISHER]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India: need to emphasize dual method use?
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  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Darak%2C+Shrinivas%22">Darak, Shrinivas</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hutter%2C+Inge%22">Hutter, Inge</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kulkarni%2C+Vinay%22">Kulkarni, Vinay</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kulkarni%2C+Sanjeevani%22">Kulkarni, Sanjeevani</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Janssen%2C+Fanny%22">Janssen, Fanny</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jan2016, Vol. 28 Issue 1, p43-51. 9p. 4 Charts, 1 Graph.
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  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Antiretroviral+agents%22">Antiretroviral agents</searchLink><br /><searchLink fieldCode="DE" term="%22Vertical+transmission+%28Communicable+diseases%29%22">Vertical transmission (Communicable diseases)</searchLink><br /><searchLink fieldCode="DE" term="%22Abortion%22">Abortion</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Fisher+exact+test%22">Fisher exact test</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Unwanted+pregnancy%22">Unwanted pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Family+planning%22">Family planning</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22India%22">India</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This study examines the prevalence, reasons, and predictors of unwanted pregnancies and induced abortions among ever married HIV-infected women attending a care facility in Maharashtra, Western India, and discusses its programmatic and policy implications. Retrospectively collected data of pregnancies conceived after the diagnosis of HIV were analyzed using descriptive and logistic regression techniques. Among the 622 women interviewed, 113 women had 158 pregnancies with known outcomes after HIV diagnosis. Among these pregnancies, 80 (51%) were unwanted and 79 (50%) were voluntarily terminated. Fear of transmitting HIV to the child was a frequently mentioned reason for an unwanted pregnancy (71.8%) and induced abortion (59.5%). Women from urban areas [OR 2.43 (95% CI 1.23–4.79)] and with two or more live births before HIV diagnosis [OR 3.33 (95% CI 1.36–8.20)] were significantly more likely to report an unwanted pregnancy. Women with two or more live births before HIV diagnosis [OR 3.16 (95% CI 1.20–8.35)], who did not know that HIV transmission to the baby can be prevented [OR 3.29 (95% CI 1.48–7.34)] and with an unwanted pregnancy [OR 4.82 (95% CI 2.33–10.00)], were significantly more likely to terminate the pregnancy. Despite increased coverage of antiretroviral treatment, effective provision of reproductive healthcare services to HIV-infected women remains challenging. A high prevalence of unwanted pregnancies and induced abortions and a low level of knowledge about prevention of mother to child transmission (PMTCT) underscore the need for preconception counseling and provision of comprehensive family planning services to HIV-infected women. Enrolling all HIV-infected pregnant women, irrespective of their decision to continue with their pregnancy, in the PMTCT program and discussing with HIV-infected women and their partners at HIV diagnosis a full array of contraceptive methods and not just consistent use of condoms might be helpful in reducing unwanted pregnancies. [ABSTRACT FROM PUBLISHER]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=112295382
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2015.1066750
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 43
    Subjects:
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Antiretroviral agents
        Type: general
      – SubjectFull: Vertical transmission (Communicable diseases)
        Type: general
      – SubjectFull: Abortion
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Counseling
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: HIV-positive persons
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Unwanted pregnancy
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Family planning
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Prevention
        Type: general
      – SubjectFull: India
        Type: general
    Titles:
      – TitleFull: High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India: need to emphasize dual method use?
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            NameFull: Darak, Shrinivas
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            NameFull: Hutter, Inge
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            NameFull: Kulkarni, Vinay
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            NameFull: Kulkarni, Sanjeevani
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              M: 01
              Text: Jan2016
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