HIV-positive women in northeast Brazil: Tubal sterilization, medical recommendation and reproductive rights.

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Title: HIV-positive women in northeast Brazil: Tubal sterilization, medical recommendation and reproductive rights.
Authors: Oliveira, F. (AUTHOR), Kerr, L. (AUTHOR), Frota, A. (AUTHOR), Nóbrega, A. (AUTHOR), Bruno, Z. (AUTHOR), Leitão, T. (AUTHOR), Kendall, C. (AUTHOR), Galvão, M. (AUTHOR)
Source: AIDS Care. Nov2007, Vol. 19 Issue 10, p1258-1265. 8p. 3 Charts, 1 Graph.
Subjects: HIV-positive women, Bacteriology technique, Human reproduction, Reproductive rights, Diagnosis of HIV infections, Postnatal care
Geographic Terms: Brazil
Abstract: Tubal sterilization is the most common contraceptive method used by Brazilian HIV-positive women. This cross sectional study describes the main reasons why HIV-positive women decide to be sterilized and identifies factors associated with choosing sterilization in HIV-positive women in Ceará, northeast Brazil. Data from 229 non-sterilized women, 80 women sterilized before HIV diagnosis and 48 women sterilized after diagnosis were analysed. Of the women sterilized after HIV diagnosis, 96% had the procedure done in the postpartum, during a caesarean section. No desire for more children was the most common appointed reason to be sterilized (39.6%), followed by medical recommendation because of HIV (31.3%). Seventy-nine women (28.5%) had a child after HIV diagnosis. Of those, 46 (58.2%) were sterilized in the postpartum. Factors associated with sterilization for HIV-positive women were: having a child after diagnosis (AOR: 120.9; 95%CI: 27.8-525.4) and having at least three children (AOR: 2.8; 95%CI: 1.1-7.1). It is recommended that non-coercive counselling should be provided so that HIV-positive women can make informed decisions on their reproductive options. [ABSTRACT FROM AUTHOR]
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.)
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  Data: HIV-positive women in northeast Brazil: Tubal sterilization, medical recommendation and reproductive rights.
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  Data: <searchLink fieldCode="AR" term="%22Oliveira%2C+F%2E%22">Oliveira, F.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kerr%2C+L%2E%22">Kerr, L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Frota%2C+A%2E%22">Frota, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nóbrega%2C+A%2E%22">Nóbrega, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bruno%2C+Z%2E%22">Bruno, Z.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leitão%2C+T%2E%22">Leitão, T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kendall%2C+C%2E%22">Kendall, C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Galvão%2C+M%2E%22">Galvão, M.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Nov2007, Vol. 19 Issue 10, p1258-1265. 8p. 3 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22HIV-positive+women%22">HIV-positive women</searchLink><br /><searchLink fieldCode="DE" term="%22Bacteriology+technique%22">Bacteriology technique</searchLink><br /><searchLink fieldCode="DE" term="%22Human+reproduction%22">Human reproduction</searchLink><br /><searchLink fieldCode="DE" term="%22Reproductive+rights%22">Reproductive rights</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+HIV+infections%22">Diagnosis of HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Postnatal+care%22">Postnatal care</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Tubal sterilization is the most common contraceptive method used by Brazilian HIV-positive women. This cross sectional study describes the main reasons why HIV-positive women decide to be sterilized and identifies factors associated with choosing sterilization in HIV-positive women in Ceará, northeast Brazil. Data from 229 non-sterilized women, 80 women sterilized before HIV diagnosis and 48 women sterilized after diagnosis were analysed. Of the women sterilized after HIV diagnosis, 96% had the procedure done in the postpartum, during a caesarean section. No desire for more children was the most common appointed reason to be sterilized (39.6%), followed by medical recommendation because of HIV (31.3%). Seventy-nine women (28.5%) had a child after HIV diagnosis. Of those, 46 (58.2%) were sterilized in the postpartum. Factors associated with sterilization for HIV-positive women were: having a child after diagnosis (AOR: 120.9; 95%CI: 27.8-525.4) and having at least three children (AOR: 2.8; 95%CI: 1.1-7.1). It is recommended that non-coercive counselling should be provided so that HIV-positive women can make informed decisions on their reproductive options. [ABSTRACT FROM AUTHOR]
– 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.)
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      – Type: doi
        Value: 10.1080/09540120701405411
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 1258
    Subjects:
      – SubjectFull: HIV-positive women
        Type: general
      – SubjectFull: Bacteriology technique
        Type: general
      – SubjectFull: Human reproduction
        Type: general
      – SubjectFull: Reproductive rights
        Type: general
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: Postnatal care
        Type: general
      – SubjectFull: Brazil
        Type: general
    Titles:
      – TitleFull: HIV-positive women in northeast Brazil: Tubal sterilization, medical recommendation and reproductive rights.
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            NameFull: Nóbrega, A.
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            – D: 01
              M: 11
              Text: Nov2007
              Type: published
              Y: 2007
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              Value: 10
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