4.3 Article

Trends and correlates of hormonal contraceptive use among HIV-infected women in Rakai, Uganda, 1994-2006

Journal

CONTRACEPTION
Volume 83, Issue 6, Pages 549-555

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.contraception.2010.10.002

Keywords

Hormonal contraception; HIV; Uganda; Injectable contraception; Oral contraceptive pills; Implants

Funding

  1. UNDP/UNFPA/WHO/World Bank

Ask authors/readers for more resources

Background: Little is known about what factors correlate with hormonal contraceptive (HC) use in HIV-infected women in sub-Saharan Africa. Methods: We assessed the trends in HC use among HIV-infected women in Rakai, Uganda; determined factors associated with HC use and considered whether those factors changed over time. Results: HC use among HIV-infected women in Rakai increased from 5.7% in 1994 to 19.2% in 2006, but nearly half of all pregnancies in this population were unintended. Variables associated with increased HC use included higher education, socioeconomic status, parity, sexual frequency, being currently married or in a relationship, discussion of family planning with a partner and receipt of HIV results. Variables negatively associated with HC use included symptoms suggestive of opportunistic infections, having no sex partner in the past year, condom use, breastfeeding and older age. Most associations remained stable over time. Conclusion: Although contraceptive use by HIV-infected women has increased three-fold in this rural population, unintended pregnancies persist, placing women and their children at risk of adverse consequences. (C) 2011 Elsevier Inc. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Editorial Material Obstetrics & Gynecology

Pharmacokinetic, biologic and epidemiologic differences in MPA- and NET-based progestin-only injectable contraceptives relative to the potential impact on HIV acquisition in women

Renee Heffron, Sharon L. Achilles, Laneta J. Dorflinger, Janet P. Hapgood, James Kiarie, Chelsea B. Polis, Petrus S. Steyn

CONTRACEPTION (2019)

Correction Obstetrics & Gynecology

Pharmacokinetic, biologic and epidemiologic differences Car in MPA- and NET-based progestin-only injectable contraceptives relative updes to the potential impact on HIV acquisition in women (vol 99, pg 199, 2019)

Renee Heffron, Sharon L. Achilles, Laneta J. Dorflinger, Janet P. Hapgood, James Kiarie, Chelsea B. Polis, Petrus S. Steyn

CONTRACEPTION (2019)

Article Obstetrics & Gynecology

Hormonal contraceptive use in Ghana: The role of method attributes and side effects in method choice and continuation

Sarah C. Keogh, Easmon Otupiri, Philicia W. Castillo, Doris W. Chiu, Chelsea B. Polis, Emmanuel K. Nakua, Suzanne O. Bell

Summary: The study shows that Ghanaian women value the effectiveness of hormonal contraceptives in preventing pregnancy, but concerns about side effects, future fertility impairment, and long-term health issues are the main reasons for discontinuation. Inadequate counseling on these issues highlights the need for better tailored contraceptive counseling to meet individual needs.

CONTRACEPTION (2021)

Letter Public, Environmental & Occupational Health

Re: The Use of Time to Pregnancy for Estimating and Monitoring Human Fecundity From Demographic and Health Surveys

Chelsea B. Polis, Carie M. Cox, Ozge Tuncalp, Alexander C. McLain, Marie E. Thoma

EPIDEMIOLOGY (2021)

Article Public, Environmental & Occupational Health

Contraceptive and abortion practices of young Ghanaian women aged 15-24: evidence from a nationally representative survey

Sarah C. Keogh, Easmon Otupiri, Philicia W. Castillo, Naomi W. Li, Joana Apenkwa, Chelsea B. Polis

Summary: The study found that young Ghanaian women face challenges in accessing sexual and reproductive health services. They prefer contraception methods like condoms, injectables, withdrawal, or implants, and are more likely to be influenced by friends in their contraceptive decision-making.

REPRODUCTIVE HEALTH (2021)

Article Public, Environmental & Occupational Health

Use of Fertility Awareness-Based Methods for Pregnancy Prevention Among Ghanaian Women: A Nationally Representative Cross-Sectional Survey

Chelsea B. Polis, Easmon Otupiri, Suzanne O. Bell, Roderick Larsen-Reindorf

Summary: A significant portion of Ghanaian women of reproductive age are using fertility awareness-based methods (FABMs), with at least 18% likely using such methods. Most FABM users in Ghana also use other contraceptive methods concurrently. Older, wealthier, more educated, and women with fewer children are more likely to choose FABMs over hormonal methods/IUDs. While FABM users are more likely to correctly identify fertile times, there is still room for improvement in their knowledge and practices.

GLOBAL HEALTH-SCIENCE AND PRACTICE (2021)

Article Health Care Sciences & Services

The infrastructural capacity of Ghanaian health facilities to provide safe abortion and post-abortion care: a cross-sectional study

Onikepe Owolabi, Taylor Riley, Easmon Otupiri, Chelsea B. Polis, Roderick Larsen-Reindorf

Summary: The study reveals that overall, there is limited infrastructural capacity in public facilities in Ghana to provide comprehensive abortion care. However, there are persistent gaps in basic abortion care capacity within health facilities currently providing post-abortion care.

BMC HEALTH SERVICES RESEARCH (2021)

Article Communication

A Content Analysis of Reddit Users' Posts about Challenges to Contraceptive care-seeking during COVID-19-related Restrictions in the United States

Zoe H. H. Pleasure, Lori F. F. Frohwirth, Naomi Li, Chelsea B. B. Polis

Summary: This study explored the disruptions in contraceptive care caused by the COVID-19 pandemic in the United States. Through analyzing Reddit posts, the study found that many individuals faced barriers in accessing reliable and evidence-based information about contraception during the early pandemic. The findings highlight the importance of conversational and interactive means of seeking information, particularly during periods of limited access to clinics.

JOURNAL OF HEALTH COMMUNICATION (2022)

Review Public, Environmental & Occupational Health

Impacts of COVID-19 on contraceptive and abortion services in low- and middle-income countries: a scoping review

Chelsea B. Polis, Ann Biddlecom, Susheela Singh, Boniface Ayanbekongshie Ushie, Lori Rosman, Abdulmumin Saad

Summary: The COVID-19 pandemic has had disproportionate effects on people living in low- and middle-income countries, exacerbating weak health systems. Studies have shown that COVID-19 has impacted the demand for, provision of, and access to contraceptive and abortion-related services, as well as reproductive outcomes. These impacts include increased demand, reduced provision, and increased barriers to accessing these services.

SEXUAL AND REPRODUCTIVE HEALTH MATTERS (2022)

Article Demography

Perceived Infertility Among Young Adults in Balaka, Malawi

Chelsea B. Polis, Ann M. Moore, Abdallah Chilungo, Sara Yeatman

INTERNATIONAL PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH (2020)

Article Demography

Prevalence and Correlates of Perceived Infertility in Ghana

Chelsea B. Polis, Easmon Otupiri, Michelle Hindin, Doris W. Chiu, Sarah C. Keogh, Cara Aidoo, Roderick Larsen-Reindorf, Suzanne O. Bell

STUDIES IN FAMILY PLANNING (2020)

Article Public, Environmental & Occupational Health

Estimating the incidence of abortion: using the Abortion Incidence Complications Methodology in Ghana, 2017

Chelsea B. Polis, Philicia W. Castillo, Easmon Otupiri, Sarah C. Keog, Rubina Hussain, Emmanuel K. Nakua, Roderick Larsen-Reindorf, Suzanne O. Bell

BMJ GLOBAL HEALTH (2020)

Article Public, Environmental & Occupational Health

Estimating the incidence of abortion: a comparison of five approaches in Ghana

Sarah C. Keogh, Easmon Otupiri, Doris W. Chiu, Chelsea B. Polis, Rubina Hussain, Suzanne O. Bell, Emmanuel K. Nakua, Roderick Larsen-Reindorf

BMJ GLOBAL HEALTH (2020)

Meeting Abstract Obstetrics & Gynecology

ESTIMATING ABORTION INCIDENCE IN GHANA FOR 2017 USING THE ABORTION INCIDENCE COMPLICATIONS METHODOLOGY

C. Polis, P. Castillo, E. Otupiri, S. Keogh, R. Hussain, E. Nakua, R. Larsen-Reindorf, S. Bell

CONTRACEPTION (2019)

Article Demography

Global Contraceptive Failure Rates: Who Is Most at Risk?

Sarah E. K. Bradley, Chelsea B. Polis, Akinrinola Bankole, Trevor Croft

STUDIES IN FAMILY PLANNING (2019)

No Data Available