The contribution of HIV to fertility decline in rural Zimbabwe, 1985-2000

Datos Bibliográficos

ID4267947
AutoresNicola Terceira (University of Oxford), Sarah Gregson (0000-0003-2707-0714, Biomedical Research and Training Institute), Simon Gregson, Basia Zaba (0000-0003-2449-0983, London School of Hygiene & Tropical Medicine), Peter Mason (0000-0002-8732-8636, University of London)
Año2003
Volumen57
Número2
Páginas149-164
Fecha de publicación2003-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaPopulation Studies (JOURNAL)
Identificadores de la revistaISSN: 0032-4728 • E-ISSN: 1477-4747
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0032472032000097074
PMID12888411
OpenAlexW1990667841
IdiomaEN
Citas recibidas17
Referencias citadas10

HIV-related sub-fertility has been reported for those populations in sub-Saharan Africa in which contraceptive use is low. We use data from a retrospective survey in rural Zimbabwe and multivariate logistic regression models to show that recent birth rates and current pregnancy rates are also lower among HIV-positive women than among HIV-negative women in those African populations where contraceptive use is high. The fertility reduction is smaller than where contraceptive use is low because age at first sexual intercourse is later and birth rates at older ages are already low. Nevertheless, total fertility is approximately 8.5 per cent lower and HIV-associated sub-fertility may account for as much as one-quarter of fertility decline in Zimbabwe since the late 1980s. Mechanisms for HIV-associated sub-fertility in rural Zimbabwe include more frequent widowhood and divorce, reduced coital frequency, increased amenorrhoea, and possibly, pelvic inflammatory disease. Miscarriage appears to be a less important factor than elsewhere possibly because syphilis is rare

Biology · Family planning · Fertility · Logistic regression · Miscarriage · Population · Pregnancy · Research methodology · Sociology · Total fertility rate · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine