Trajectories of fertility intentions among women living with HIV in South Africa
Bibliographic Data
| ID | 19441222 |
|---|---|
| Authors | Katherine B Rucinski (0000-0002-9858-5953, Johns Hopkins University, corresponding author), Kimberly A Powers (0000-0001-7980-9846, University of North Carolina at Chapel Hill), Audrey Pettifor (0000-0002-3387-0817, University of North Carolina at Chapel Hill), Vivian Black (0000-0003-2274-8581, University of the Witwatersrand), Brian W Pence (0000-0001-7321-9538, University of North Carolina at Chapel Hill), Benjamin H Chi (University of North Carolina at Chapel Hill), Helen Rees (0000-0002-8469-7487, University of the Witwatersrand), Sheree Schwartz (0000-0001-6090-2880, Johns Hopkins University) |
| Year | 2021 |
| Volume | 33 |
| Issue | 2 |
| Pages | 180-186 |
| Publication date | 2021-02-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2020.1719969 |
| PMID | 32008361 |
| OpenAlex | W3005163491 |
| Language | EN |
| References cited | 28 |
Fertility intentions are thought to be dynamic among women of reproductive age, yet few studies have assessed fertility intentions over time among women with HIV. We examine temporal patterns of fertility intentions in women with HIV to assess the extent to which fertility intentions - and the corresponding need for safer conception and judicious antiretroviral therapy (ART) regimen selection - vary over time. 850 non-pregnant HIV-positive women aged 18-35 on or being initiated onto ART in Johannesburg, South Africa were enrolled into a prospective cohort study (2009-2010). Fertility intentions were assessed at enrollment and at 30-day intervals via an interviewer-administered questionnaire. We used group-based trajectory modelling to identify longitudinal patterns of fertility intentions over 12 months. We identified four patterns of fertility intentions, which we labelled "consistently low" (representing ∼60% of the population), "low and increasing" (∼23%), "high and increasing" (∼12%), and "high and decreasing" (∼5%). Our findings suggest that a single family-planning assessment at one time point is insufficient to fully identify and meet the reproductive needs of women with HIV. As HIV testing and treatment evolve in South Africa, routine screening for fertility intentions can offer important opportunities to optimize HIV treatment, prevention, and maternal and child health
Cohort · Environmental health · Family medicine · Fertility · Population · Regimen · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology
Group-Based Modeling of Development
Group-Based Trajectory Modeling in Clinical Research
Eliminating Bias in Classify-Analyze Approaches for Latent Class Analysis
Mortality of infected and uninfected infants born to HIV-infected mothers in Africa
Latent Class Models
Stability and Change in Fertility Preferences Among Young Women in Malawi
Fertility Intentions and Clinical Care Attendance Among Women Living with HIV in South Africa
Fertility Intentions of HIV-1 Infected and Uninfected Women in Malawi
Consensus statement
High Pregnancy Intentions and Missed Opportunities for Patient–Provider Communication About Fertility in a South African Cohort of HIV-Positive Women on Antiretroviral Therapy
Young Women’s Dynamic Family Size Preferences in the Context of Transitioning Fertility
The Time Dynamics of Individual Fertility Preferences Among Rural Ghanaian Women
On the Assignment of Individuals to Latent Classes
| Highly cited | No |
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