Skip Navigation
Skip to contents

Epidemiol Health : Epidemiology and Health

OPEN ACCESS
SEARCH
Search

Author index

Page Path
HOME > Browse articles > Author index
Search
Fikre Enquselassie 1 Article
Effect of antiretroviral therapy on changes in the fertility intentions of human immunodeficiency virus-positive women in Addis Ababa, Ethiopia: a prospective follow-up study
Hussen Mekonnen, Fikre Enquselassie
Epidemiol Health. 2017;39:e2017028.   Published online July 16, 2017
DOI: https://doi.org/10.4178/epih.e2017028
  • 12,158 View
  • 184 Download
  • 8 Web of Science
  • 10 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
With access to antiretroviral therapy (ART), people living with human immunodeficiency virus (HIV) are able to consider childbearing to a greater extent than previously. In many cases, ART has transformed their intentions to have children. The present study aimed to assess changes in fertility intentions 12 months after ART initiation among HIV-positive women in Addis Ababa, Ethiopia.
METHODS
An institution-based follow-up study was conducted among 360 HIV-positive women in Addis Ababa. A logistic regression model was used to assess the influence of socio-demographic, reproductive health, and clinical characteristics on changes in the fertility intentions of women.
RESULTS
Overall, 40.8% (147 of 360) of the women reported that they desired to have a child in the future at the baseline visit, while 48.3% (174 of 360) did so at the 12-month follow-up. The proportion of women who reported that they desired to have a child 12 months after ART initiation was higher among ART-initiated women (55.8%, 106 of 190) than ART-naïve women (40.0%, 68 of 170). The adjusted analysis indicated that a change in fertility intentions between baseline and the follow-up visit was significantly associated with ART use (adjusted odds ratio [aOR], 2.47; 95% confidence interval [CI], 1.20 to 5.20) and marital status, with single (aOR, 5.33; 95% CI, 1.10 to 25.92) and married (aOR, 6.35; 95% CI, 1.44 to 27.99) women being more likely to report fertility intentions than divorced/widowed women.
CONCLUSIONS
ART use was a significant predictor of change in fertility intentions between the baseline and follow-up visit, which suggests that additional efforts are necessary to integrate family planning and HIV services to address the safe fertility goals of women in the study area.
Summary

Citations

Citations to this article as recorded by  
  • Factors associated with pregnancy uptake decisions among seropositive HIV people receiving antiretroviral therapy in sub‐Saharan Africa: A systematic review
    Abdul Razak Doat, Roberta Mensima Amoah, Kennedy Diema Konlan, Kennedy Dodam Konlan, Juliana Asibi Abdulai, Margaret W. Kukeba, Iddrisu Mohammed, Joel Afram Saah
    Nursing Open.2022; 9(5): 2239.     CrossRef
  • Factors Affecting Fertility Intention Among People Living with HIV in Kunming, China
    Yingwu Guo, Yingrong Du, Sanguan Lerkiatbundit, Jun Liu, Jingsong Bai, Yongrui Yang, Yin Yang, Aihui Wu, Virasakdi Chongsuvivatwong
    HIV/AIDS - Research and Palliative Care.2022; Volume 14: 265.     CrossRef
  • Prevalence and factors associated with fertility desire among people living with HIV: A systematic review and meta-analysis
    Xiang Yan, Jie Du, GuoPing Ji, Joseph K.B. Matovu
    PLOS ONE.2021; 16(3): e0248872.     CrossRef
  • Motivations to use hormonal contraceptive methods and condoms among HIV-positive and negative women randomized to a progestin contraceptive in Malawi: a qualitative study
    Agatha K. Bula, Kendra Hatfield-Timajchy, John Chapola, L. Chinula, Stacey A. Hurst, Athena P. Kourtis, J. H. Tang
    BMC Women's Health.2021;[Epub]     CrossRef
  • Human immunodeficiency virus and infertility treatment: an Ethics Committee opinion

    Fertility and Sterility.2021; 115(4): 860.     CrossRef
  • Societal and individual drivers of fertility desires and intentions among people living with HIV: a cross sectional study of HIV clinic attendees in Soweto, South Africa
    Penelope Chirambira, Sphiwe Madiba, Busisiwe Ntuli
    AIMS Public Health.2021; 9(1): 173.     CrossRef
  • Effect of HIV Infection and Antiretroviral Treatment on Pregnancy Rates in the Western Cape Province of South Africa
    Leigh F Johnson, Themba Mutemaringa, Alexa Heekes, Andrew Boulle
    The Journal of Infectious Diseases.2020; 221(12): 1953.     CrossRef
  • Determinants of Fertility Desire among Women Living with HIV in the Childbearing Age Attending Antiretroviral Therapy Clinic at Jimma University Medical Center, Southwest Ethiopia: A Facility-Based Case-Control Study
    Nigusie Shifera Aylie, Lelisa Sena Dadi, Eshetu Alemayehu, Mengistu Ayenew Mekonn
    International Journal of Reproductive Medicine.2020; 2020: 1.     CrossRef
  • Risky Sexual Practice and Associated Factors Among Women Living with HIV/AIDS Receiving Antiretroviral Therapy at a PMTCT Clinic in Western Oromia, Ethiopia


    Bikila Balis
    HIV/AIDS - Research and Palliative Care.2020; Volume 12: 739.     CrossRef
  • Health workers’ knowledge of safer conception and attitudes toward reproductive rights of HIV-infected couples in Kano, Nigeria
    Zubairu Iliyasu, Hadiza S Galadanci, Ahmad A Zubairu, Taiwo G Amole, Nadia A Sam-Agudu, Muktar H Aliyu
    International Health.2019; 11(6): 536.     CrossRef

Epidemiol Health : Epidemiology and Health