PloS one · 2017
Factors associated with post-diagnosis pregnancies in women living with HIV in the south of Brazil.
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Teixeira Luciana Barcellos, Pilecco Flávia Bulegon, Vigo Álvaro, Drachler Maria de Lourdes, Leite José Carlos de Carvalho, Knauth Daniela Riva
Аннотация
OBJECTIVES: To analyze the factors associated with the occurrence of pregnancies after the diagnosis of infection by HIV.
METHODS: Cross-sectional study with women of a reproductive age living with HIV/AIDS cared for in the public services of the city of Porto Alegre, in southern Brazil. The data was analyzed from a comparison between two groups: women with and women without pregnancies after the diagnosis of HIV. Poisson regression models were used to estimate the reasons of prevalence (RP).
RESULTS: The occurrence of pregnancies after the diagnosis of HIV is associated with a lower level of education (RP adjusted = 1.31; IC95%: 1.03-1.66), non-use of condoms in the first sexual intercourse (RP = 1.32; IC95%: 1.02-1.70), being 20 years old or less when diagnosed with HIV (RP = 3.48; IC95%: 2.02-6.01), and experience of violence related to the diagnosis of HIV (RP = 1.28; IC95%: 1.06-1.56).
CONCLUSIONS: The occurrence of pregnancies after the diagnosis of infection by HIV does not indicate the exercise of the reproductive rights of the women living with HIV/AIDS because these pregnancies occurred in contexts of great vulnerability.
METHODS: Cross-sectional study with women of a reproductive age living with HIV/AIDS cared for in the public services of the city of Porto Alegre, in southern Brazil. The data was analyzed from a comparison between two groups: women with and women without pregnancies after the diagnosis of HIV. Poisson regression models were used to estimate the reasons of prevalence (RP).
RESULTS: The occurrence of pregnancies after the diagnosis of HIV is associated with a lower level of education (RP adjusted = 1.31; IC95%: 1.03-1.66), non-use of condoms in the first sexual intercourse (RP = 1.32; IC95%: 1.02-1.70), being 20 years old or less when diagnosed with HIV (RP = 3.48; IC95%: 2.02-6.01), and experience of violence related to the diagnosis of HIV (RP = 1.28; IC95%: 1.06-1.56).
CONCLUSIONS: The occurrence of pregnancies after the diagnosis of infection by HIV does not indicate the exercise of the reproductive rights of the women living with HIV/AIDS because these pregnancies occurred in contexts of great vulnerability.
Предметные рубрики MeSH
AdolescentAdultBrazilCondomsCross-Sectional StudiesDecision MakingFemaleFreedomHIV InfectionsHumansInfectious Disease Transmission, VerticalIntimate Partner ViolenceMiddle AgedPregnancyPregnancy Complications, InfectiousPregnancy, UnplannedPregnancy, UnwantedReproductive HistoryRisk-TakingSex WorkSocial Determinants of HealthSterilization, TubalSubstance Abuse, IntravenousYoung Adult