Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
AIDS and Behavior
Erschienen in: AIDS and Behavior 6/2020

21.06.2019 | Original Paper

Fertility Intentions and Clinical Care Attendance Among Women Living with HIV in South Africa

verfasst von: Katherine B. Rucinski, Sheree R. Schwartz, Kimberly A. Powers, Brian W. Pence, Benjamin H. Chi, Vivian Black, Helen Rees, Audrey E. Pettifor

Erschienen in: AIDS and Behavior | Ausgabe 6/2020

Einloggen, um Zugang zu erhalten

Abstract

Poor HIV care retention impedes optimal treatment outcomes in persons living with HIV. Women trying to become pregnant may be motivated by periconception horizontal and vertical transmission concerns and thus more likely to attend HIV care visits than women not trying to conceive. We estimated the effect of fertility intentions on HIV care attendance over 12 months among non-pregnant, HIV-positive women aged 18–35 years who were on or initiating antiretroviral therapy in Johannesburg, South Africa. The percentage of women attending an HIV care visit decreased from 93.4% in the first quarter to 82.8% in the fourth quarter. Fertility intentions were not strongly associated with care attendance in this cohort of reproductive-aged women; however, attendance declined over time irrespective of childbearing plans. These findings suggest a need for reinforced efforts to support care engagement and risk reduction, including safer conception practices for women wishing to conceive.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
2.
Fox MP, Rosen S. Retention of adult patients on antiretroviral therapy in low- and middle-income countries: systematic review and meta-analysis 2008–2013. J Acquir Immune Defic Syndr. 2015;69(1):98–108.PubMedPubMedCentralCrossRef
3.
Levi J, Raymond A, Pozniak A, Vernazza P, Kohler P, Hill A. Can the UNAIDS 90-90-90 target be achieved? A systematic analysis of national HIV treatment cascades. BMJ Glob Health. 2016;1(2):e000010.PubMedPubMedCentralCrossRef
4.
Davies NE, Matthews LT, Crankshaw TL, Cooper D, Schwartz SR. Supporting HIV prevention and reproductive goals in an HIV-endemic setting: taking safer conception services from policy to practice in South Africa. J Int AIDS Soc. 2017;20(Suppl 1):21271.PubMedPubMedCentralCrossRef
5.
Stephenson J, Patel D, Barrett G, et al. How do women prepare for pregnancy? Preconception experiences of women attending antenatal services and views of health professionals. PLoS ONE. 2014;9(7):e103085.PubMedPubMedCentralCrossRef
6.
Schwartz SR, Bassett J, Holmes CB, et al. Client uptake of safer conception strategies: implementation outcomes from the Sakh’umndeni Safer Conception Clinic in South Africa. J Int AIDS Soc. 2017;20(Suppl 1):21291.PubMedPubMedCentral
7.
Matthews LT, Moore L, Milford C, et al. “If I don’t use a condom… I would be stressed in my heart that I’ve done something wrong”: routine prevention messages preclude safer conception counseling for HIV-infected men and women in South Africa. AIDS Behav. 2015;19(9):1666–75.PubMedPubMedCentralCrossRef
8.
Clouse K, Schwartz S, Van Rie A, Bassett J, Yende N, Pettifor A. “What They Wanted Was to Give Birth; Nothing Else”: barriers to retention in option B plus HIV care among postpartum women in South Africa. J Acquir Immune Defic Syndr. 2014;67(1):E12–8.PubMedPubMedCentralCrossRef
9.
Nachega JB, Uthman OA, Anderson J, et al. Adherence to antiretroviral therapy during and after pregnancy in low-income, middle-income, and high-income countries: a systematic review and meta-analysis. AIDS. 2012;26(16):2039–52.PubMedCrossRef
10.
Haas AD, Msukwa MT, Egger M, et al. Adherence to antiretroviral therapy during and after pregnancy: cohort study on women receiving care in Malawi’s option B+ program. Clin Infect Dis. 2016;63(9):1227–35.PubMedPubMedCentral
11.
Haas AD, Tenthani L, Msukwa MT, et al. Retention in care during the first 3 years of antiretroviral therapy for women in Malawi’s option B+ programme: an observational cohort study. Lancet HIV. 2016;3(4):e175–82.PubMedPubMedCentralCrossRef
12.
Brittain K, Remien RH, Mellins CA, et al. Determinants of suboptimal adherence and elevated HIV viral load in pregnant women already on antiretroviral therapy when entering antenatal care in Cape Town, South Africa. AIDS Care. 2018;30:1–7.CrossRef
13.
Henegar CE, Westreich DJ, Maskew M, Miller WC, Brookhart MA, Van Rie A. Effect of pregnancy and the postpartum period on adherence to antiretroviral therapy among HIV-infected women established on treatment. J Acquir Immune Defic Syndr. 2015;68(4):477–80.PubMedPubMedCentralCrossRef
14.
Matthews LT, Ribaudo HB, Kaida A, et al. HIV-Infected Ugandan women on antiretroviral therapy maintain HIV-1 RNA suppression across periconception, ptegnancy, and postpartum periods. J Acquir Immune Defic Syndr. 2016;71(4):399–406.PubMedPubMedCentralCrossRef
15.
Schwartz SR, Mehta SH, Taha TE, Rees HV, Venter F, Black V. High pregnancy intentions and missed opportunities for patient-provider communication about fertility in a South African cohort of HIV-positive women on antiretroviral therapy. AIDS Behav. 2012;16(1):69–78.PubMedCrossRef
16.
Schwartz SR, Rees H, Mehta S, Venter WD, Taha TE, Black V. High incidence of unplanned pregnancy after antiretroviral therapy initiation: findings from a prospective cohort study in South Africa. PLoS ONE. 2012;7(4):e36039.PubMedPubMedCentralCrossRef
17.
Steiner RJ, Black V, Rees H, Schwartz SR. Low receipt and uptake of safer conception messages in routine HIV care: findings from a prospective cohort of women living with HIV in South Africa. J Acquir Immune Defic Syndr. 2016;72:105–13.PubMedCrossRef
18.
Schwartz S, Taha TE, Venter WD, Mehta S, Rees H, Black V. Efavirenz conceptions and regimen management in a prospective cohort of women on antiretroviral therapy. Infect Dis Obstet Gynecol. 2012;2012:723096.PubMedPubMedCentralCrossRef
19.
Rucinski KB, Powers KA, Schwartz SR, et al. Longitudinal patterns of unmet need for contraception among women living with HIV on antiretroviral therapy in South Africa. PLoS ONE. 2018;13(12):e0209114.PubMedPubMedCentralCrossRef
20.
Zou G. A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702–6.PubMedCrossRef
21.
Zou GY, Donner A. Extension of the modified poisson regression model to prospective studies with correlated binary data. Stat Methods Med Res. 2013;22(6):661–70.PubMedCrossRef
22.
Pedroza C, Thanh Truong VT. Performance of models for estimating absolute risk difference in multicenter trials with binary outcome. BMC Med Res Methodol. 2016;16(1):113.PubMedPubMedCentralCrossRef
23.
Liang K-Y, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73(1):13–22.CrossRef
24.
25.
Bengtson AM, Pence BW, Gaynes BN, et al. Improving depression among HIV-infected adults: transporting the effect of a depression treatment intervention to routine care. J Acquir Immune Defic Syndr. 2016;73(4):482–8.PubMedPubMedCentralCrossRef
26.
27.
Greenland S, Pearl J, Robins JM. Causal diagrams for epidemiologic research. Epidemiology. 1999;10:37–48.PubMedCrossRef
28.
Clouse K, Pettifor A, Shearer K, et al. Loss to follow-up before and after delivery among women testing HIV positive during pregnancy in Johannesburg, South Africa. Trop Med Int Health. 2013;18(4):451–60.PubMedPubMedCentralCrossRef
29.
Ngarina M, Popenoe R, Kilewo C, Biberfeld G, Ekstrom AM. Reasons for poor adherence to antiretroviral therapy postnatally in HIV-1 infected women treated for their own health: experiences from the Mitra Plus study in Tanzania. BMC Public Health. 2013;13:450.PubMedPubMedCentralCrossRef
30.
Hodgson I, Plummer ML, Konopka SN, et al. A systematic review of individual and contextual factors affecting ART initiation, adherence, and retention for HIV-infected pregnant and postpartum women. PLoS ONE. 2014;9(11):e111421.PubMedPubMedCentralCrossRef
31.
Cornell M, Grimsrud A, Fairall L, Fox MP, van Cutsem G, Giddy J, et al. Temporal changes in programme outcomes among adult patients initiating antiretroviral therapy across South Africa, 2002–2007. AIDS (London, England). 2010;24(14):2263.PubMedCentralCrossRef
32.
Cole SR, Hudgens MG. Survival analysis in infectious disease research: describing events in time. AIDS. 2010;24(16):2423–31.PubMedCrossRef
33.
Rothman KJ, Greenland S, Lash TL. Modern epidemiology. Philadelphia: Lippincott Williams & Wilkins; 2008.
34.
Yeatman S, Sennott C. The sensitivity of measures of unwanted and unintended pregnancy using retrospective and prospective reporting: evidence from Malawi. Matern Child Hlth J. 2015;19(7):1593–600.CrossRef
35.
Speizer IS, Lance P. Fertility desires, family planning use and pregnancy experience: longitudinal examination of urban areas in three African countries. BMC Pregnancy Childbirth. 2015;15:294.PubMedPubMedCentralCrossRef
36.
Haberlen SA, Narasimhan M, Beres LK, Kennedy CE. Integration of family planning services into HIV care and treatment services: a systematic review. Stud Fam Plann. 2017;48(2):153–77.PubMedPubMedCentralCrossRef
37.
38.
39.
Mumford SL, Sapra KJ, King RB, Louis JF, Buck Louis GM. Pregnancy intentions—a complex construct and call for new measures. Fertil Steril. 2016;106(6):1453–62.PubMedPubMedCentralCrossRef
40.
Clouse K, Vermund SH, Maskew M, et al. Mobility and clinic switching among postpartum women considered lost to HIV care in South Africa. J Acquir Immune Defic Syndr. 2017;74(4):383–9.PubMedPubMedCentralCrossRef
41.
Mugavero MJ, Westfall AO, Cole SR, et al. Beyond core indicators of retention in HIV care: missed clinic visits are independently associated with all-cause mortality. Clin Infect Dis. 2014;59(10):1471–9.PubMedPubMedCentralCrossRef
42.
Matthews LT, Beyeza-Kashesya J, Cooke I, et al. Consensus statement: supporting safer conception and pregnancy for men and women living with and affected by HIV. AIDS Behav. 2017;22:1713–24.PubMedCentralCrossRef
43.
Schwartz SR, West N, Phofa R, et al. Acceptability and preferences for safer conception HIV prevention strategies: a qualitative study. Int J STD AIDS. 2016;27(11):984–92.PubMedCrossRef
Metadaten
Titel
Fertility Intentions and Clinical Care Attendance Among Women Living with HIV in South Africa
verfasst von
Katherine B. Rucinski
Sheree R. Schwartz
Kimberly A. Powers
Brian W. Pence
Benjamin H. Chi
Vivian Black
Helen Rees
Audrey E. Pettifor
Publikationsdatum
21.06.2019
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 6/2020
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02564-y

Weitere Artikel der Ausgabe 6/2020

AIDS and Behavior 6/2020 Zur Ausgabe

Original Paper

Barriers and Facilitators to PrEP Use Among People Who Inject Drugs in Rural Appalachia: A Qualitative Study

Substantive Review

Burden of Depression in Outpatient HIV-Infected adults in Sub-Saharan Africa; Systematic Review and Meta-analysis

Original Paper

The Unaddressed Needs of Alcohol-Using Couples on Antiretroviral Therapy in Malawi: Formative Research on Multilevel Interventions

Original Paper

Use of Rapid HIV Self-Test to Screen Potential Sexual Partners: Results of the ISUM Study

Original Paper

Intimate Partner Violence Against Transgender Women: Prevalence and Correlates in Lima, Peru (2016–2018)

Original Paper

Personal Approach to Treatment Choices for HIV (PATCH): Randomized Controlled Trial of a Brief Motivational Enhancement Intervention to Improve Medication Adherence in Persons with HIV

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Reizdarmsyndrom: Diäten wirksamer als Medikamente

29.04.2024 Reizdarmsyndrom Nachrichten

Bei Reizdarmsyndrom scheinen Diäten, wie etwa die FODMAP-arme oder die kohlenhydratreduzierte Ernährung, effektiver als eine medikamentöse Therapie zu sein. Das hat eine Studie aus Schweden ergeben, die die drei Therapieoptionen im direkten Vergleich analysierte.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise