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Prevalence and Correlates of Use of Safer Conception Methods in a Prospective Cohort of Ugandan HIV-Affected Couples with Fertility Intentions

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Abstract

We examined the prevalence and correlates of safer conception methods (SCM) use in HIV-affected couples with fertility intentions. A prospective cohort of 400 HIV clients in Uganda who had fertility intentions with their partner was surveyed every 6 months for 24 months. Logistic regression analysis was used to determine individual, relationship and provider level predictors of SCM use. Over one-third (35%) reported any use of timed unprotected intercourse (TUI) during the study; use of other SCM was rare. Baseline predictors of any TUI use included lower social support, greater perceived provider stigma of childbearing, greater SCM awareness, greater control over sexual decision making in the relationship, inconsistent condom use, and the belief that a desire for childbearing impedes condom use. These findings highlight the need for policy and provider training regarding integration of safer conception counselling into family planning and reproductive health services for people living with HIV.

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Acknowledgements

This research was funded by the Eunice Kennedy Shriver National Institute of Child Health & Human Development Grant 5R01HD072633-03 (PI: Wagner).

Funding

This study was funded by the Eunice Kennedy Shriver National Institute of Child Health & Human Development (5R01HD072633-03).

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Authors and Affiliations

  1. RAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA

    Glenn J. Wagner, Sebastian Linnemayr & Eric Robinson

  2. Health Services and Outcomes Research, Children’s Mercy Hospitals and Clinics, Kansas City, USA

    Kathy Goggin

  3. Schools of Medicine and Pharmacy, University of Missouri, Kansas City, USA

    Kathy Goggin

  4. University of California, Los Angeles Center for Culture and Health, Los Angeles, USA

    Deborah Mindry

  5. Mulago Hospital Department of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda

    Jolly Beyeza-Kashesya

  6. Department of Family Medicine, University of Kansas Medical Center, Kansas City, USA

    Sarah Finocchario-Kessler

  7. The AIDS Support Organization, Kampala, Uganda

    Josephine Birungi

  8. Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda

    Rhoda K. Wanyenze

Authors
  1. Glenn J. Wagner
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  2. Sebastian Linnemayr
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  3. Kathy Goggin
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  4. Deborah Mindry
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  5. Jolly Beyeza-Kashesya
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  6. Sarah Finocchario-Kessler
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  7. Eric Robinson
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  8. Josephine Birungi
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  9. Rhoda K. Wanyenze
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Correspondence to Glenn J. Wagner.

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All authors declare no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Wagner, G.J., Linnemayr, S., Goggin, K. et al. Prevalence and Correlates of Use of Safer Conception Methods in a Prospective Cohort of Ugandan HIV-Affected Couples with Fertility Intentions. AIDS Behav 21, 2479–2487 (2017). https://doi.org/10.1007/s10461-017-1732-7

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  • DOI: https://doi.org/10.1007/s10461-017-1732-7

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