Influence of culture on contraceptive utilization among HIV-positive women in Brazil, Kenya, and South Africa
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Date
2011Author
Todd, CS
Stibich, MA
Laher, F
Malta, MS
Bastos, FI
Imbuki, K
Shaffer, DN
Sinei, S
Gray, GE
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Contraceptive choice and discontinuation are poorly understood among HIV-positive women, and HIV disease and culture may influence decisions. We assessed factors influencing contraceptive decision-making among HIV-positive women in three countries. This qualitative assessment of 108 HIV-positive women (36/site, selected by age and parity strata) was conducted in Rio de Janeiro, Brazil; Kericho, Kenya; and Soweto, South Africa. Freelist interviews assessed knowledge and attitudes towards contraception and were analyzed enumerating frequency and saliency of mentions. There was intersite consensus around list items but priority and themes varied. Site-specific factors influencing contraceptive choice were male partner wishes and fertility desire (Brazil), side-effects (South Africa), and impact on health and HIV progression (Kenya). Age, parity, and taking antiretroviral therapy (ART) impacted some themes. Contraceptive use among HIV-positive women is substantially influenced by culture and other factors. Counseling efforts should consider individual factors in method selection and offer method variety to accommodate changing needs.
URI
http://www.ncbi.nlm.nih.gov/pubmed/21110078http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/29898
Citation
AIDS Behav. 2011 Feb;15(2):454-68. doi: 10.1007/s10461-010-9848-zPublisher
Department of Obstetrics and Gynecology, Columbia University, 622 West 168th Street, New York, NY 10032, USA. cst2121@columbia.edu
Collections
- Faculty of Health Sciences (FHS) [10377]