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Reproductive desire among women living with HIV/AIDS in Central Brazil: Prevalence and associated factors.

Reproductive desire among women living with HIV/AIDS in Central Brazil: Prevalence and associated factors.
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Ramos de Souza M, do Amaral WN, Alves Guimarães R, Rezza G, Brunini SM,


Ramos de Souza M, do Amaral WN, Alves Guimarães R, Rezza G, Brunini SM, (click to view)

Ramos de Souza M, do Amaral WN, Alves Guimarães R, Rezza G, Brunini SM,

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PloS one 2017 10 2012(10) e0186267 doi 10.1371/journal.pone.0186267

Abstract
BACKGROUND
The purpose of this study was to estimate the prevalence and examine the factors associated with reproductive desire among women living with HIV/AIDS (WLWHA) in Central Brazil.

METHODS
A cross-sectional study involving 274 WLWHA, aged 18 to 49 years, was conducted with the support of treatment services and non-governmental organizations that assist people living with HIV/AIDS. Data regarding sociodemographic characteristics, substance use, sexual behavior, and reproductive variables were collected through interviews. Poisson regression with robust variance was used to analyze the factors associated with reproductive desire.

RESULTS
The prevalence of reproductive desire was 25.9% (95.0% confidence interval [CI]: 21.1-31.4%). This outcome was associated with age < 30 years (adjusted prevalence ratio [APR]: 2.93; p < 0.001), black skin color or race (APR: 2.28; p = 0.017), partner's reproductive desire (APR: 7.55; p < 0.001), absence of children (APR: 2.13; p = 0.003), history of abortion (APR: 1.65; p = 0.045) and undetectable viral load at the time of data collection (APR: 1.92; p = 0.043). CONCLUSION
The prevalence of reproductive desire among WLWHA was relatively high. It is necessary to include fertility issues as part of assistance and counseling for women in referral services to support them with their feelings, goals, and needs regarding reproductive choices.

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