• Login
    View Item 
    •   Home
    • Colleges, Departments, and Organizations
    • College of Medicine - Phoenix
    • Scholarly Projects
    • Scholarly Projects 2015
    • View Item
    •   Home
    • Colleges, Departments, and Organizations
    • College of Medicine - Phoenix
    • Scholarly Projects
    • Scholarly Projects 2015
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UA Campus RepositoryCommunitiesTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournalThis CollectionTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournal

    My Account

    LoginRegister

    About

    AboutUA Faculty PublicationsUA DissertationsUA Master's ThesesUA Honors ThesesUA PressUA YearbooksUA CatalogsUA Libraries

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    EFFECT OF HIV STATUS ON FERTILITY DESIRE AND KNOWLEDGE OF LONG‐ACTING REVERSIBLE CONTRACEPTION OF POSTPARTUM MALAWIAN WOMEN

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    OShea, Michele.pdf
    Size:
    223.9Kb
    Format:
    PDF
    Description:
    Thesis
    Download
    Thumbnail
    Name:
    OShea, Michele Poster.pdf
    Size:
    606.8Kb
    Format:
    PDF
    Description:
    Poster
    Download
    Author
    OShea, Michele
    Affiliation
    The University of Arizona College of Medicine - Phoenix
    Issue Date
    2015-04-13
    Keywords
    Malawi
    MeSH Subjects
    HIV
    Fertility
    Contraception
    Postpartum Period
    Mentor
    Tang, Jennifer
    
    Metadata
    Show full item record
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the College of Medicine - Phoenix, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Collection Information
    This item is part of the College of Medicine - Phoenix Scholarly Projects 2015 collection. For more information, contact the Phoenix Biomedical Campus Library at pbc-library@email.arizona.edu.
    Publisher
    The University of Arizona.
    Abstract
    Background and Significance: Both HIV and unintended pregnancies have been associated with adverse maternal, perinatal, and infant outcomes. Malawi is a country with both high HIV prevalence and rates of unintended pregnancy, where 13% of women aged 15‐49 years have HIV, and 41% of pregnancies are unintended. Research Question: The objectives of this study were to describe the most recent pregnancy intentions and family planning preferences of HIV‐infected and HIV‐uninfected postpartum Malawian women, and to assess whether HIV status is associated with fertility desire and knowledge of intrauterine contraception (IUC) and the subdermal contraceptive implant. Methods: We conducted a cross‐sectional analysis of the baseline characteristics of Malawian women enrolled in a prospective cohort study assessing postpartum contraceptive uptake and continuation. Women at a government hospital completed a baseline survey assessing reproductive history, family planning preferences, and knowledge of IUC and the implant. We used Pearson’s chi‐square tests to compare these parameters between HIV‐infected and HIV‐uninfected women. Modified Poisson regression was performed to assess the association between HIV status and fertility desire and knowledge about IUC and the implant. Results: Of 634 postpartum women surveyed, HIV‐infected women were more likely to report their most recent pregnancy was unintended (49% versus 37%, p=0.004). Nearly all women (97%) did not want a child in the next two years but HIV‐infected women were more likely to desire no more children (adjusted PR: 1.59; 95% CI: 1.33, 1.89). HIV‐ infected women were also less likely to know that IUC (adjusted PR 0.72; 95% CI: 0.61, 0.84) and the implant (adjusted PR 0.83; 95% CI: 0.75, 0.92) are safe during breastfeeding. Conclusion: Postpartum women strongly desire family spacing and many HIV‐infected postpartum women desire no more children, suggesting an important role for these long‐acting methods. Education about the efficacy and safety of IUC and the implant particularly during breastfeeding may facilitate postpartum use.
    Description
    A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
    Collections
    Scholarly Projects 2015

    entitlement

     
    The University of Arizona Libraries | 1510 E. University Blvd. | Tucson, AZ 85721-0055
    Tel 520-621-6442 | repository@u.library.arizona.edu
    DSpace software copyright © 2002-2017  DuraSpace
    Quick Guide | Contact Us | Send Feedback
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.