The year-long effect of HIV-positive test results on pregnancy intentions, contraceptive use, and pregnancy incidence among Malawian women

Irving F. Hoffman, Francis E A Martinson, Kimberly A. Powers, David A. Chilongozi, Emmie D. Msiska, Emma I. Kachipapa, Chimwemwe D. Mphande, Mina C. Hosseinipour, Harriet C. Chanza, Rob Stephenson, Amy Ong Tsui

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To estimate the effect of receiving HIV-positive test results on intentions to have future children and on contraceptive use and to assess the association between pregnancy intentions and pregnancy incidence among HIV-positive women in Malawi. METHODS: Women of unknown HIV status completed a questionnaire about pregnancy intentions and contraceptive use and then received HIV voluntary counseling and testing (VCT). Women who were HIV-positive and not pregnant were enrolled and followed for 1 year while receiving HIV care and access to family planning (FP) services. RESULTS: Before receiving their HIV test results, 33% of women reported a desire to have future children; this declined to 15% 1 week later (P <0.0001) and remained constant throughout follow-up. Contraceptive use increased from 38% before HIV testing to 52% 1 week later (P <0.0001) and then decreased to 46% by 12 months. The pregnancy incidence among women not reporting a desire to have future children after VCT was less than half of the incidence among women reporting this desire. CONCLUSIONS: With knowledge of their HIV-positive status, women were less likely to desire future pregnancies. Pregnancy incidence was lower among women not desiring future children. Integration of VCT, FP, and HIV care could prevent mother-to-child HIV transmission.

Original languageEnglish (US)
Pages (from-to)477-483
Number of pages7
JournalJournal of Acquired Immune Deficiency Syndromes
Volume47
Issue number4
DOIs
StatePublished - Apr 2008

Fingerprint

Contraceptive Agents
HIV
Pregnancy
Incidence
Counseling
Family Planning Services
Malawi
Women's Rights
Mothers

Keywords

  • Contraceptives
  • HIV testing
  • Malawi
  • Pregnancy incidence
  • Pregnancy intentions

ASJC Scopus subject areas

  • Virology
  • Immunology

Cite this

The year-long effect of HIV-positive test results on pregnancy intentions, contraceptive use, and pregnancy incidence among Malawian women. / Hoffman, Irving F.; Martinson, Francis E A; Powers, Kimberly A.; Chilongozi, David A.; Msiska, Emmie D.; Kachipapa, Emma I.; Mphande, Chimwemwe D.; Hosseinipour, Mina C.; Chanza, Harriet C.; Stephenson, Rob; Tsui, Amy Ong.

In: Journal of Acquired Immune Deficiency Syndromes, Vol. 47, No. 4, 04.2008, p. 477-483.

Research output: Contribution to journalArticle

Hoffman, IF, Martinson, FEA, Powers, KA, Chilongozi, DA, Msiska, ED, Kachipapa, EI, Mphande, CD, Hosseinipour, MC, Chanza, HC, Stephenson, R & Tsui, AO 2008, 'The year-long effect of HIV-positive test results on pregnancy intentions, contraceptive use, and pregnancy incidence among Malawian women', Journal of Acquired Immune Deficiency Syndromes, vol. 47, no. 4, pp. 477-483. https://doi.org/10.1097/QAI.0b013e318165dc52
Hoffman, Irving F. ; Martinson, Francis E A ; Powers, Kimberly A. ; Chilongozi, David A. ; Msiska, Emmie D. ; Kachipapa, Emma I. ; Mphande, Chimwemwe D. ; Hosseinipour, Mina C. ; Chanza, Harriet C. ; Stephenson, Rob ; Tsui, Amy Ong. / The year-long effect of HIV-positive test results on pregnancy intentions, contraceptive use, and pregnancy incidence among Malawian women. In: Journal of Acquired Immune Deficiency Syndromes. 2008 ; Vol. 47, No. 4. pp. 477-483.
@article{5d0c135827d54c4a9cdba311193a8712,
title = "The year-long effect of HIV-positive test results on pregnancy intentions, contraceptive use, and pregnancy incidence among Malawian women",
abstract = "OBJECTIVES: To estimate the effect of receiving HIV-positive test results on intentions to have future children and on contraceptive use and to assess the association between pregnancy intentions and pregnancy incidence among HIV-positive women in Malawi. METHODS: Women of unknown HIV status completed a questionnaire about pregnancy intentions and contraceptive use and then received HIV voluntary counseling and testing (VCT). Women who were HIV-positive and not pregnant were enrolled and followed for 1 year while receiving HIV care and access to family planning (FP) services. RESULTS: Before receiving their HIV test results, 33{\%} of women reported a desire to have future children; this declined to 15{\%} 1 week later (P <0.0001) and remained constant throughout follow-up. Contraceptive use increased from 38{\%} before HIV testing to 52{\%} 1 week later (P <0.0001) and then decreased to 46{\%} by 12 months. The pregnancy incidence among women not reporting a desire to have future children after VCT was less than half of the incidence among women reporting this desire. CONCLUSIONS: With knowledge of their HIV-positive status, women were less likely to desire future pregnancies. Pregnancy incidence was lower among women not desiring future children. Integration of VCT, FP, and HIV care could prevent mother-to-child HIV transmission.",
keywords = "Contraceptives, HIV testing, Malawi, Pregnancy incidence, Pregnancy intentions",
author = "Hoffman, {Irving F.} and Martinson, {Francis E A} and Powers, {Kimberly A.} and Chilongozi, {David A.} and Msiska, {Emmie D.} and Kachipapa, {Emma I.} and Mphande, {Chimwemwe D.} and Hosseinipour, {Mina C.} and Chanza, {Harriet C.} and Rob Stephenson and Tsui, {Amy Ong}",
year = "2008",
month = "4",
doi = "10.1097/QAI.0b013e318165dc52",
language = "English (US)",
volume = "47",
pages = "477--483",
journal = "Journal of Acquired Immune Deficiency Syndromes",
issn = "1525-4135",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - The year-long effect of HIV-positive test results on pregnancy intentions, contraceptive use, and pregnancy incidence among Malawian women

AU - Hoffman, Irving F.

AU - Martinson, Francis E A

AU - Powers, Kimberly A.

AU - Chilongozi, David A.

AU - Msiska, Emmie D.

AU - Kachipapa, Emma I.

AU - Mphande, Chimwemwe D.

AU - Hosseinipour, Mina C.

AU - Chanza, Harriet C.

AU - Stephenson, Rob

AU - Tsui, Amy Ong

PY - 2008/4

Y1 - 2008/4

N2 - OBJECTIVES: To estimate the effect of receiving HIV-positive test results on intentions to have future children and on contraceptive use and to assess the association between pregnancy intentions and pregnancy incidence among HIV-positive women in Malawi. METHODS: Women of unknown HIV status completed a questionnaire about pregnancy intentions and contraceptive use and then received HIV voluntary counseling and testing (VCT). Women who were HIV-positive and not pregnant were enrolled and followed for 1 year while receiving HIV care and access to family planning (FP) services. RESULTS: Before receiving their HIV test results, 33% of women reported a desire to have future children; this declined to 15% 1 week later (P <0.0001) and remained constant throughout follow-up. Contraceptive use increased from 38% before HIV testing to 52% 1 week later (P <0.0001) and then decreased to 46% by 12 months. The pregnancy incidence among women not reporting a desire to have future children after VCT was less than half of the incidence among women reporting this desire. CONCLUSIONS: With knowledge of their HIV-positive status, women were less likely to desire future pregnancies. Pregnancy incidence was lower among women not desiring future children. Integration of VCT, FP, and HIV care could prevent mother-to-child HIV transmission.

AB - OBJECTIVES: To estimate the effect of receiving HIV-positive test results on intentions to have future children and on contraceptive use and to assess the association between pregnancy intentions and pregnancy incidence among HIV-positive women in Malawi. METHODS: Women of unknown HIV status completed a questionnaire about pregnancy intentions and contraceptive use and then received HIV voluntary counseling and testing (VCT). Women who were HIV-positive and not pregnant were enrolled and followed for 1 year while receiving HIV care and access to family planning (FP) services. RESULTS: Before receiving their HIV test results, 33% of women reported a desire to have future children; this declined to 15% 1 week later (P <0.0001) and remained constant throughout follow-up. Contraceptive use increased from 38% before HIV testing to 52% 1 week later (P <0.0001) and then decreased to 46% by 12 months. The pregnancy incidence among women not reporting a desire to have future children after VCT was less than half of the incidence among women reporting this desire. CONCLUSIONS: With knowledge of their HIV-positive status, women were less likely to desire future pregnancies. Pregnancy incidence was lower among women not desiring future children. Integration of VCT, FP, and HIV care could prevent mother-to-child HIV transmission.

KW - Contraceptives

KW - HIV testing

KW - Malawi

KW - Pregnancy incidence

KW - Pregnancy intentions

UR - http://www.scopus.com/inward/record.url?scp=40549143034&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=40549143034&partnerID=8YFLogxK

U2 - 10.1097/QAI.0b013e318165dc52

DO - 10.1097/QAI.0b013e318165dc52

M3 - Article

C2 - 18209677

AN - SCOPUS:40549143034

VL - 47

SP - 477

EP - 483

JO - Journal of Acquired Immune Deficiency Syndromes

JF - Journal of Acquired Immune Deficiency Syndromes

SN - 1525-4135

IS - 4

ER -