Resumé
Background: Fertility intention of People Living with HIV (PLHIV) creates a potential for increased sexual transmission of HIV and other STIs during natural pregnancy conception attempts. There is however paucity of data on the association between attitude and belief of PLHIV about HIV treatment and their fertility intention. This study aimed to determine the association between HIV treatment optimism and fertility intention among PLHIV and the role of other predictors in mediating this association.
Methods: A cross-sectional survey of heterosexual adults living with HIV was conducted using a questionnaire survey. HIV treatment optimism scores ranged from 5 to 20. Scores <14 were considered as realistic and >14 as optimistic. Data were analysed using descriptive and inferential statistics at 5% significance level.
Results: Mean age of the respondents was 35.8 ± 7.1years and 82.4% were females. HIV treatment optimism was associated with fertility intention (p=0.037). Predictors of fertility intention were being HIV treatment optimistic [OR 1.76 (1.19-2.61)], being a female [OR 1.67(1.02-2.74)], non-disclosure of HIV status to partner [OR 2.28(1.13-4.62)], partner being HIV negative [OR 7.88(1.59-39.12)] or positive [OR 15.72(2.65-93.42)], unknown partner HAART status [OR 10.31(2.18-48.80)], being in a short relationship [OR 0.99(0.99-1.00)] and having < 2 living lifetime children [OR 10.02(1.79-55.99)].
Conclusion: Attitudes and beliefs of PLHIV about HIV treatment influences their fertility intentions. To attain the goal of zero new HIV infection, adequate education and counselling that will bring about safer and healthier reproductive attitudes and behaviours would be of value particularly among individuals with characteristics influencing the association.
Keywords: HIV treatment optimism, Fertility intention, Confounders, Heterosexual HIV adults, People Living with HIV, South-western Nigeria
Résumé
Contexte: L’intention de fécondité des personnes vivant avec le VIH (PVVIH) crée un potentiel d’augmentation de la transmission sexuelle du VIH et d’autres IST lors des tentatives de conception d’une grossesse naturelle. Il existe cependant peu de données sur le lien entre l’attitude et la conviction des PVVIH concernant le traitement du VIH et leur intention de fécondité. Cette étude visait à déterminer le lien entre l’optimisme lié au traitement du VIH et l’intention de fécondité chez les PVVIH et le rôle des autres prédicteurs dans la médiation de cette association.
Méthodes: Une enquête transversale sur des adultes hétérosexuels vivant avec le VIH a été réalisée à l’aide d’un questionnaire. Les scores d’optimisme pour le traitement du VIH allaient de 5 à 20. Les scores < 14 étaient considérés comme réalistes et > 14 comme optimistes. Les données ont été analysées à l’aide de statistiques descriptives et déductives inférentielles à un niveau de signification de 5%.
Résultats: L’âge moyen des répondants était de 35,8 ± 7,1 ans et 82,4% étaient des femmes. L’optimisme du traitement du VIH était associé à l’intention de fécondité (p = 0,037). Les prédicteurs de l’intention de fécondité étaient d’être optimistes quant au traitement du VIH [OR 1,76 (1,19-2,61)], en tant que femme [OR 1,67 (1,02-2,74)], non divulgation du statut VIH au partenaire [OR 2,28 (1,13-4,62)], partenaire séronégatif [OR 7.88 (1.59-39.12)] ou positif [OR 15.72 (2.65-93.42)], inconnu statut HAART du partenaire [OR 10.31 (2.18-48.80)], étant dans une courte relation [OR 0.99 (0.99- 1,00)] et ayant < 2 enfants dans la vie entière [OR 10.02 (1.79-55.99)].
Conclusion: Les attitudes et croyances des PVVIH concernant le traitement du VIH influencent leurs intentions en matière de fécondité. Pour atteindre l’objectif de zéro nouvelle infection par le VIH, une éducation et des conseils adéquats permettant de créer des attitudes et des comportements en matière de procréation plus sûrs et plus sains seraient particulièrement utiles, notamment chez les personnes dont les caractéristiques influent sur l’association.
Mots-clés: optimisme face au traitement du VIH, intention de fécondité, facteurs de confusion, adultes hétérosexuels vivant avec le VIH, personnes vivant avec le VIH, sud-ouest du Nigéria
Correspondence: Dr. V.O. Oladoyin, Department of Community Medicine, University of Medical Sciences, PMB 536, Ondo, Nigeria. Email: dayooladoyin@gmail.com
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