@article{1745bd124aae4e81885abb79395ff0d2,
title = "Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: A longitudinal study",
abstract = "Introduction: This study aimed to assess fertility intentions (planning to have more children in the future) and associated factors among pregnant and postpartum HIV positive women in rural South Africa. Methods: In a longitudinal study, as part of a prevention of mother to child transmission (PMTCT) intervention trial, 699 HIV positive prenatal women, were systematically recruited and followed up at 6 months and 12 months postpartum (retention rate = 59.5%). Results: At baseline, 32.9% of the women indicated fertility intentions and at 12 months postnatal, 120 (28.0%) reported fertility intentions. In longitudinal analyses, which included timeinvariant baseline characteristics predicting fertility intention over time, not having children, having a partner with unknown/HIV-negative status, and having disclosed their HIV status to their partner, were associated with fertility intentions. In a model with time-varying covariates, decreased family planning knowledge, talking to a provider about a future pregnancy, and increased male involvement were associated with fertility intentions. Conclusion: Results support ongoing perinatal family planning and PMTCT education.",
keywords = "Family planning, Fertility intentions, HIV infection, Male involvement, Pregnancy, South Africa",
author = "Karl Peltzer and Sibusiso Sifunda and Mandell, {Lissa N.} and Rodriguez, {Violeta J.} and Lee, {Tae Kyoung} and Ryan Cook and Weiss, {Stephen M.} and Jones, {Deborah L.}",
note = "Funding Information: This study was funded by a collaborative NIH/PEPFAR Grant, R01HD078187-S. Activities were conducted with the support of the University of Miami Miller School of Medicine Center for AIDS Research, funded by NIH grants, P30AI073961 and K23HD074489. Funding Information: Ethical approval was granted by the Human Sciences Research Council (HSRC) Research Ethics Committee (REC), protocol approval number REC4/21/08/13, and the University of Miami Miller School of Medicine Institutional Review Board (IRB ID: 20130238) (CR00006122). Study approval was also obtained from the Department of Health and Welfare, Mpumalanga Provincial Government, South Africa. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the Declaration of Helsinki 1964 and its later amendments or comparable ethical standards. Written informed consent was obtained from all participants. Funding Information: 1HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa; 2Department of Research and Innovation, University of Limpopo, Sovenga, South Africa; 3Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; 4Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; 5School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA Publisher Copyright: {\textcopyright} 2018 Peltzer et al.",
year = "2018",
doi = "10.2147/HIV.S153212",
language = "English (US)",
volume = "10",
pages = "9--17",
journal = "HIV/AIDS - Research and Palliative Care",
issn = "1179-1373",
publisher = "Dove Medical Press Ltd.",
}