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Desire for a child among HIV-infected women receiving antiretroviral therapy in Cameroon: results from the national survey EVAL (ANRS 12-116)
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Type de document
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Articles dans des revues scientifiques |
Titre original du chapitre
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Desire for a child among HIV-infected women receiving antiretroviral therapy in Cameroon: results from the national survey EVAL (ANRS 12-116) |
Auteurs physiques
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Marcellin, F., Protopopescu, C., Abe, C., Boyer, S., Blanche, J., Ongolo-Zogo, P., Koulla-Shiro, S., Moatti, J. P., Carrieri, M. P., Spire, B. |
Date d'édition
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2010 |
Revue
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AIDS Care ; 22 , 4 : 441-451 |
Résumé du document en anglais
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The majority of HIV-infected people in sub-Saharan Africa are women, many of reproductive age. Cameroon is severely hit by the AIDS epidemic and has developed a large national program for improving access to antiretroviral treatment (ART). The reproductive intentions of women living with HIV/AIDS (WLHA) who obtain access to ART in this country remain poorly documented. Our study aimed at exploring factors associated with the desire to have a child among 1433 ART-treated fertile WLHA aged <50. Analyses were based on data collected during the national cross-sectional survey EVAL (ANRS 12-116), which was conducted between September 2006 and March 2007 in 27 HIV care centers in Cameroon. Logistic regression was used to explore factors associated with women's desire to have a child, defined as reporting the wish to have a/another child. A total of 791 women (55%) reported the desire to have a child. After adjusting for age, matrimonial status, number of biological children, and sexual activity, the main factors independently associated with this desire in a multivariate analysis were having a good physical health-related quality of life (1.02 [1.01-1.03] for a one-point increment on the 12-item Short-Form Health Survey scale) and a CD4 count at ART initiation <200 cells/mm(3) (1.7 [1.2-2.4]). As a conclusion, the desire to have a child is frequent among ART-treated WLHA in Cameroon. HIV care and family planning programs should be integrated more thoroughly in order to support WLHA's reproductive choices. |
Mots clés BDSP
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Cameroun, Enfant, Etude, Fécondité, Femme, Résultat, Séropositivité, Sexualité, Sida, Traitement antirétroviral, VIH |
Code bibliographique
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10-S08 |
Fichiers
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