HIV Status and Contraceptive Utilization Among Women in Cameroon

Overview

Journal J Int Assoc Provid AIDS Care

Publisher Sage Publications

Specialty Infectious Diseases

Date 2019 Feb 20

PMID 30776955

Citations 5

Authors

Henna Budhwani

Kristine Ria Hearld

Jodie Dionne-Odom

Simon Manga

Kathleen Nulah

Michelle Khan

Thomas Welty

Edith Welty

Alan Thevenet Tita

Affiliations

Soon will be listed here.

Abstract

Objective: We examined patterns of contraceptive utilization by HIV status among women in Cameroon, hypothesizing that women living with HIV would utilize contraception at higher rates than their HIV-negative peers.

Methods: Deidentified, clinical data from the Cameroon Baptist Convention Health Services (2007-2013) were analyzed (N = 8995). Frequencies compared outcomes between women living with HIV (15.1%) and uninfected women. Multivariate analyses examined associates of contraceptive utilization and desire to become pregnant.

Results: Contraceptive utilization was associated with higher education, living with HIV, monogamy, and higher parity ( P < .001). Women living with HIV had 66% higher odds of using contraceptives than their negative peers (odds ratio [OR]: 1.66, confidence interval [CI]: 1.45-1.91, P < .001). Polygamous women had 37% lower odds of using contraceptives compared to monogamous women (OR: 0.63, 95% CI: 0.52-0.75, P < .001).

Conclusion: Increasing contraceptive utilization in resource-constrained settings should be a priority for clinicians and researchers. Doing so could improve population health by reducing HIV transmission between partners and from mother to child.

Citing Articles

Structural barriers to maternity care in Cameroon: a qualitative study.

Harsono A, Bond C, Enah C, Ngong M, Kyeng R, Wallace E Reprod Health. 2024; 21(1):108.

PMID: 39030544 PMC: 11264682. DOI: 10.1186/s12978-024-01834-w.

Contraceptive Use and Missed Opportunities for Family Planning Discussions in Women Living with Human Immunodeficiency Virus at an HIV Clinic.

Winters A, Jakeman B, Aragon K, Kasten Z, Bos A, Snyder J J Int Assoc Provid AIDS Care. 2022; 21:23259582221144449.

PMID: 36536987 PMC: 9772939. DOI: 10.1177/23259582221144449.

Condom, modern contraceptive, and dual method use are associated with HIV status and relationship concurrency in a context of high mobility: A cross-sectional study of women of reproductive age in rural Kenya and Uganda, 2016.

Lee J, Gutin S, Getahun M, Okiring J, Neilands T, Akullian A Contraception. 2022; 117:13-21.

PMID: 36115610 PMC: 9984206. DOI: 10.1016/j.contraception.2022.09.001.

mHealth Phone Intervention to Reduce Maternal Deaths and Morbidity in Cameroon: Protocol for Translational Adaptation.

Budhwani H, Enah C, Bond C, Halle-Ekane G, Wallace E, Turan J Int J Womens Health. 2022; 14:677-686.

PMID: 35572348 PMC: 9093609. DOI: 10.2147/IJWH.S353919.

Low Rates of Contraception Use in Women With Human Immunodeficiency Virus.

Bhatta M, Bian A, Norwood J, Shepherd B, Ransby I, Nelson J Open Forum Infect Dis. 2022; 9(5):ofac113.

PMID: 35392458 PMC: 8982767. DOI: 10.1093/ofid/ofac113.

References

Ogembo J, Manga S, Nulah K, Foglabenchi L, Perlman S, Wamai R . Achieving high uptake of human papillomavirus vaccine in Cameroon: lessons learned in overcoming challenges. Vaccine. 2014; 32(35):4399-4403. DOI: 10.1016/j.vaccine.2014.06.064. View

Hearld K, Anderson J, Budhwani H . Examining the Relationship Between Individual Characteristics, Community-Level Traits, Multidimensional Empowerment, and Maternal Health Care Utilization in the Islamic Republic of Pakistan. Matern Child Health J. 2018; 22(9):1319-1326. DOI: 10.1007/s10995-018-2512-3. View

Dionne-Odom J, Mbah R, Rembert N, Tancho S, Halle-Ekane G, Enah C . Hepatitis B, HIV, and Syphilis Seroprevalence in Pregnant Women and Blood Donors in Cameroon. Infect Dis Obstet Gynecol. 2016; 2016:4359401. PMC: 4992796. DOI: 10.1155/2016/4359401. View

Chadwick K, Burkman R, Tornesi B, Mahadevan B . Fifty years of "the pill": risk reduction and discovery of benefits beyond contraception, reflections, and forecast. Toxicol Sci. 2011; 125(1):2-9. DOI: 10.1093/toxsci/kfr242. View

Sedgh G, Hussain R . Reasons for contraceptive nonuse among women having unmet need for contraception in developing countries. Stud Fam Plann. 2014; 45(2):151-69. DOI: 10.1111/j.1728-4465.2014.00382.x. View

. The Joint United Nations Programme on HIV / AIDS (UNAIDS). Project update. Pac AIDS Alert Bull. 2002; (18):15-6. View

Budhwani H, Anderson J, Hearld K . Muslim Women's use of contraception in the United States. Reprod Health. 2018; 15(1):1. PMC: 5756427. DOI: 10.1186/s12978-017-0439-6. View

Kurth A, Inwani I, Wangombe A, Nduati R, Owuor M, Njiri F . The Gender Context of HIV Risk and Pregnancy Goals in Western Kenya. East Afr Med J. 2016; 92(4):163-169. PMC: 4709033. View

Hearld K, Budhwani H . Maternal Health Care Use by Pregnant Women Living with HIV: Factors Associated with Prenatal, Delivery, and Postnatal Care in Haiti. J Health Care Poor Underserved. 2017; 28(4):1452-1461. DOI: 10.1353/hpu.2017.0126. View

10.

Aviisah M, Norman I, Enuameh Y . Facilitators and barriers to modern contraception use among reproductive-aged women living in sub-Saharan Africa: a qualitative systematic review protocol. JBI Database System Rev Implement Rep. 2017; 15(9):2229-2233. DOI: 10.11124/JBISRIR-2016-003024. View

11.

Chandra-Mouli V, McCarraher D, Phillips S, Williamson N, Hainsworth G . Contraception for adolescents in low and middle income countries: needs, barriers, and access. Reprod Health. 2014; 11(1):1. PMC: 3882494. DOI: 10.1186/1742-4755-11-1. View

12.

DeGregorio G, Manga S, Kiyang E, Manjuh F, Bradford L, Cholli P . Implementing a Fee-for-Service Cervical Cancer Screening and Treatment Program in Cameroon: Challenges and Opportunities. Oncologist. 2017; 22(7):850-859. PMC: 5507645. DOI: 10.1634/theoncologist.2016-0383. View

13.

Curtis K, Tepper N, Jatlaoui T, Whiteman M . Removing medical barriers to contraception - evidence-based recommendations from the Centers for Disease Control and Prevention, 2016. Contraception. 2016; 94(6):579-581. PMC: 11283815. DOI: 10.1016/j.contraception.2016.08.007. View

14.

Tweya H, Feldacker C, Gugsa S, Phiri S . Contraceptive use and pregnancy rates among women receiving antiretroviral therapy in Malawi: a retrospective cohort study. Reprod Health. 2018; 15(1):25. PMC: 5807743. DOI: 10.1186/s12978-017-0440-0. View

15.

Tweya H, Feldacker C, Haddad L, Munthali C, Bwanali M, Speight C . Integrating family planning services into HIV care: use of a point-of-care electronic medical record system in Lilongwe, Malawi. Glob Health Action. 2017; 10(1):1383724. PMC: 5678434. DOI: 10.1080/16549716.2017.1383724. View

16.

Fenton K, Johnson A, McManus S, Erens B . Measuring sexual behaviour: methodological challenges in survey research. Sex Transm Infect. 2001; 77(2):84-92. PMC: 1744273. DOI: 10.1136/sti.77.2.84. View

17.

Helova A, Hearld K, Budhwani H . Associates of Neonatal, Infant and Child Mortality in the Islamic Republic of Pakistan: A Multilevel Analysis Using the 2012-2013 Demographic and Health Surveys. Matern Child Health J. 2016; 21(2):367-375. DOI: 10.1007/s10995-016-2121-y. View

18.

Iyun V, Brittain K, Phillips T, le Roux S, McIntyre J, Zerbe A . Prevalence and determinants of unplanned pregnancy in HIV-positive and HIV-negative pregnant women in Cape Town, South Africa: a cross-sectional study. BMJ Open. 2018; 8(4):e019979. PMC: 5892733. DOI: 10.1136/bmjopen-2017-019979. View

19.

DeGregorio G, Bradford L, Manga S, Tih P, Wamai R, Ogembo R . Prevalence, Predictors, and Same Day Treatment of Positive VIA Enhanced by Digital Cervicography and Histopathology Results in a Cervical Cancer Prevention Program in Cameroon. PLoS One. 2016; 11(6):e0157319. PMC: 4900564. DOI: 10.1371/journal.pone.0157319. View

20.

Henley C, Forgwei G, Welty T, Golden M, Adimora A, Shields R . Scale-up and case-finding effectiveness of an HIV partner services program in Cameroon: an innovative HIV prevention intervention for developing countries. Sex Transm Dis. 2013; 40(12):909-14. PMC: 4521599. DOI: 10.1097/OLQ.0000000000000032. View