Original Paper

AIDS and Behavior

, Volume 13, Supplement 1, pp 20-27

First online:

Fertility Intentions of HIV-1 Infected and Uninfected Women in Malawi: A Longitudinal Study

  • Frank TauloAffiliated withDepartment of Obstetrics and Gynecology, College of Medicine, University of Malawi
  • , Mark BerryAffiliated withDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University
  • , Amy TsuiAffiliated withDepartment of Population, Family and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University
  • , Bonus MakananiAffiliated withDepartment of Obstetrics and Gynecology, College of Medicine, University of Malawi
  • , George KafulafulaAffiliated withDepartment of Obstetrics and Gynecology, College of Medicine, University of Malawi
  • , Qing LiAffiliated withDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University
  • , Chiwawa NkhomaAffiliated withJohns Hopkins University—University of Malawi College of Medicine Research Project
  • , Johnstone J. KumwendaAffiliated withDepartment of Medicine, College of Medicine, University of Malawi
  • , Newton KumwendaAffiliated withDepartment of Epidemiology, Bloomberg School of Public Health
    • , Taha E. TahaAffiliated withDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University Email author 

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Abstract

This study aimed to determine changes in fertility intentions of HIV-1 infected and uninfected reproductive age women in Blantyre, Malawi. Participants were asked about their fertility intentions at baseline and at 3-month visits for 1 year. Time-to-event statistical models were used to determine factors associated with changes in fertility intentions. Overall, 842 HIV uninfected and 844 HIV infected women were enrolled. The hazard of changing from wanting no more children at baseline to wanting more children at follow-up was 61% lower among HIV infected women compared to HIV uninfected women (P < 0.01) after adjusting for other factors, while HIV infected women were ~3 times more likely to change to wanting no more children. The overall pregnancy rate after 12 months was 14.9 per 100 person-years and did not differ among 102 HIV uninfected and 100 infected women who became pregnant. HIV infection is a significant predictor of fertility intentions over time.

Keywords

Family planning Fertility intentions HIV-1 infection Malawi Pregnancy