Factors Associated with Hormonal and Intrauterine Contraceptive Use among HIV-Infected Men and Women in Lilongwe, Malawi: A Cross-Sectional Study

• Type of Material: Article
• Authors: Jenifer H. Tang, University of North Carolina; Sam Phiri, Kamuzu Central Hospital; Wingston Ng'ambi, Kamuzu Central Hospital; Jamie Krashin, Emory University; Linly Mlundira, Kamuzu Central Hospital; Thom Chaweza, Kamuzu Central Hospital; Bernadette Samala, Kamuzu Central Hospital; Hannock Tweya, Kamuzu Central Hospital; Mina C. Hosseinipour, University of North Carolina; Lisa Haddad, Emory University
• Language: English
• Date: 2016-01-01
• Publisher: Hindawi Publishing Corporation
• Publication Version: Final Published Version
• Copyright Statement: © 2016 Jennifer H. Tang et al.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1155/2016/5429316
• Title of Journal or Parent Work: Infectious Diseases in Obstetrics and Gynecology
• ISSN: 1064-7449
• Volume: 2016
• Start Page: 5429316
• End Page: 5429316
• Grant/Funding Information: This study was supported by a grant from the Society in Family Planning [SFPR no. 11–14, PI: Lisa B. Haddad].
• Research Categories: Health Sciences, Obstetrics and Gynecology; Health Sciences, Public Health; Health Sciences, Epidemiology

Abstract

Background: Understanding the factors associated with the use of hormonal and intrauterine contraception among HIV-infected men and women may lead to interventions that can help reduce high unintended pregnancy rates. Materials and Methods: This study is a subanalysis of a cross-sectional survey of 289 women and 241 men who were sexually active and HIV-infected and were attending HIV care visits in Lilongwe, Malawi. We estimated adjusted prevalence ratios (PRs) to evaluate factors associated with hormonal and intrauterine contraceptive use for men and women in separate models. Results and Discussion: 39.8% of women and 33.2% of men (p = 0.117) reported that they were using hormonal or intrauterine contraception at last intercourse. Having greater than 3 children was the only factor associated with hormonal and intrauterine contraceptive use among men. Among women, younger age, not wanting a pregnancy in 2 years, being with their partner for more than 4 years, and being able to make family planning decisions by themselves were associated with hormonal and intrauterine contraceptive use. Conclusions: The men and women in our study population differed in the factors associated with hormonal and intrauterine contraceptive use. Understanding these differences may help decrease unmet FP needs among HIV-infected men and women.