| Author | Todd, Catherine S. | |
| Author | Stibich, Mark A. | |
| Author | Laher, Fatima | |
| Author | Malta, Monica Siqueira | |
| Author | Bastos, Francisco Inácio Pinkusfeld Monteiro | |
| Author | Imbuki, Kennedy | |
| Author | Shaffer, Douglas N. | |
| Author | Sinei, Samuel K. | |
| Author | Gray, Glenda E. | |
| Access date | 2011-06-27T17:25:16Z | |
| Available date | 2011-06-27T17:25:16Z | |
| Document date | 2011 | |
| Citation | TODD, Catherine S. et al. Influence of culture on contraceptive utilization among HIV-positive women in Brazil, Kenya, and South África. AIDS and Behavior, v. 15, n. 2, p. 454-468, 2011. | en_US |
| ISSN | 1090-7165 | |
| URI | https://www.arca.fiocruz.br/handle/icict/2736 | |
| Language | eng | en_US |
| Rights | open access | en_US |
| Subject in Portuguese | HIV | en_US |
| Subject in Portuguese | Desejo de Fertilidade | en_US |
| Subject in Portuguese | Contracepção | en_US |
| Subject in Portuguese | Menstruação | en_US |
| Subject in Portuguese | Fertilidade Futura | en_US |
| Subject in Portuguese | Uso de Preservativo | en_US |
| Title | Influence of culture on contraceptive utilization among HIV-positive women in Brazil, Kenya, and South Africa | en_US |
| Type | Article | en_US |
| DOI | 10.1007/s10461-010-9848-z | |
| Abstract | Contraceptive choice and discontinuation are poorly understood among HIV-positive women, and HIV disease and culture may influence decisions. We assessed factors influencing contraceptive decision-making among HIV-positive women in three countries. This qualitative assessment of 108 HIV-positive women (36/site, selected by age and parity strata) was conducted in Rio de Janeiro, Brazil; Kericho, Kenya; and Soweto, South Africa. Freelist interviews assessed knowledge and attitudes towards contraception and were analyzed enumerating frequency and saliency of mentions. There was intersite consensus around list items but priority and themes varied. Site-specific factors influencing contraceptive choice were male partner wishes and fertility desire (Brazil), side-effects (South Africa), and impact on health and HIV progression (Kenya). Age, parity, and taking antiretroviral therapy (ART) impacted some themes. Contraceptive use among HIV-positive women is substantially influenced by culture and other factors. Counseling efforts should consider individual factors in method selection and offer method variety to accommodate changing needs. | en_US |
| Affilliation | Columbia University. Department of Obstetrics and Gynecology. New York, NY, USA. | en_US |
| Affilliation | Lacuna Projects. Houston, TX, USA. | en_US |
| Affilliation | University of Witwatersrand. Perinatal HIV Research Unit. Soweto, South Africa. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Ciências Sociais. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fulbright/Capes Visiting Scholar, Brown University, Providence, RI, USA. | en_US |
| Affilliation | Walter Reed Project. Kericho, Kenya. | en_US |
| Affilliation | Walter Reed Project. Kericho, Kenya. | en_US |
| Affilliation | Walter Reed Project. Kericho, Kenya. | en_US |
| Affilliation | University of Witwatersrand. Perinatal HIV Research Unit. Soweto, South Africa. | en_US |
| Subject | HIV | en_US |
| Subject | Fertility Desire | en_US |
| Subject | Contraception | en_US |
| Subject | Menstruation | en_US |
| Subject | Future Fertility | en_US |
| Subject | Condom Use | en_US |
| DeCS | HIV | en_US |
| DeCS | Fertilidade | en_US |
| DeCS | Anticoncepção | en_US |
| DeCS | Menstruação | en_US |
