AI Article Synopsis
- Pregnancy rates among women with HIV are similar to the general population, but unintended pregnancies are common, particularly among adolescents and young women with HIV. A study aimed to improve fertility planning and safer conception practices through various interventions.
- The study involved 34 young women aged 16-29 in South Florida, who completed assessments and were divided into groups to receive different types of counseling, including Motivational Interviewing (MI) and video presentations.
- Results showed no significant differences in pregnancy knowledge or contraceptive planning among the different intervention groups, indicating that the interventions might not have effectively improved pregnancy planning strategies in this population.
Article Abstract
Background: Rates of pregnancy among women living with HIV are similar to those in the general population. Unintended pregnancies are also common, and among adolescents and young women perinatally infected (PHIV+) or behaviorally infected (BHIV+) with HIV, planning for both conception and contraception is an important element of HIV care that may be neglected. This pilot study examined the influence of intervention strategies targeting fertility planning, safer conception practices and patient-provider communication. It was hypothesized that preconception counseling interventions would enhance reproductive knowledge, planning and practices, as well as stimulate discussion with providers regarding conception.
Methods: Adolescent girls and young women (N=34) perinatally (n=21) or behaviorally (n=13) infected with HIV, aged 16-29 years, were recruited from urban South Florida, and completed measures of reproductive knowledge, sexual practices and fertility intentions. Participants were randomized to condition, ie, video presentation plus Motivational Interviewing (MI), MI only, control.
Results: The average age of women was 22 years (SD =3.27), and the majority of them were African American. Levels of depression were higher among BHIV+ compared to PHIV+ at baseline and 6 months. Pregnancy knowledge (pregnancy, safe conception and pregnancy planning) and the proportion of those engaging in birth control planning (condom use, long-term birth control, patient-provider discussions on preventing pregnancy and fertility desires) were similar between conditions at post-intervention and 6 months. Bayes factors indicated that the data were insensitive with regard to differences between conditions, limiting support for both the null and alternative hypotheses.
Conclusion: The impact of interventions used in this study to stimulate pregnancy planning was inconclusive. Results suggest that pregnancy planning interventions may require greater intensity to influence sexual behavior in this population. Despite adequate reproductive knowledge, HIV-infected adolescent girls and young women may fail to engage in planning behavior.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5605185 | PMC |
| http://dx.doi.org/10.2147/IJWH.S136668 | DOI Listing |
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