Effects of HIV Status and History of Pregnancy Termination on Trends of Family Planning Knowledge among Women Living in Nine Fragile Countries

Effects of HIV status and history of pregnancy termination on trends of family planning knowledge among women living in nine fragile countries

10.21203/rs.3.rs-814775/v2 ◽

2021 ◽

Author(s):

Daniel John Woytowich ◽

Bin Xie

Keyword(s):

Family Planning ◽

Pregnancy Termination ◽

Modern Method ◽

Hiv Status ◽

Knowledge Gaps ◽

Health Community ◽

History Of ◽

Future Pregnancy ◽

Hiv Women ◽

Male Sterilization

Abstract Background: To decrease the proportion of women in fragile or conflict-affected situations (FCS) that need, but are not using modern contraception, the global health community must better understand family planning (FP) knowledge gaps; and elucidate which subgroups of women are, and are not, effectively being reached with FP information. This study investigated whether women with notable sexual and reproductive health histories that put them at risk for future pregnancy complications, namely HIV+ women and women with history of terminated pregnancy (HTP), would possess more complete FP knowledge and/or recall being given FP information more readily than HIV- women and women with no HTP (NHTP), respectively. Methods: Knowledge of several contraceptive methods, and the prevalence of women who recalled being given FP information at a healthcare visit, or via TV, radio, or periodical were estimated across HIV, HTP, and country subgroups. HIV+ and HTP status were major predictors in multivariate logistic regressions analyzing the odds of knowing a specified method of contraception or of recalling being given FP information via the modes considered. Results: HIV+ as opposed to HIV- women showed significantly higher odds of knowing about the pill (p=0.001), IUD (p<0.001), injectables (p=0.005), male condoms (p<0.001), female condoms (p<0.001), and implants (p<0.001); but not female or male sterilization. HIV+ women demonstrated higher odds of recalling being given FP information at a health visit (p=0.001), whereas HTP women did not. HTP women showed higher odds (p<0.001) of knowing each modern method of FP with the exception of male sterilization and of recalling TV (p=0.01) and radio (p<0.001) FP messages. Conclusions: Notable findings were the higher FP awareness among HIV+ and HTP women, and the observation that HIV+ women were seemingly provided FP information more readily at healthcare visits than were HTP women, despite their similar risk profiles concerning future pregnancies. Subsequent studies may elucidate why these patterns were observed and indicate which other diagnostic groups are effectively being reached with FP education, and which are not. Understanding trends and predictors of FP knowledge can help practitioners better target FP counseling efforts in FCS toward knowledge gaps and their causes.

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Effects of HIV status and history of pregnancy termination on trends of family planning knowledge among women in nine fragile and conflict-affected countries

10.21203/rs.3.rs-814775/v1 ◽

2021 ◽

Author(s):

Daniel John Woytowich ◽

Bin Xie

Keyword(s):

Family Planning ◽

Pregnancy Termination ◽

Modern Method ◽

Hiv Status ◽

Knowledge Gaps ◽

Health Community ◽

History Of ◽

Future Pregnancy ◽

Hiv Women ◽

Male Sterilization

Abstract Background To decrease the proportion of women in fragile and conflict-affected situations (FCS) that need, but are not using modern contraception, the global health community must better understand family planning (FP) knowledge gaps; and elucidate which subgroups of women are, and are not, effectively being reached with FP information. This study investigated whether women with notable sexual and reproductive health histories that put them at risk for future pregnancy complications, namely HIV + women and women with history of terminated pregnancy (HTP), would possess more complete FP knowledge and/or recall being given FP information more readily than HIV- women and women with no HTP (NHTP), respectively. Methods Knowledge of several contraceptive methods, and the prevalence of women who recalled being given FP information at a healthcare visit, or via TV, radio, or periodical were estimated across HIV, HTP, and country subgroups. HIV + and HTP status were major predictors in multivariate logistic regressions analyzing the odds of knowing a specified method of contraception or of recalling being given FP information via the modes considered. Results HIV + as opposed to HIV- women showed significantly higher odds of knowing about the pill (p = 0.001), IUD (p < 0.001), injectables (p = 0.005), male condoms (p < 0.001), female condoms (p < 0.001), and implants (p < 0.001); but not female or male sterilization. HIV + women demonstrated higher odds of recalling being given FP information at a health visit (p = 0.001), whereas HTP women did not. HTP women showed higher odds (p < 0.001) of knowing each modern method of FP with the exception of male sterilization and of recalling TV (p = 0.01) and radio (p < 0.001) FP messages. Conclusions Notable findings were the higher FP awareness among HIV + and HTP women, and the observation that HIV + women were seemingly provided FP information more readily at healthcare visits than were HTP women, despite their similar risk profiles concerning future pregnancies. Subsequent studies may elucidate why these patterns were observed and indicate which other diagnostic groups are effectively being reached with FP education, and which are not. Understanding trends and predictors of FP knowledge can help practitioners better target FP counseling efforts in FCS toward knowledge gaps and their causes.

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Penggunaan Kontrasepsi pada Perempuan dengan HIV di Dunia

JURNAL PROMOSI KESEHATAN INDONESIA ◽

10.14710/jpki.17.1.25-34 ◽

2021 ◽

Vol 17 (1) ◽

pp. 25-34

Author(s):

Dayu Marista ◽

Ira Nurmala

Keyword(s):

Hiv Transmission ◽

Contraceptive Use ◽

Previous History ◽

Public Health Problem ◽

Hiv Status ◽

Cross Sectional ◽

History Of ◽

Women With Hiv ◽

Hiv Women ◽

Living With Hiv

Background: HIV infection is a public health problem. In 2019, more than 38 million people were living with HIV, and more than 1.7 million people contracted HIV. On the other hand, it was reported that infant morbidity and mortality remained high, with more than 160,000 infants contracting HIV and more than 100,000 dying from AIDS-related causes. Increased access and improved service programs to control HIV transmission from mother to child are in line with the increasing number of pregnant women with HIV. Women with HIV and their partners need to plan carefully before deciding to have children. Women living with HIV and their partners need to take advantage of services that provide information and contraceptive tools to prevent unplanned pregnancies. The study aimed to understand how HIV-infected women chose contraceptives.Method: Search for articles with a systematic review using four databases consisting of Pubmed, Science Direct, Sage, and Emerald Insight with a publication range of 2017-2020. The keywords used were contraceptive use AND HIV women. The inclusion criteria used were women with HIV aged 15-49 years and used a cross-sectional design.Results: The findings indicated that injections, condoms, and implants were the most common methods of contraception used by women with HIV. Motivation for contraceptive use in women with HIV is influenced by age, marital status, knowledge, number of children, education, previous history of contraceptive use, history of childbirth, lack of fertility desires, income, residence, CD4 count, child's HIV status and partner's HIV status.

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Predictors of Male Sterilization among Eligible, Modern Method of Family Planning Users in India: Evidence from a Nationwide Survey

Indian Journal of Community Health ◽

10.47203/ijch.2020.v32i02.014 ◽

2020 ◽

Vol 32 (2) ◽

pp. 378-385

Author(s):

Bijit Biswas ◽

Abhishek Kumar ◽

Neeraj Agarwal

Keyword(s):

Family Planning ◽

Family Health ◽

Wealth Index ◽

Cost Effective ◽

Nationwide Survey ◽

Modern Method ◽

Reproductive Age ◽

Sample Population ◽

Cross Sectional ◽

Male Sterilization

Background: Male sterilization despite being more cost-effective compared to female sterilization is opted by very few Indian eligible couple as family planning (FP) method. Aims & Objectives: To find out attributes of male sterilization among current eligible modern family planning methods users in India. Material & Methods: It was an observational study, cross-sectional in design based on fourth round of national family health survey (NFHS-4) 2015-16 men’s datasheet. There were in total 112122 data, of which 11772 sample population who had completed their family, been using modern methods of family planning and wife in reproductive age (15-49) were selected for analysis. Results: Among the study subjects, 377(3.2%) underwent male sterilization. In multivariable model those who were residing in southern India; Hindu by religion; scheduled caste (SC)/scheduled tribe (ST) by caste; belonged to lower quintile of wealth index; covered by a health insurance scheme; perceived ≤2 children as ideal number of children; husbands not working and employed seasonally/occasionally were more likely to undergo male sterilization adjusted with the age of husband, wife, their place of residence and property ownership status. Conclusion: Male sterilization in the sample population was significantly predicted by the region, religion, ethnicity, socioeconomic status, husbands employment status etc.

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946: History of Vasectomy: from Eugenic and Rejuvenation to Family Planning

The Journal of Urology ◽

10.1016/s0022-5347(18)33171-9 ◽

2006 ◽

Vol 175 (4S) ◽

pp. 306-306

Author(s):

Yefim R. Sheynkin ◽

David A. Schulsinger

Keyword(s):

Family Planning ◽

History Of

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Effect of Gestational Diabetes Mellitus History on Future Pregnancy Behaviors: The Mutaba’ah Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18010058 ◽

2020 ◽

Vol 18 (1) ◽

pp. 58

Author(s):

Nasloon Ali ◽

Aysha S. Aldhaheri ◽

Hessa H. Alneyadi ◽

Maha H. Alazeezi ◽

Sara S. Al Dhaheri ◽

...

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Pregnant Women ◽

Previous History ◽

Previous Pregnancy ◽

Prenatal Health ◽

Supplement Use ◽

History Of ◽

Future Pregnancy

Gestational diabetes mellitus (GDM) increases the risk of adverse pregnancy outcomes in any pregnancy and recurrence rates are high in future pregnancies. This study aims to investigate the effect of self-reported history of previous GDM on behaviors in a future pregnancy. This is an interim cross-sectional analysis of the pregnant women who participated in the Mutaba’ah Study between May 2017 and March 2020 in the United Arab Emirates. Participants completed a baseline self-administered questionnaire on sociodemographic and pregnancy-related information about the current pregnancy and previous pregnancies. Regression models assessed the relationships between self-reported history of GDM and pre-pregnancy and pregnancy behaviors in the current pregnancy. Out of 5738 pregnant parous women included in this analysis, nearly 30% (n = 1684) reported a history of GDM in a previous pregnancy. Women with a history of previous GDM were less likely to plan their current pregnancies (adjusted odds ratio (aOR): 0.84, 95% confidence interval (CI) 0.74–0.96) and more likely to be worried about childbirth (aOR: 1.18, 95% CI 1.03–1.36). They had shorter interpregnancy intervals between their previous child and current pregnancy (aOR: 0.88, 95% CI 0.82–0.94, per SD increase). There were no significant differences between women with and without a history of GDM in supplement use, sedentary behavior, or physical activity before and during this current pregnancy. Nearly a third of parous pregnant women in this population had a history of GDM in a previous pregnancy. Pregnant women with a previous history of GDM were similar to their counterparts with no history of GDM in the adopted pre-pregnancy and prenatal health behaviors. More intensive and long-term lifestyle counseling, possibly supported by e-health and social media materials, might be required to empower pregnant women with a history of GDM. This may assist in adopting and maintaining healthy prenatal behaviors early during the pregnancy or the preconception phase to minimize the risk of GDM recurrence and the consequential adverse maternal and infant health outcomes.

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Post-abortion family planning use, method preference, and its determinant factors in Eastern Africa: a systematic review and meta-analysis

Systematic Reviews ◽

10.1186/s13643-021-01731-4 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Asmamaw Demis Bizuneh ◽

Getnet Gedefaw Azeze

Keyword(s):

Family Planning ◽

Marital Status ◽

Meta Analysis ◽

Grey Literature ◽

Eastern Africa ◽

Determinant Factors ◽

Unintended Pregnancies ◽

Pooled Prevalence ◽

History Of ◽

Post Abortion

Abstract Background Utilization of post-abortion family planning is very critical to reduce high levels of unintended pregnancy, which is the root cause of induced abortion. In Eastern Africa, it is estimated that as many as 95% of unintended pregnancies occurred among women who do not practice contraception at all. Therefore, this meta-analysis aimed to assess post-abortion family planning utilization and its determinant factors in Eastern Africa. Methods Published papers from Scopus, HINARI, PubMed, Google Scholar, and Web of Science electronic databases and grey literature repository were searched from database inception to January 30, 2020, with no restriction by design and date of publishing. We screened records, extracted data, and assessed risk of bias in duplicate. Cochrane I2 statistics were used to check the heterogeneity of the studies. Publication bias was assessed by Egger and Biggs test with a funnel plot. A random-effects model was calculated to estimate the pooled prevalence of post-abortion family planning utilization. Results A total of twenty-nine cross-sectional studies with 70,037 study participants were included. The overall pooled prevalence of post-abortion family planning utilization was 67.86% (95% CI 63.59–72.12). The most widely utilized post-abortion family methods were injectable 33.23% (95% CI 22.12–44.34), followed by implants 24.71% (95% CI 13.53–35.89) and oral contraceptive pills 23.42% (95% CI 19.95–26.89). Married marital status (AOR=3.20; 95% CI 2.02–5.05), multiparity (AOR=3.84; 95% CI 1.43–10.33), having a history of abortion (AOR=2.33; 95% CI 1.44–3.75), getting counselling on post-abortion family planning (AOR=4.63; 95% CI 3.27–6.56), and ever use of contraceptives (AOR=4.63; 95% CI 2.27–5.21) were factors associated with post-abortion family planning utilization in Eastern Africa. Conclusions This study revealed that the marital status of the women, multiparity, having a history of abortion, getting counselling on post-abortion family planning, and ever used contraceptives were found to be significantly associated with post-abortion family planning utilization.

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To Give or Not to Give: RhD Immunoglobulin for an RHD*39 Pregnant Woman with Sickle Cell Disease

Transfusion Medicine and Hemotherapy ◽

10.1159/000512644 ◽

2021 ◽

pp. 1-5

Author(s):

Justin E. Juskewitch ◽

Craig D. Tauscher ◽

Sheila K. Moldenhauer ◽

Jennifer E. Schieber ◽

Eapen K. Jacob ◽

...

Keyword(s):

Pregnant Woman ◽

Sickle Cell Disease ◽

Sickle Cell ◽

Pregnancy Termination ◽

Acute Chest Syndrome ◽

Cell Disease ◽

Childbearing Age ◽

Procedural Complications ◽

History Of ◽

Chronic Hemolysis

Introduction: Patients with sickle cell disease (SCD) have repeated episodes of red blood cell (RBC) sickling and microvascular occlusion that manifest as pain crises, acute chest syndrome, and chronic hemolysis. These clinical sequelae usually increase during pregnancy. Given the racial distribution of SCD, patients with SCD are also more likely to have rarer RBC antigen genotypes than RBC donor populations. We present the management and clinical outcome of a 21-year-old pregnant woman with SCD and an RHD*39 (RhD[S103P], G-negative) variant. Case Presentation: Ms. S is B positive with a reported history of anti-D, anti-C, and anti-E alloantibodies (anti-G testing unknown). Genetic testing revealed both an RHD*39 and homozygous partial RHCE*ceVS.02 genotype. Absorption/elution testing confirmed the presence of anti-G, anti-C, and anti-E alloantibodies but could not definitively determine the presence/absence of an anti-D alloantibody. Ms. S desired to undergo elective pregnancy termination and the need for postprocedural RhD immunoglobulin (RhIG) was posed. Given that only the G antigen site is changed in an RHD*39 genotype and the potential risk of RhIG triggering a hyperhemolytic episode in an SCD patient, RhIG was not administered. There were no procedural complications. Follow-up testing at 10 weeks showed no increase in RBC alloantibody strength. Discussion/Conclusion: Ms. S represents a rare RHD*39 and partial RHCE*ceVS.02 genotype which did not further alloimmunize in the absence of RhIG administration. Her case also highlights the importance of routine anti-G alloantibody testing in women of childbearing age with apparent anti-D and anti-C alloantibodies.

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Knowledge, attitudes and practice of family planning: profile of a Bedouin community in Saudi Arabia

Journal of Biosocial Science ◽

10.1017/s0021932000009871 ◽

1974 ◽

Vol 6 (4) ◽

pp. 453-461 ◽

Cited By ~ 1

Author(s):

Zohair A. Sebai

Keyword(s):

Saudi Arabia ◽

Family Planning ◽

Social Status ◽

Small Scale ◽

Age Group ◽

The Social ◽

The Family ◽

History Of ◽

Or History

SummaryFamily planning is not being practised in Wadi Turaba in western Saudi Arabia, which is a Bedouin community with different stages of settlement. Children are wanted in the family, and the more children, especially boys, the better the social status of the family in the community. The desire of a mother for more children does not appear to be affected by her age group, history of previous marriages or history of previous pregnancies.Knowledge about contraceptives practically does not exist, except on a small scale in the settled community. Every woman, following the Koranic teachings, weans her child exactly at the age of 2 years, which obviously leads to the spacing of births. In rather rare situations, coitus interruptus is practised.

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“Ag-Gag” Laws: Evolution, Resurgence, and Public Health Implications

NEW SOLUTIONS A Journal of Environmental and Occupational Health Policy ◽

10.1177/1048291118808788 ◽

2018 ◽

Vol 28 (4) ◽

pp. 664-682 ◽

Cited By ~ 2

Author(s):

Caitlin A. Ceryes ◽

Christopher D. Heaney

Keyword(s):

Occupational Health ◽

Critical Evaluation ◽

The United States ◽

Animal Production ◽

Public Access ◽

State Laws ◽

The Public ◽

Food Animal ◽

Health Community ◽

History Of

The term “ag-gag” refers to state laws that intentionally limit public access to information about agricultural production practices, particularly livestock production. Originally created in the 1990s, these laws have recently experienced a resurgence in state legislatures. We discuss the recent history of ag-gag laws in the United States and question whether such ag-gag laws create a “chilling effect” on reporting and investigation of occupational health, community health, and food safety concerns related to industrial food animal production. We conclude with a discussion of the role of environmental and occupational health professionals to encourage critical evaluation of how ag-gag laws might influence the health, safety, and interests of day-to-day agricultural laborers and the public living proximal to industrial food animal production.

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