TITLE

Association between fertility and HIV status: what implications for HIV estimates?

AUTHOR(S)
Kongnyuy, Eugene J.; Wiysonge, Charles S.
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8, p309
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Most estimates of HIV prevalence have been based on sentinel surveillance of pregnant women which may either under-estimate or over-estimate the actual prevalence in adult female population. One situation which can lead to either an underestimate or an overestimate of the actual HIV prevalence is where there is a significant difference in fertility rates between HIVpositive and HIV-negative women. Our aim was to compare the fertility rates of HIV-infected and HIV-uninfected women in Cameroon in order to make recommendations on the appropriate adjustments when using antenatal sentinel data to estimate HIV prevalence Methods: Cross-sectional, population-based study using data from 4493 sexually active women aged15 to 49 years who participated in the 2004 Cameroon Demographic and Health Survey. Results: In the rural area, the age-specific fertility rates in both HIV positive and HIV negative women increased from 15-19 years age bracket to a maximum at 20-24 years and then decreased monotonically till 35-49 years. Similar trends were observed in the urban area. The overall fertility rate for HIV positive women was 118.7 births per 1000 woman-years (95% Confidence Interval [CI] 98.4 to 142.0) compared to 171.3 births per 1000 woman-years (95% CI 164.5 to 178.2) for HIV negative women. The ratio of the fertility rate in HIV positive women to the fertility rate of HIV negative women (called the relative inclusion ratio) was 0.69 (95% CI 0.62 to 0.75). Conclusion: Fertility rates are lower in HIV-positive than HIV-negative women in Cameroon. The findings of this study support the use of summary RIR for the adjustment of HIV prevalence (among adult female population) obtained from sentinel surveillance in antenatal clinics.
ACCESSION #
51486924

 

Related Articles

  • Assessment of a national voucher scheme to deliver insecticide-treated mosquito nets to pregnant women. Marchant, Tanya; Schellenberg, David; Nathan, Rose; Armstrong-Schellenberg, Joanna; Mponda, Hadji; Jones, Caroline; Sedekia, Yovitha; Bruce, Jane; Hanson, Kara // CMAJ: Canadian Medical Association Journal;2/9/2010, Vol. 182 Issue 2, p152 

    Background: The benefits of a health-related intervention may be compromised by the challenges of delivering the intervention on a large scale. We analyzed the process involved in the Tanzania National Voucher Scheme, a system for delivering insecticide-treated mosquito nets to pregnant women....

  • HARLEM HOSPITAL OPENS HIV CENTER.  // New York Amsterdam News;6/30/2005, Vol. 96 Issue 27, p26 

    The article presents information on the opening of an HIV center by the Harlem Hospital Center. The hospital recently unveiled its new Harlem Family Center with an opening ceremony. The comfortable new space provides comprehensive, co-ordinated care and treatment to HIV infected and at-risk...

  • Female Bodies: Gender Inequalities, Vulnerability, HIV and AIDS in Kenya. Sesay, Waithera // Advancing Women in Leadership;2010, Vol. 30 Issue 17, p1 

    This paper emerged from a lack of literature on women's vulnerability to HIV/AIDS in AIDS discourses. Women have been vulnerable to HIV/AIDS since the epidemic emerged but not much research has been done specifically on Kenyan women. The ways in which women are vulnerable to HIV infection were...

  • The British Columbia Positive Women's survey: A detailed profile of 110 HIV-infected women. Kirkham, Colleen M.; Lobb, Daphne J. // CMAJ: Canadian Medical Association Journal;02/10/98, Vol. 158 Issue 3, p317 

    Presents a study to describe the health, social environment, medical care received and satisfaction with medical care of HIV-infected women in British Columbia. Design and setting; Participants; Outcome measures; Results and conclusions.

  • HIV/AIDS, A WOMEN'S DISEASE.  // Tennessee Tribune;3/10/2011, Vol. 22 Issue 10, p3B 

    The article offers information on the National Girls and Women HIV/AIDS Awareness Day on March 10, 2011 to bring awareness and impacts of the disease to the women's life worldwide.

  • Awareness and Attitudes About HIV Among Pregnant Women in Aksu, Northwest China. Maimaiti, Rena; Andersson, Rune // Open AIDS Journal;2008, Vol. 2, p72 

    The Xinjiang Uyghur Autonomous Region has a firmly established HIV epidemic among its intravenous drug user (IDU) population. Local sex workers were also found to be positive in 1998. A descriptive, cross-sectional survey of knowledge about HIV/AIDS and attitudes among consecutively selected...

  • AIDS: An understanding in rural women of South-India. Subramanian, Thilakavathi; Gupte, M. D.; Ezhil, R. // Indian Journal of Sexually Transmitted Diseases;2007, Vol. 28 Issue 1, p10 

    The study aims to find out the knowledge and understanding of acquired immunodefi ciency syndrome (AIDS) in 1,200 randomly selected women in the age group of 15-45 years, of 16 villages belonging to Villupuram Health Unit District, Tamil Nadu, India, using a two-stage sampling design. Data...

  • Assisted Reproductive Technology Surveillance -- United States, 2001. Wright, Victoria Clay; Schieve, Laura A.; Reynolds, Meredith A.; Jeng, Gary; Kissin, Dmitry // MMWR: Morbidity & Mortality Weekly Report;4/30/2004 Surveillance Summaries, Vol. 53, p1 

    Problem/Condition: In 1996, CDC initiated data collection regarding assisted reproductive technology (ART) procedures performed in the United States to determine medical center-specific pregnancy success rates, as mandated by the Fertility Clinic Success Rate and Certification Act (FCSRCA)...

  • UPDATE. Hollander, Dore // Family Planning Perspectives;Mar/Apr2000, Vol. 32 Issue 2, p54 

    The article presents information related to medical science. According to a number of studies by a music therapy specialist, premature infants who hear lullabies while in neonatal intensive care may reap important health and developmental benefits. In a study of 40 premature babies, the average...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics