244458 Pregnancy Wantedness Among HIV Positive Adolescents and Young Adults

Monday, October 31, 2011

Kristina Krupincza, MPH Candidate , School of Public Health and Health Services, Department of Prevention and Community Health, The George Washington University, Children's National Medical Center, Washington, DC
Ricardo LaGrange, PhD , Center for Clinical and Community Research, Childrens National Medical Center, Washington, DC
Amita Vyas, PhD , Department of Prevention and Community Health, George Washington University School of Public Health, Washington, DC
Background: Unintended pregnancy is a public health challenge in the United States, and studies have consistently shown that pregnancy wantedness and ambivalence are significantly related to contraceptive use among youth. While significant research has been conducted among adolescents and young adults, less is known about the pregnancy intentions of young people living with HIV. As antiretrovirals allow HIV+ individuals to live longer, the reproductive health of these individuals becomes more and more important. Methods: A sample of 150 youth living with HIV/AIDS between ages 13 to 22 were recruited from two clinics at the Children's National Medical Center to participate in a computer-assisted survey which included questions on sexual behavior, attitudes toward pregnancy, and contraceptive use. Results: Descriptive quantitative analyses will be conducted to assess sociodemogrpahics, pregnancy wantedness and ambivalence, and contraceptive use. Bivariate analyses will be conducted to analyze the relationship between pregnancy wantedness and ambivalence and contraceptive use. Initial analysis has shown that this population as a whole has a mean pregnancy wantedness of 16.4. Females reported a lower pregnancy wantedness of 14.0 compared to 18.1 in males. Sixty one percent of the study population as a whole reported using a condom during last sex to prevent pregnancy or the spread of HIV and other sexually transmitted diseases. Conclusions: By exploring pregnancy wantedness in youth living with HIV/AIDS and its effect on contraceptive use, better strategies and programs can be developed for this high risk, special population.

Learning Areas:
Public health or related research

Learning Objectives:
This study will analyze pregnancy wantedness and ambivalence among HIV positive adolescents and young adults living in Washington D.C. This study will also assess the influence of pregnancy wantedness and ambivalence on contraceptive use.

Keywords: Adolescent Health, Pregnancy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have completed the majority of the requirements for the Masters of Public Health Degree in Maternal and Child Health at The George Washington University and am working under guidance and instruction of the Principal Investigator of the study, Ricardo LaGrange and the GWU Maternal and Child Health Program Director, Amita Vyas.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.