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Factors influencing fertility desire among people living with HIV in Guangxi, China

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Linda Kaljee, PhD , Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Liying Zhang, PhD , Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Xiaoming Li, PhD , Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Zhenzhu Tang, MD , Guangxi Center for Disease Control and Prevention (CDC), Nanning, China
Zhiyong Shen, MD , Guangxi Center for Disease Control and Prevention (CDC), Nanning, China
Yuejiao Zhou, MD , Guangxi Center for Disease Control and Prevention (CDC), Nanning, China
Bonita Stanton, MD , Department of Pediatrics, Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Background: More than 80% of people living with HIV (PLWH) worldwide are 15 to 49 years. Studies show mixed results on fertility desire among PLWH. To date no data are available on fertility desires of this population in China.

Methods: A cross-sectional survey of 2,987 people living with HIV aged >18 years was conducted in 2012 in Guangxi Autonomous Region (Guangxi) which has the fastest growing HIV epidemic in China. Multivariate logistic regression model was employed.

Results: Of the 2,987 respondents, 62.8% (n=1,876) were male. About 39.0% (n=600) of these participants reported that they wanted a child regardless of their HIV positive status. After they were tested HIV positive, about 23.0% (n=354) of female participants or male participants’ sexual partners had been pregnant. The outcomes of pregnancy were either seeking induced abortion (31.1%, n=110) or giving a birth (61.6%, n=218), or still being pregnant during the survey. Participants with higher education had higher fertility desire compared with participants with lower education (p<0.01), while the number of living children was negatively associated with fertility desire (p<0.01). Drug users were less likely to have more children than drug non-users (p<0.01). There was no sex difference in fertility desire among people living with HIV.

Conclusions: More than one third of people living with HIV had intention to have their own children. Fertility desire was associated with education, the number of living children and drug use. More research is needed to better understand the reproductive needs of people living with HIV.

Learning Areas:

Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe the fertility desire and reproductive health needs among people living with HIV in China. Identify factors associated with fertility desire among PLWH; Demonstrate the importance of understating the integration of HIV prevention with reproductive health services among this population.

Keyword(s): Needs Assessment, Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was involved in data analyses and manuscript development.
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.

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