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Tytuł pozycji:

Trajectories of Childbearing among HIV Infected Indian Women: A Sequence Analysis Approach.

Tytuł :
Trajectories of Childbearing among HIV Infected Indian Women: A Sequence Analysis Approach.
Autorzy :
Shrinivas Darak
Melinda Mills
Vinay Kulkarni
Sanjeevani Kulkarni
Inge Hutter
Fanny Janssen
Pokaż więcej
Temat :
Medicine
Science
Źródło :
PLoS ONE, Vol 10, Iss 4, p e0124537 (2015)
Wydawca :
Public Library of Science (PLoS), 2015.
Rok publikacji :
2015
Kolekcja :
LCC:Medicine
LCC:Science
Typ dokumentu :
article
Opis pliku :
electronic resource
Język :
English
ISSN :
1932-6203
Relacje :
https://doaj.org/toc/1932-6203
DOI :
10.1371/journal.pone.0124537
Dostęp URL :
https://doaj.org/article/ce54ea0dd5034e669a1d97d0527bf908
Numer akcesji :
edsdoj.54ea0dd5034e669a1d97d0527bf908
Czasopismo naukowe
BACKGROUND:HIV infection closely relates to and deeply affects the reproductive career of those infected. However, little is known about the reproductive career trajectories, specifically the interaction of the timing of HIV diagnosis with the timing and sequencing of reproductive events among HIV infected women. This is the first study to describe and typify this interaction. METHODS:Retrospective calendar data of ever married HIV infected women aged 15-45 attending a HIV clinic in Pune, Maharashtra, Western India (N=622) on reproductive events such as marriage, cohabitation with the partner, use of contraception, pregnancy, childbirth and HIV diagnosis were analyzed using sequence analysis and multinomial logistic regression. RESULTS:Optimal matching revealed three distinct trajectories: 1) HIV diagnosis concurrent with childbearing (40.7%), 2) HIV diagnosis after childbearing (32.1%), and 3) HIV diagnosis after husband's death (27.2%). Multinomial logistic regression (trajectory 1 = baseline) showed that women who got married before the age of 21 years and who had no or primary level education had a significantly higher risk of knowing their HIV status either after childbearing or close to their husband's death. The risk of HIV diagnosis after husband's death was also higher among rural women and those who were diagnosed before 2005. CONCLUSIONS:Three distinct patterns of interaction of timing of HIV diagnosis with timing and sequencing of events in the reproductive career were observed that have clear implications for (i) understanding of the individual life planning process in the context of HIV, (ii) formulation of assumptions for estimating HIV infected women in need of PMTCT services, and (iii) provision of care services.

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