Factors associated with repeat pregnancy among women in an area of high HIV prevalence in Zimbabwe

Womens Health Issues. 2011 May-Jun;21(3):222-9. doi: 10.1016/j.whi.2010.11.005. Epub 2011 Mar 15.

Abstract

Background: This study examined predictors of repeat pregnancy among women from the Prevention of Mother-to-Child Transmission of HIV (PMTCT) program in Zimbabwe.

Methods: The study was conducted at urban antenatal clinics in Chitungwiza, a high HIV prevalence urban town on the outskirts of Harare, Zimbabwe. Using a cross-sectional design, 79 HIV-positive and 80 HIV-negative women who had participated in a PMTCT program in their index pregnancy were interviewed in Shona using a standardized questionnaire 24 months after delivery of their index pregnancy. Logistic regression was used to determine whether a relationship exists between repeat pregnancy and HIV status, socioeconomic status, age, Fertility Attitude Score, and previous pregnancy outcomes.

Results: In multivariate analysis, factors associated with an increased likelihood of repeat pregnancy were death of a child (odds ratio [OR], 3.9; 95% confidence interval [CI], 1.25-12.52; p = .0019), miscarriage (OR, 3.4; 95% CI, 1.23-9.34; p = .019), and each additional child (OR, 4.6; 95% CI, 1.89-11.52; p = .001). Decreased likelihood of repeat pregnancy was associated with decreased rank order of living conditions (OR, -0.75; 95% CI, 0.55-0.95; p = .021), each additional year of age (OR, -0.86; 95% CI, 0.77-0.97; p = .012), and higher Fertility Attitude Score (OR, -0.76; 95% CI, 0.64-0.91; p = .002).

Conclusion: HIV status alone was not significant as a predictor of repeat pregnancy. Women's childbearing intentions are not influenced by the risk of mother-to-child transmission of HIV (MTCT) in this population. Future research is needed to address the cultural attitudes and sexual practices of HIV-positive women in order to minimize the threat of MTCT.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abortion, Spontaneous / epidemiology
  • Adult
  • Cross-Sectional Studies
  • Endemic Diseases
  • Female
  • Gravidity*
  • HIV Infections* / transmission
  • Health Status
  • Humans
  • Infectious Disease Transmission, Vertical / prevention & control*
  • Logistic Models
  • Multivariate Analysis
  • Odds Ratio
  • Pregnancy
  • Pregnancy Complications, Infectious*
  • Pregnancy Outcome
  • Reference Values
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Urban Health
  • Young Adult
  • Zimbabwe

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