Sexual and reproductive health needs of HIV-positive people in Tehran, Iran: a mixed-method descriptive study

Moazen, Babak; Rezaei, Farimah; Hajizadeh, Shayesteh; Majdzadeh, Reza; Setayesh, Hamidreza; Mohraz, Minoo; Gooya, Mohammad Mehdi

doi:10.15171/ijhpm.2015.68

Cited by 20 publications

(64 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The trend of the use of contraceptive before and after HIV diagnosis suggest tremendous increase in the use of condom compared to non-condom contraceptives. This finding is supported by the research done in the Kathmandu district of Nepal, Iran, Swaziland, India and Uganda (4, 22,23,28,29). According to the mixed method study done on Iran the people living with HIV were not willing to use other than condom because of the recommendation made by the health care providers as the main method of contraception (28).…”

Section: Utilization Of the Family Planning Methodsmentioning

confidence: 75%

Knowledge and Utilization of Family Planning Methods Among People Living With Hiv In Kathmandu Valley

Bhoosal¹,

Karki²,

Parajuli³

2020

Preprint

View full text Add to dashboard Cite

Background HIV is a major global health issue, targeting the immune system and making the body prone to diseases. People living with HIV mostly face societal stigma and fear of disclosure resulting in discrimination of accessing health facilities leading to multiple sex partners, increased sexual activity and less use of condoms. HIV positive women are at risk of transmitting HIV to their infants and their partners. Thus, the family planning services if provided to PLHIV can help to improve their and families health. In addition to, it reduces the risk of mother-to-child transmission (PMTCT). The facts related to PLHIV with respect to pregnancy and childbearing are not available. The purpose of this study is to focus on the status of the use of family planning methods and explore factors affecting the utilization among people living with HIV and AIDS in Kathmandu valley of Nepal. The study is expected to contribute in enhancing the present understanding of PLHIV towards family planning.Methods The cross sectional descriptive method was used for the research. The study followed Population proportion to size method for the calculation of the respondents from four ART sites of Kathmandu Valley. Structured questionnaire used previously in similar research has been adopted with necessary question related to dual contraceptive use.Results The mean age group of the respondents was (39.16 ± 6.969) years. More than two third respondents (69.5%) were Hindu. 34.8% respondents were married at the less than 20 years of age. Almost three- fourth of the PLHIV (74.4%) were literate where more than three fourth (79.3%) their spouses were literate and educated. About half of the respondents (43.9%) were found to be involved in professional/ technical/ managerial. More than half of the respondent’s spouses (63.4%) were HIV positive. All the respondents (100%) respondents had disclosed their status to their partners. Neither the respondents nor their partner had fertility desire. 28% of neither respondents nor their partners had used the family planning methods before HIV diagnosis. More than half (60.4%) of the respondents had sexual intercourse prior to last 6 months. 15.9% of the respondents positively responded to use of dual protection. Only 11% either respondents or their partners had used the emergency contraceptive pill. 17.7% respondents did not use any family planning. This study revealed that almost half of the respondents (48.8%) had the good knowledge on the use of contraception.Conclusion The use of dual protection is much less than the half of the respondents. Therefore, counseling and health education towards motivating PLHIV on using dual FP methods to avoid the risk of HIV, STIs and unplanned pregnancy is encouraged.

show abstract

Section: Utilization Of the Family Planning Methodsmentioning

confidence: 75%

Knowledge and Utilization of Family Planning Methods Among People Living With Hiv In Kathmandu Valley

Bhoosal¹,

Karki²,

Parajuli³

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In this study, 60 individuals (15%) reported "intention to pregnancy" as their main reason for not using a condom. However, evidence suggest that most of the sexual and reproductive health needs of Iranian PLWHA have been overlooked by the health policy makers in this country (20). Therefore, development and enhancement of the relevant services such as treatment, care, support, as well as pre-and post-delivery counseling seems necessary to prevent mother to child transmission of HIV (PMTCT) in the community.…”

Section: Discussionmentioning

confidence: 99%

“…The present results come from the quantitative section of a mixed-method study evaluating the sexual life of Iranian PLWHA. Results of the qualitative section appear elsewhere (20). Condom use was considered as consistent, when the respondents reported "always" using a condom in the past year.…”

Section: Design and Settingmentioning

confidence: 99%

Determinants of Consistent Condom Use Among Iranians Living with HIV/AIDS: Implication for Prevention

Moazen

Hajizadeh

Setayesh

et al. 2017

Int J High Risk Behav Addict

Self Cite

View full text Add to dashboard Cite

Background: Individuals that are HIV positive can transmit the infection through unprotected sex. Objectives: The present study aimed to evaluate the prevalence and determinants of consistent condom use among Iranian people living with HIV/AIDS as one of the most stigmatized and hard-to-access groups in this country. Patients and Methods: This cross-sectional study was conducted in Tehran, Iran. A total of 400 heterosexuals living with HIV/AIDS were sampled from 5 behavioral consulting centers through a purposive sampling method. Data were collected through an interviewer-administered questionnaire. Bivariate logistic regression, chi-square test, and multivariate logistic regression model were used as the statistical models in this study. Results: Of all 400 participants, 240 (60%) were men. The mean age was 34.7 for both sexes. During the past year, 335 (83.7%) were sexually active and 269 (67.9%) reported never having used a condom. Consistent condom use (always using condom in sexual intercourse) was reported by 67 (16.7%) of the participants. Consistent condom use was significantly associated with participation in HIV prevention courses (P = 0.003), knowledge of unsafe sex consequences (P = 0.017), condom use as a dual protection method (P = 0.0001), having a HIV-positive sexual partner (P = 0.0001), as well as being in a regular sexual relationship (P = 0.005). Conclusions: Development and improvement of the HIV prevention programs seems necessary to control the transmission of HIV in each community. However, results of the present study emphasize the importance of more attention to some specific programs such as prevention of mother-to-child transmission as a result of the willingness of Iranian people living with HIV/AIDS to child bearing. In addition, more attention should be paid to women as the more vulnerable part of the community to better prevent and control HIV in Iran.

show abstract

“…Sample sizes ranged from 10 to 881 WLHIV who were interviewed or completed an individual questionnaire in a hospital (69.2%) or in a community-support group context. The authors of five papers (38.5%) reported on studies conducted in Iran [41,42,48,49,51], and five studies included an exploration of the SRH of men living with HIV [40,44,47,48,50].…”

Section: Characteristic Of Studiesmentioning

confidence: 99%

Sexual and reproductive health of women living with HIV in Muslim-majority countries: a systematic mixed studies review

Juliastuti

Dean

Fitzgerald

2020

BMC Int Health Hum Rights

View full text Add to dashboard Cite

Background: The number of women living with the human immunodeficiency virus (WLHIV) in Muslim-majority countries has increased significantly in the last decade. These women are often marginalized and face insecure sexual and reproductive health (SRH) needs and rights. However, little is known about the multi-faceted factors influencing these women's fertility, contraceptive, and perinatal decisions and sexual life. This systematic mixed studies review aimed to synthesize the empirical evidence on social, cultural, and structural factors influencing the SRH of WLHIV in Muslim-majority countries. Methods: This review provides a synthesis of quantitative, qualitative and mixed-method research findings searched from PubMed, EMBASE, Scopus, CINAHL and Cochrane databases. We screened 3452 SRH studies involving WLHIV. The studies, published in English between 2008 and 2017, were from 20 Muslim-majority countries with increased numbers of WLHIV. The quality of eligible studies was appraised using a mixed-methods appraisal tool (MMAT) version 2011. Findings were thematically analysed by a hybrid deductive-inductive approach. Two independent reviewers were involved in the study selection, data extraction, quality appraisal, and data synthesis. Results: We included 13 SRH-related studies involving 1748 WLHIV in eight Muslim-majority countries. Most of these studies explored fertility desire and sexual health, while only a small proportion related to contraceptive use and the perinatal-care experience. We identified that WLHIV faced neglect of their SRH rights. These rights were predominantly affected by the socio-cultural, religious and health-services context of the women's lives, which directed them to unsafe sex practices and stressful perinatal experiences. Conclusions: This study points to the need for SRH laws, policies, and interventions which stop WLHIV experiencing SRH discrimination violence and achieving their SRH rights.

show abstract

Sexual and reproductive health needs of HIV-positive people in Tehran, Iran: a mixed-method descriptive study

Cited by 20 publications

References 16 publications

Knowledge and Utilization of Family Planning Methods Among People Living With Hiv In Kathmandu Valley

Knowledge and Utilization of Family Planning Methods Among People Living With Hiv In Kathmandu Valley

Determinants of Consistent Condom Use Among Iranians Living with HIV/AIDS: Implication for Prevention

Sexual and reproductive health of women living with HIV in Muslim-majority countries: a systematic mixed studies review

Contact Info

Product

Resources

About