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Occurrence of Pregnancies among HIV Infected Indian Women: Does Knowledge about HIV Status Make a Difference?

机译:感染艾滋病毒的印度妇女怀孕的发生:对艾滋病毒感染状况的了解会有所作为吗?

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This is the first study to examine the behavioural effect of HIV on fertility among HIV infected women in India. Retrospective calendar data from ever-married HIV infected women between 15 and 45 years of age, attending a specialized HIV clinic in Pune, Western India(N=560), were analysed. Directly standardized overall and parity-specific pregnancy rates were compared among HIV infected women before and after coming to know about their HIV status. The age- and parity-standardized pregnancy rates and age-standardized parity-specific pregnancy rates were statistically significantly lower after knowing about HIV status as compared to before the HIV status was known. Analysis of parity-specific rates suggested lower likelihood of HIV infected women to progress to higher parity. The clear behavioural impact of HIV on fertility observed should be taken into account while estimating HIV infected pregnant women in the country. Ensuring access to information and services for PMTCT to HIV infected couples is essential to support informed reproductive decision making among them.
机译:这是第一项研究艾滋病毒对印度艾滋病毒感染妇女生育能力行为影响的研究。回顾性分析了历来15岁至45岁之间已感染HIV的女性在印度西部浦那(N = 560)的专门HIV诊所就诊的数据。在了解艾滋病毒感染状况之前和之后,对直接标准化的总体和均等的妊娠率进行了比较。与已知的艾滋病毒感染状况相比,在知道了艾滋病毒感染状况后,年龄和均等的标准化妊娠率以及年龄标准化的针对特定性别的妊娠率显着降低。对均等比率的分析表明,感染艾滋病毒的妇女获得更高均等机会的可能性较低。在估算该国感染艾滋病毒的孕妇时,应考虑到艾滋病毒对生育力的明显行为影响。确保艾滋病毒感染者获得PMTCT的信息和服务对于支持他们中知情的生殖决策至关重要。

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