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Free Content Induced abortion among HIV-positive women in Quang Ninh and Hai Phong, Vietnam

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Abstract:

Summary Objectives  To explore the decision of induced abortion among HIV-positive women and examine how the decision is associated with socioeconomic characteristics and the availability of comprehensive programmes aiming at preventing mother to child transmission of HIV. Methods  A descriptive cross-sectional study was conducted in two provinces of Northern Vietnam. In all 707 HIV-positive women were recruited through collaboration with commune health centres and peer groups. Information was obtained on women’s socioeconomic characteristics and pregnancy outcomes before and after HIV diagnosis. Odds ratios (ORs) with 95% confidence intervals (CI) were calculated to measure the association between socioeconomic characteristics and induced abortion. Results  Among women who had been pregnant while being aware of their HIV-positive status, 68% stated having had an induced abortion, whereas 22% of the women who had not been aware of their HIV status stated the same. Induced abortion after HIV diagnosis was associated with being aged 30 or older (OR 5.44, 95% CI 1.28–23.02), being petty traders or independent labourers (OR 3.61, 95% CI 1.05–12.45) and being diagnosed with HIV in 2004 and earlier (OR 2.96, 95% CI 1.02–8.53). Conclusions  Awareness of HIV-positive status is related with an increased tendency to have an induced abortion.

French
Objectifs: 

Explorer la décision pour l’IVG chez les femmes VIH séropositives et examiner comment la décision est associée à des caractéristiques socioéconomiques et la disponibilité des programmes complets visant à prévenir la transmission mère-enfant du VIH. Méthodes: 

Une étude transversale descriptive a été réalisée dans deux provinces du nord du Vietnam. Au total 707 femmes VIH séropositives ont été recrutées grâce à la collaboration avec les centres de santé communaux et groupes équivalents. Les informations sur les caractéristiques socioéconomiques des femmes et les résultats de la grossesse avant et après le diagnostic du VIH ont été obtenues. Les odds ratios (OR) avec un intervalle de confiance (CI) de 95% ont été calculés afin de mesurer l’association entre les caractéristiques socioéconomiques et l’avortement. Résultats: 

Parmi les femmes qui ont eu une grossesse tout en étant conscientes de leur séropositivité, 68% ont déclaré avoir recouru à une IVG comparéà 22% des femmes qui n’avaient pas été au courant de leur statut VIH avant la grossesse. L’IVG après le diagnostic du VIH était associée au fait d’être âgé de 30 ans ou plus (OR= 5,44; IC95%: 1,28 - 23,02), être une petite commerçante ou une agricultrice indépendante (OR = 3,61; IC95%: 1,05 - 12,45) et avoir été diagnostiquée avec le VIH en 2004 ou plus tôt (OR= 2,96; IC95%: 1,02 - 8,53). Conclusions: 

La connaissance du statut VIH positif est liée à une tendance accrue à avoir une IVG au Vietnam.

Keywords: HIV; PTME; PTV; VIH; Vietnam; abortion decision; aborto inducido; avortement provoqué; decisión de abortar; décision d’avortement; induced abortion; preventing mother to child transmission

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1365-3156.2010.02604.x

Affiliations: 1:  Institute for Population and Development Studies, General Office for Population and Family Planning, Hanoi, Vietnam 2:  Department of Anthropology, University of Copenhagen, Denmark 3:  Faculty Of Health Sciences, Department of International Health, Immunology and Microbiology, University of Copenhagen, and Odense University Hospital, Denmark

Publication date: October 1, 2010

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