Factors Associated With Repeat Pregnancy Among Women in an Area of High HIV Prevalence in Zimbabwe

Nancy Smee, Avinash K. Shetty, Lynda Stranix-Chibanda, Mike Chirenje, Tsungai Chipato, Yvonne Maldonado, Carmen Portillo

Research output: Contribution to journalArticle

13 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)222-229
Number of pages8
JournalWomen's Health Issues
Volume21
Issue number3
DOIs
Publication statusPublished - 01-05-2011
Externally publishedYes

Fingerprint

Zimbabwe
pregnancy
HIV
Pregnancy
confidence
Odds Ratio
Confidence Intervals
Mothers
fertility
Fertility
outskirts
living conditions
multivariate analysis
Social Conditions
Spontaneous Abortion
social status
Pregnancy Outcome
Social Class
town
logistics

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Obstetrics and Gynaecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery

Cite this

Smee, N., Shetty, A. K., Stranix-Chibanda, L., Chirenje, M., Chipato, T., Maldonado, Y., & Portillo, C. (2011). Factors Associated With Repeat Pregnancy Among Women in an Area of High HIV Prevalence in Zimbabwe. Women's Health Issues, 21(3), 222-229. https://doi.org/10.1016/j.whi.2010.11.005
Smee, Nancy ; Shetty, Avinash K. ; Stranix-Chibanda, Lynda ; Chirenje, Mike ; Chipato, Tsungai ; Maldonado, Yvonne ; Portillo, Carmen. / Factors Associated With Repeat Pregnancy Among Women in an Area of High HIV Prevalence in Zimbabwe. In: Women's Health Issues. 2011 ; Vol. 21, No. 3. pp. 222-229.
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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.",
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Smee, N, Shetty, AK, Stranix-Chibanda, L, Chirenje, M, Chipato, T, Maldonado, Y & Portillo, C 2011, 'Factors Associated With Repeat Pregnancy Among Women in an Area of High HIV Prevalence in Zimbabwe', Women's Health Issues, vol. 21, no. 3, pp. 222-229. https://doi.org/10.1016/j.whi.2010.11.005

Factors Associated With Repeat Pregnancy Among Women in an Area of High HIV Prevalence in Zimbabwe. / Smee, Nancy; Shetty, Avinash K.; Stranix-Chibanda, Lynda; Chirenje, Mike; Chipato, Tsungai; Maldonado, Yvonne; Portillo, Carmen.

In: Women's Health Issues, Vol. 21, No. 3, 01.05.2011, p. 222-229.

Research output: Contribution to journalArticle

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Smee N, Shetty AK, Stranix-Chibanda L, Chirenje M, Chipato T, Maldonado Y et al. Factors Associated With Repeat Pregnancy Among Women in an Area of High HIV Prevalence in Zimbabwe. Women's Health Issues. 2011 May 1;21(3):222-229. https://doi.org/10.1016/j.whi.2010.11.005