IPROC iproc Iproceedings 2369-6893 JMIR Publications Toronto, Canada v4i1e10555 10.2196/10555 Abstract Abstract HIV Status and Use of Contraceptives Among Women of Reproductive Age Group Attending the State Specialist Hospital Akure, 2017: A Comparative Study Khader Yousef Ijarotimi Ibidolapo Fawole O Attahiru A Shakir M Nguku P Corresponding Author: Ibidolapo Ijarotimi dolapoijarotimi@gmail.com Jan-Dec2018 29 03 2018 4 1 e10555 29 3 2018 29 3 2018 ©Ibidolapo Ijarotimi, O Fawole, A Attahiru, M Shakir, P Nguku. Originally published in Iproceedings (http://www.iproc.org), 29.03.2018. 2018

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 Background

Globally, in 2015 there were about 17.8 million women living with HIV (WLHA) and about 80% were in their reproductive age and lived in sub-Saharan Africa. WLHA are advised to limit family size and have access to the use of safe and effective contraceptive methods.

 Objective

We investigated the association between HIV status and contraceptive use.

 Methods

We conducted a cross-sectional comparative study in which we systematically sampled 500 HIV-positive and 500 HIV-negative women of reproductive age group at the Anti-retroviral and General outpatient clinics of the State Specialist Hospital, Akure. We collected data using interviewer-administered questionnaire. We calculated proportions, odds ratio (OR) and 95% confidence intervals (CI). We conducted multiple logistic regression with level of significance of 5%.

 Results

A total 469 (93.8%) WLHA and 465 (93%) HIV-negative women responded. Most of the WLHA (192, 40.8%) were in the age-group 35-44 years while most of the HIV-negative women (226, 48.7%) were in the age-group 25-34 years (P<0.001). Of the 363 (77.4%) WLHA at risk of getting pregnant, 224 (61.7%) were on contraception. Of the 241 (51.8%) HIV-negative women at risk of getting pregnant, 148 (67.2%) were on contraception. While 365 (77.8%) of WLHA used condoms, only 110 (30.1%) used it consistently and while 232 (49.9%) of HIV-negative women used condoms only 39 (16.6%) used them consistently (P=0.008). Though WLHA were 1.61 (CI: 1.24-2.08) times more likely to use any form of contraception than HIV-negative women and 3.53 (CI: 2.65-4.68) times more likely to use condoms than HIV-negative women. HIV status was not a predictor of current contraceptive use (AOR-1.33, CI: 0.68-2.60). The unmet need for contraception among WLHA was 17.1% and 14.8% among negative women (P=0.700).

 Conclusions

The contraceptive prevalence and condom use was low regardless of HIV status. There is need to intensify on interventions that increase contraceptive use among women with particular attention to WLHA.