共 31 条
- [31] World Health Organization Department of Reproductive Health and Research (WHO/RPR) and Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs (CCP), 2007, FAM PLANN GLOB HDB P
Contraceptive adherence among HIV-infected women in Malawi: a randomized controlled trial of the copper intrauterine device and depot medroxyprogesterone acetate
被引：17
作者：
Haddad, Lisa B.
[1
]
Cwiak, Carrie
[1
]
Jamieson, Denise J.
[1
]
Feldacker, Caryl
[2
,3
]
Tweya, Hannock
[2
]
Hosseinipour, Mina
[4
,5
,6
]
Hoffman, Irving
[4
]
Bryant, Amy G.
[4
]
Stuart, Gretchen S.
[4
]
Noah, Isaac
[2
]
Mulundila, Linly
[2
]
Samala, Bernadette
[2
]
Mayne, Patrick
[7
]
Phiri, Sam
[2
]
机构：
[1] Emory Univ, Dept Gynecol & Obstet, Atlanta, GA 30322 USA
[2] Lighthouse Trust, Lilongwe, Malawi
[3] Univ Washington, I TECH, Seattle, WA 98195 USA
[4] Univ N Carolina, Chapel Hill, NC USA
[5] UNC Project, Lilongwe, Malawi
[6] Minist Hlth, Reprod Hlth Serv, Lilongwe, Malawi
[7] Brown Univ, Dept Sociol, Providence, RI 02912 USA
关键词：
HIV;
Contraception;
Adherence;
IUD;
Depot medroxyprogesterone acetate;
DMPA;
HORMONAL CONTRACEPTIVES;
DISCONTINUATION;
CONTINUATION;
ACQUISITION;
USERS;
RISK;
D O I：
10.1016/j.contraception.2013.08.006
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objective: To evaluate contraceptive adherence to the copper intrauterine device (Cu-IUD) and the injectable depot medroxyprogesterone acetate (DMPA) among women with HIV in Lilongwe, Malawi. Methods: We randomized 200 HTV-infected women on highly active antiretroviral therapy (HAART) to either the Cu-IUD or DMPA and followed these women prospectively, evaluating adherence and factors associated with nonadherence. Results: There was no difference in contraceptive adherence: 68% of Cu-IUD and 65% of DMPA users were adherent at 48 weeks. Receiving first-choice contraceptive was not associated with adherence. Women commonly cited partner's disapproval as an indication for discontinuation. Women who experienced heavy menstruation and first-time contraceptive users were more likely to be nonadherent. Among ongoing users at study conclusion, 95% were happy with their method, and 98% would recommend their method to a friend. Conclusion: Contraceptive adherence between the Cu-IUD and DMPA was similar at 1 year. With similar adherence and similar high rates of satisfaction among users of both methods at 1 year, the Cu-RID offers a hormone-free alternative to DMPA. Implications: Adherence to the Cu-IUD and DMPA is similar at 1 year among HIV-infected women on HAART in a randomized controlled trial. Despite high method satisfaction, partner disapproval and heavy bleeding contribute to reduced adherence. Receiving a method that differs from participant's first-choice method did not influence adherence. (C) 2013 Elsevier Inc. All rights reserved.
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页码：737 / 743
页数：7
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