PMID- 29497335 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220316 IS - 1179-1373 (Print) IS - 1179-1373 (Electronic) IS - 1179-1373 (Linking) VI - 10 DP - 2018 TI - Fertility intentions of prenatal and postpartum HIV-positive women in primary care in Mpumalanga province, South Africa: a longitudinal study. PG - 9-17 LID - 10.2147/HIV.S153212 [doi] AB - INTRODUCTION: This study aimed to assess fertility intentions (planning to have more children in the future) and associated factors among pregnant and postpartum HIV positive women in rural South Africa. METHODS: In a longitudinal study, as part of a prevention of mother to child transmission (PMTCT) intervention trial, 699 HIV positive prenatal women, were systematically recruited and followed up at 6 months and 12 months postpartum (retention rate = 59.5%). RESULTS: At baseline, 32.9% of the women indicated fertility intentions and at 12 months postnatal, 120 (28.0%) reported fertility intentions. In longitudinal analyses, which included time-invariant baseline characteristics predicting fertility intention over time, not having children, having a partner with unknown/HIV-negative status, and having disclosed their HIV status to their partner, were associated with fertility intentions. In a model with time-varying covariates, decreased family planning knowledge, talking to a provider about a future pregnancy, and increased male involvement were associated with fertility intentions. CONCLUSION: Results support ongoing perinatal family planning and PMTCT education. FAU - Peltzer, Karl AU - Peltzer K AD - HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa. AD - Department of Research and Innovation, University of Limpopo, Sovenga, South Africa. FAU - Sifunda, Sibusiso AU - Sifunda S AD - HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa. FAU - Mandell, Lissa N AU - Mandell LN AD - Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Rodriguez, Violeta J AU - Rodriguez VJ AD - Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Lee, Tae Kyoung AU - Lee TK AD - Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Cook, Ryan AU - Cook R AD - School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA. FAU - Weiss, Stephen M AU - Weiss SM AD - Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. FAU - Jones, Deborah L AU - Jones DL AD - Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. LA - eng PT - Journal Article DEP - 20180216 PL - New Zealand TA - HIV AIDS (Auckl) JT - HIV/AIDS (Auckland, N.Z.) JID - 101515943 PMC - PMC5818871 OTO - NOTNLM OT - HIV infection OT - South Africa OT - family planning OT - fertility intentions OT - male involvement OT - pregnancy COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2018/03/03 06:00 MHDA- 2018/03/03 06:01 PMCR- 2018/02/16 CRDT- 2018/03/03 06:00 PHST- 2018/03/03 06:00 [entrez] PHST- 2018/03/03 06:00 [pubmed] PHST- 2018/03/03 06:01 [medline] PHST- 2018/02/16 00:00 [pmc-release] AID - hiv-10-009 [pii] AID - 10.2147/HIV.S153212 [doi] PST - epublish SO - HIV AIDS (Auckl). 2018 Feb 16;10:9-17. doi: 10.2147/HIV.S153212. eCollection 2018.