Differential Impacts of HIV status on short-term fertility desires among couples in Rakai, Uganda
Fertility desires of female and male partners in current relationships are often correlated. We examined the influence of HIV seropositive status of female and male partners on short-term fertility desires in Rakai, Uganda, a setting with high fertility and HIV infection rates. Participants were cou...
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| Veröffentlicht in: | PloS one 2019-01, Vol.14 (1), p.e0210935-e0210935 |
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| creator | Song, Xiaoyu Grilo, Stephanie A Mathur, Sanyukta Lutalo, Tom Ssekubugu, Robert Nalugoda, Fred Santelli, John S |
| description | Fertility desires of female and male partners in current relationships are often correlated. We examined the influence of HIV seropositive status of female and male partners on short-term fertility desires in Rakai, Uganda, a setting with high fertility and HIV infection rates.
Participants were couples (15-49 years old) enrolled in the Rakai Community Cohort Study, from 2011 to 2013 (n = 2,291). Cohen's kappa coefficient was used to measure the correlation of female and male partners' short-term fertility desires (measured as 'wanting a child in the next 12 months'), in both total sample and stratified serostatus groups. HIV serostatus and additional characteristics of female and male partners were included in Poisson regression models to estimate the rate ratios (RR) for each partner's short-term fertility desires. Individual and partner characteristics included HIV status, partner HIV status, age in years, partner age in years, educational attainment, number of living children, community of residence, and socioeconomic status (SES).
Short-term fertility desires among female and male partners were moderately associated (Kappa = 0.37, p-value |
| doi_str_mv | 10.1371/journal.pone.0210935 |
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Participants were couples (15-49 years old) enrolled in the Rakai Community Cohort Study, from 2011 to 2013 (n = 2,291). Cohen's kappa coefficient was used to measure the correlation of female and male partners' short-term fertility desires (measured as 'wanting a child in the next 12 months'), in both total sample and stratified serostatus groups. HIV serostatus and additional characteristics of female and male partners were included in Poisson regression models to estimate the rate ratios (RR) for each partner's short-term fertility desires. Individual and partner characteristics included HIV status, partner HIV status, age in years, partner age in years, educational attainment, number of living children, community of residence, and socioeconomic status (SES).
Short-term fertility desires among female and male partners were moderately associated (Kappa = 0.37, p-value<0.001). The association was weakest among female sero-positive and male sero-negative couples (Kappa = 0.29, p-value<0.001). When adjusting for parity and other covariates in the model, women's short-term fertility desires were significantly associated with their positive sero-status regardless of male partners' sero-status (adjRR = 1.58, p<0.001 for F+M-; adjRR = 1.33, p = 0.001 for F+M+; in comparison with F-M-). Men's short-term fertility desires were significantly associated with their positive sero-status, in addition to their female partners' positive sero-status (adjRR = 1.23 with p-value = 0.022 for F-M+; adjRR = 1.42 with p-value<0.001 for F+M-; adjRR = 1.26 with p-value<0.001 for F+M+; in comparison with F-M-). When the differential effect of parity was included in the model, similar associations remained for both female and male partners when the number of living children was small, but largely reduced when the number of living children was large (3 or more).
Female and male partners in couple dyads demonstrated moderate agreements about short-term fertility desires. The HIV seropositive status of female partners was most strongly associated with short-term fertility desires of both genders, and this association was even stronger for women who had few or no living children.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0210935</identifier><identifier>PMID: 30677068</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; Age ; AIDS ; Analysis ; Biology and Life Sciences ; Birth control ; Care and treatment ; Children ; Cohort Studies ; Communities ; Correlation analysis ; Couples ; Decision making ; Desire ; Disease prevention ; Family planning ; Family Planning Services ; Female ; Fertility ; Health aspects ; Health sciences ; HIV ; HIV infections ; HIV Infections - complications ; HIV Infections - epidemiology ; HIV Infections - physiopathology ; HIV Seronegativity ; HIV Seropositivity - epidemiology ; HIV Seropositivity - physiopathology ; HIV Seroprevalence ; Human immunodeficiency virus ; Humans ; Male ; Medicine and Health Sciences ; Middle Aged ; Parity ; People and Places ; Poisson density functions ; Population ; Pregnancy ; Pregnancy Complications, Infectious - epidemiology ; Pregnancy Complications, Infectious - physiopathology ; Public health ; Regression analysis ; Regression models ; Reproductive health ; Research and Analysis Methods ; Risk factors ; Sexual Partners ; Sexually transmitted diseases ; Short term ; Social Class ; Socio-economic aspects ; Socioeconomics ; Statistical analysis ; STD ; Studies ; Surveys and Questionnaires ; Uganda - epidemiology ; Womens health ; Young Adult</subject><ispartof>PloS one, 2019-01, Vol.14 (1), p.e0210935-e0210935</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Song et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Song et al 2019 Song et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-cad8c491e3d010b019185fb54a3019331933c7837ff72bd3a881d64937ee70eb3</citedby><cites>FETCH-LOGICAL-c692t-cad8c491e3d010b019185fb54a3019331933c7837ff72bd3a881d64937ee70eb3</cites><orcidid>0000-0002-3481-3865</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345474/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345474/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27923,27924,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30677068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Withers, Mellissa H.</contributor><creatorcontrib>Song, Xiaoyu</creatorcontrib><creatorcontrib>Grilo, Stephanie A</creatorcontrib><creatorcontrib>Mathur, Sanyukta</creatorcontrib><creatorcontrib>Lutalo, Tom</creatorcontrib><creatorcontrib>Ssekubugu, Robert</creatorcontrib><creatorcontrib>Nalugoda, Fred</creatorcontrib><creatorcontrib>Santelli, John S</creatorcontrib><title>Differential Impacts of HIV status on short-term fertility desires among couples in Rakai, Uganda</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Fertility desires of female and male partners in current relationships are often correlated. We examined the influence of HIV seropositive status of female and male partners on short-term fertility desires in Rakai, Uganda, a setting with high fertility and HIV infection rates.
Participants were couples (15-49 years old) enrolled in the Rakai Community Cohort Study, from 2011 to 2013 (n = 2,291). Cohen's kappa coefficient was used to measure the correlation of female and male partners' short-term fertility desires (measured as 'wanting a child in the next 12 months'), in both total sample and stratified serostatus groups. HIV serostatus and additional characteristics of female and male partners were included in Poisson regression models to estimate the rate ratios (RR) for each partner's short-term fertility desires. Individual and partner characteristics included HIV status, partner HIV status, age in years, partner age in years, educational attainment, number of living children, community of residence, and socioeconomic status (SES).
Short-term fertility desires among female and male partners were moderately associated (Kappa = 0.37, p-value<0.001). The association was weakest among female sero-positive and male sero-negative couples (Kappa = 0.29, p-value<0.001). When adjusting for parity and other covariates in the model, women's short-term fertility desires were significantly associated with their positive sero-status regardless of male partners' sero-status (adjRR = 1.58, p<0.001 for F+M-; adjRR = 1.33, p = 0.001 for F+M+; in comparison with F-M-). Men's short-term fertility desires were significantly associated with their positive sero-status, in addition to their female partners' positive sero-status (adjRR = 1.23 with p-value = 0.022 for F-M+; adjRR = 1.42 with p-value<0.001 for F+M-; adjRR = 1.26 with p-value<0.001 for F+M+; in comparison with F-M-). When the differential effect of parity was included in the model, similar associations remained for both female and male partners when the number of living children was small, but largely reduced when the number of living children was large (3 or more).
Female and male partners in couple dyads demonstrated moderate agreements about short-term fertility desires. The HIV seropositive status of female partners was most strongly associated with short-term fertility desires of both genders, and this association was even stronger for women who had few or no living children.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>AIDS</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Birth control</subject><subject>Care and treatment</subject><subject>Children</subject><subject>Cohort Studies</subject><subject>Communities</subject><subject>Correlation analysis</subject><subject>Couples</subject><subject>Decision making</subject><subject>Desire</subject><subject>Disease prevention</subject><subject>Family planning</subject><subject>Family Planning Services</subject><subject>Female</subject><subject>Fertility</subject><subject>Health aspects</subject><subject>Health sciences</subject><subject>HIV</subject><subject>HIV infections</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - physiopathology</subject><subject>HIV Seronegativity</subject><subject>HIV Seropositivity - epidemiology</subject><subject>HIV Seropositivity - physiopathology</subject><subject>HIV Seroprevalence</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Parity</subject><subject>People and Places</subject><subject>Poisson density functions</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Pregnancy Complications, Infectious - physiopathology</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Reproductive health</subject><subject>Research and Analysis Methods</subject><subject>Risk factors</subject><subject>Sexual Partners</subject><subject>Sexually transmitted diseases</subject><subject>Short term</subject><subject>Social Class</subject><subject>Socio-economic aspects</subject><subject>Socioeconomics</subject><subject>Statistical analysis</subject><subject>STD</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Uganda - epidemiology</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk21r1TAUx4sobk6_gWhBEAXvNWnSpnkjjPmwC4PBdHsbTtOkNzNtrkkq7tubu9uNW9kLCSVPv_NPzz85WfYSoyUmDH-8dqMfwC43blBLVGDESfkoO8ScFIuqQOTx3vggexbCNUIlqavqaXZAUMUYqurDDD4brZVXQzRg81W_ARlD7nR-urrKQ4Q4ptmQh7XzcRGV7_NER2NNvMlbFYxXIYfeDV0u3bixaWaG_AJ-gvmQX3YwtPA8e6LBBvVi6o-yy69ffpycLs7Ov61Ojs8WsuJFXEhoa0k5VqRFGDUIc1yXuikpkDQmZPtJVhOmNSualkBd47ainDClGFINOcpe73Q31gUxuRNEgRniBcUlS8RqR7QOrsXGmx78jXBgxO2C852AlJu0SnCGdI0KVXPeUAKMc9AoGSbbsqCoREnr03Ta2PSqlclAD3YmOt8ZzFp07reoCC0po0ng3STg3a9RhSh6E6SyFgblxtv_5rQqac0T-uYf9OHsJqqDlIAZtEvnyq2oOC63VMFRkajlA1RqreqNTE9Jm7Q-C3g_C0hMVH9iB2MIYvX94v_Z86s5-3aPXSuwcR2cHaNxQ5iDdAdK70LwSt-bjJHYVsKdG2JbCWKqhBT2av-C7oPunj75C9BKAWE</recordid><startdate>20190124</startdate><enddate>20190124</enddate><creator>Song, Xiaoyu</creator><creator>Grilo, Stephanie A</creator><creator>Mathur, Sanyukta</creator><creator>Lutalo, Tom</creator><creator>Ssekubugu, Robert</creator><creator>Nalugoda, Fred</creator><creator>Santelli, John S</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-3481-3865</orcidid></search><sort><creationdate>20190124</creationdate><title>Differential Impacts of HIV status on short-term fertility desires among couples in Rakai, Uganda</title><author>Song, Xiaoyu ; Grilo, Stephanie A ; Mathur, Sanyukta ; Lutalo, Tom ; Ssekubugu, Robert ; Nalugoda, Fred ; Santelli, John S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-cad8c491e3d010b019185fb54a3019331933c7837ff72bd3a881d64937ee70eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>AIDS</topic><topic>Analysis</topic><topic>Biology and Life Sciences</topic><topic>Birth control</topic><topic>Care and treatment</topic><topic>Children</topic><topic>Cohort Studies</topic><topic>Communities</topic><topic>Correlation analysis</topic><topic>Couples</topic><topic>Decision making</topic><topic>Desire</topic><topic>Disease prevention</topic><topic>Family planning</topic><topic>Family Planning Services</topic><topic>Female</topic><topic>Fertility</topic><topic>Health aspects</topic><topic>Health sciences</topic><topic>HIV</topic><topic>HIV infections</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - physiopathology</topic><topic>HIV Seronegativity</topic><topic>HIV Seropositivity - epidemiology</topic><topic>HIV Seropositivity - physiopathology</topic><topic>HIV Seroprevalence</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Parity</topic><topic>People and Places</topic><topic>Poisson density functions</topic><topic>Population</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - epidemiology</topic><topic>Pregnancy Complications, Infectious - physiopathology</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Reproductive health</topic><topic>Research and Analysis Methods</topic><topic>Risk factors</topic><topic>Sexual Partners</topic><topic>Sexually transmitted diseases</topic><topic>Short term</topic><topic>Social Class</topic><topic>Socio-economic aspects</topic><topic>Socioeconomics</topic><topic>Statistical analysis</topic><topic>STD</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Uganda - epidemiology</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Song, Xiaoyu</creatorcontrib><creatorcontrib>Grilo, Stephanie A</creatorcontrib><creatorcontrib>Mathur, Sanyukta</creatorcontrib><creatorcontrib>Lutalo, Tom</creatorcontrib><creatorcontrib>Ssekubugu, Robert</creatorcontrib><creatorcontrib>Nalugoda, Fred</creatorcontrib><creatorcontrib>Santelli, John S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Song, Xiaoyu</au><au>Grilo, Stephanie A</au><au>Mathur, Sanyukta</au><au>Lutalo, Tom</au><au>Ssekubugu, Robert</au><au>Nalugoda, Fred</au><au>Santelli, John S</au><au>Withers, Mellissa H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differential Impacts of HIV status on short-term fertility desires among couples in Rakai, Uganda</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-01-24</date><risdate>2019</risdate><volume>14</volume><issue>1</issue><spage>e0210935</spage><epage>e0210935</epage><pages>e0210935-e0210935</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Fertility desires of female and male partners in current relationships are often correlated. We examined the influence of HIV seropositive status of female and male partners on short-term fertility desires in Rakai, Uganda, a setting with high fertility and HIV infection rates.
Participants were couples (15-49 years old) enrolled in the Rakai Community Cohort Study, from 2011 to 2013 (n = 2,291). Cohen's kappa coefficient was used to measure the correlation of female and male partners' short-term fertility desires (measured as 'wanting a child in the next 12 months'), in both total sample and stratified serostatus groups. HIV serostatus and additional characteristics of female and male partners were included in Poisson regression models to estimate the rate ratios (RR) for each partner's short-term fertility desires. Individual and partner characteristics included HIV status, partner HIV status, age in years, partner age in years, educational attainment, number of living children, community of residence, and socioeconomic status (SES).
Short-term fertility desires among female and male partners were moderately associated (Kappa = 0.37, p-value<0.001). The association was weakest among female sero-positive and male sero-negative couples (Kappa = 0.29, p-value<0.001). When adjusting for parity and other covariates in the model, women's short-term fertility desires were significantly associated with their positive sero-status regardless of male partners' sero-status (adjRR = 1.58, p<0.001 for F+M-; adjRR = 1.33, p = 0.001 for F+M+; in comparison with F-M-). Men's short-term fertility desires were significantly associated with their positive sero-status, in addition to their female partners' positive sero-status (adjRR = 1.23 with p-value = 0.022 for F-M+; adjRR = 1.42 with p-value<0.001 for F+M-; adjRR = 1.26 with p-value<0.001 for F+M+; in comparison with F-M-). When the differential effect of parity was included in the model, similar associations remained for both female and male partners when the number of living children was small, but largely reduced when the number of living children was large (3 or more).
Female and male partners in couple dyads demonstrated moderate agreements about short-term fertility desires. The HIV seropositive status of female partners was most strongly associated with short-term fertility desires of both genders, and this association was even stronger for women who had few or no living children.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30677068</pmid><doi>10.1371/journal.pone.0210935</doi><tpages>e0210935</tpages><orcidid>https://orcid.org/0000-0002-3481-3865</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-01, Vol.14 (1), p.e0210935-e0210935 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2170924157 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome Adolescent Adult Age AIDS Analysis Biology and Life Sciences Birth control Care and treatment Children Cohort Studies Communities Correlation analysis Couples Decision making Desire Disease prevention Family planning Family Planning Services Female Fertility Health aspects Health sciences HIV HIV infections HIV Infections - complications HIV Infections - epidemiology HIV Infections - physiopathology HIV Seronegativity HIV Seropositivity - epidemiology HIV Seropositivity - physiopathology HIV Seroprevalence Human immunodeficiency virus Humans Male Medicine and Health Sciences Middle Aged Parity People and Places Poisson density functions Population Pregnancy Pregnancy Complications, Infectious - epidemiology Pregnancy Complications, Infectious - physiopathology Public health Regression analysis Regression models Reproductive health Research and Analysis Methods Risk factors Sexual Partners Sexually transmitted diseases Short term Social Class Socio-economic aspects Socioeconomics Statistical analysis STD Studies Surveys and Questionnaires Uganda - epidemiology Womens health Young Adult |
| title | Differential Impacts of HIV status on short-term fertility desires among couples in Rakai, Uganda |
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