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Trajectories of Fertility Intentions among Women Living with HIV in South Africa


Rucinski, Katherine B.; Powers, Kimberly A.; Pettifor, Audrey E.; Black, Vivian; Pence, Brian W.; Chi, Benjamin H.; Rees, Helen V.; & Schwartz, Sheree R. (2021). Trajectories of Fertility Intentions among Women Living with HIV in South Africa. AIDS Care, 33(2), 180-186. PMCID: PMC7395884


Fertility intentions are thought to be dynamic among women of reproductive age, yet few studies have assessed fertility intentions over time among women with HIV. We examine temporal patterns of fertility intentions in women with HIV to assess the extent to which fertility intentions - and the corresponding need for safer conception and judicious antiretroviral therapy (ART) regimen selection - vary over time. 850 non-pregnant HIV-positive women aged 18-35 on or being initiated onto ART in Johannesburg, South Africa were enrolled into a prospective cohort study (2009-2010). Fertility intentions were assessed at enrollment and at 30-day intervals via an interviewer-administered questionnaire. We used group-based trajectory modelling to identify longitudinal patterns of fertility intentions over 12 months. We identified four patterns of fertility intentions, which we labelled "consistently low" (representing


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Journal Article

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Rucinski, Katherine B.
Powers, Kimberly A.
Pettifor, Audrey E.
Black, Vivian
Pence, Brian W.
Chi, Benjamin H.
Rees, Helen V.
Schwartz, Sheree R.




South Africa