Evidence map›Paper›PMID 26842976›Full record

ArticleReproductive health2016

Dual contraceptive method use and pregnancy intention among people living with HIV receiving HIV care at six hospitals in Thailand.

Warangkana Munsakul, Rangsima Lolekha, Boonchai Kowadisaiburana, Anuvat Roongpisuthipong, Supannee Jirajariyavej, Suvanna Asavapiriyanont, Ubonsri Hancharoenkit, Benjamas Baipluthong, Sarika Pattanasin, Michael Martin

Abstract readMulticenter Study
In one paragraph

Article in Reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Warangkana MunsakulFaculty of Medicine Vajira Hospital, Navamindharadhiraj University, Bangkok, Thailand.
Rangsima LolekhaThailand Ministry of Public Health-U.S. Center for Disease Control and Prevention Collaboration, P.O. Box 139, Nonthaburi, 11000, Thailand. hpu8@cdc.gov.
Boonchai KowadisaiburanaBamrasnaradura Infectious Disease Institute, Nonthaburi, Thailand.
Anuvat RoongpisuthipongSiriraj Hospital, Mahidol University, Bangkok, Thailand.
Supannee JirajariyavejTaksin Hospital, Bangkok, Thailand.
Suvanna AsavapiriyanontRajavithi Hospital, Bangkok, Thailand.
Ubonsri HancharoenkitWiang Pa Pao Hospital, Chiang Rai, Thailand.
Benjamas BaipluthongThailand Ministry of Public Health-U.S. Center for Disease Control and Prevention Collaboration, P.O. Box 139, Nonthaburi, 11000, Thailand.
Sarika PattanasinThailand Ministry of Public Health-U.S. Center for Disease Control and Prevention Collaboration, P.O. Box 139, Nonthaburi, 11000, Thailand.
Michael MartinThailand Ministry of Public Health-U.S. Center for Disease Control and Prevention Collaboration, P.O. Box 139, Nonthaburi, 11000, Thailand.

Funding

CGH CDC HHS 3U19GH000004-03CGH CDC HHS U19 GH000004
6 · The paper itself

Abstract

backgroundDescribe dual contraceptive method use and the intention to become pregnant of people living with HIV (PLHIV) and their partners in Thailand.

methodsFrom January 2008-March 2009, we systematically selected a cohort of PLHIV from PLHIV seeking care at five tertiary care hospitals and one community hospital to complete a questionnaire assessing sexual activity, intention to become pregnant, and contraceptive practices at baseline and 12 months after enrollment. Participants received short family planning messages every 2-3 months to promote the use of dual contraceptives and were offered family planning services.

resultsA total of 1,388 PLHIV enrolled, their median age was 37 years (IQR 33-43), 898 (64.7%) had a steady partner, and 737 (53.1%) were male. Among those with a steady partner, 862 (96.0%) did not intend to become pregnant; 709 (82.3%) had sex during the previous 3 months, 683 (96.3%) used at least one contraceptive method, and 202 (29.6%) used dual contraceptive methods. Of the 317 PLHIV who used a single contraceptive method at baseline, 66 (20.8%) reported using dual methods at 12 months. Participants at two tertiary care hospitals where coordinators facilitated PLHIV referral between HIV and OB/GYN clinics were more likely than participants at the other hospitals to change from single method to dual method (p ≤ 0.03).

conclusionFew PLHIV in this study intended to become pregnant; however, only one-fourth used dual contraceptive methods. Integrating an assessment of the intention to become pregnant and strengthening the PLHIV referral systems in family planning services may contribute to higher rates of dual contraceptive use.

Indexed as

Attitude to HealthContraception BehaviorPatient ComplianceReproductive BehaviorAdultCohort StudiesContraceptive Prevalence SurveysFamily Planning ServicesFemaleFollow-Up StudiesHIV InfectionsHIV SeropositivityHumansLost to Follow-UpMalePatient Acceptance of Health Care

Identifiers

PMID26842976
PMCPMC4739396

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.