ArticleFrontiers in global women's health2026
Evaluation of the relationship between the Desire to Avoid Pregnancy Scale and contraceptive use among women living with HIV in western Kenya.
Article in Frontiers in global women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Unintended pregnancies place women living with HIV (WLHIV) at risk for maternal and neonatal adverse outcomes. Counseling around pregnancy preferences is important but complex, and there is insufficient evidence around best practices to assess and respond to reproductive health needs. Objective: This study aimed to compare responses to the Desire to Avoid Pregnancy (DAP) scale to assess pregnancy preferences, with the dichotomous traditional question "Are you trying to become pregnant within the next one year?" and how these relate to current contraceptive use. Methods: The study analyzed cross-sectional telephone interview data from the parent cohort study Results: Among 1226 participants, the median DAP score was 2.94 [IQR: 1.93-3.14] and was higher among those reporting not trying to become pregnant compared to those who were trying (3.0 vs. 0.9, Conclusions: Among WLHIV, the DAP score captured a range of pregnancy preferences that correlated with the responses to the traditional dichotomous question and, less so, to contraceptive use. Further adaptations and testing would be needed to conclude whether DAP would be a better tool for assessment of nuances in pregnancy desires among WLHIV, including in Kenya, than the traditional dichotomous question.
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