Incidence and determinants of pregnancy among women receiving HAART in Simiyu region: 14-year retrospective follow-up

Kihulya Mageda, M. Mohamed, Khamis Kulemba
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引用次数: 1

Abstract

Introduction: The introduction of highly active antiretroviral therapy has so far led to a comparable reduction in disease progression and restoration of normal functioning of reproductive system in female living with HIV infection. The main objective of this study was to find out the magnitude of pregnant and its determinants among ART-registered clients in Simiyu region, Tanzania. Methods: We used a retrospective cohort study of HIV/AIDS women initiated ART in Simiyu region from 2005 up to 2018. Kaplan–Meier survival graphics were used to explain the difference pregnancies experiences among different groups. Cox proportion hazard was used for model building to determine the predictors of pregnancy. Results: A total number of 525 women became pregnant, giving an overall incidence rate of 3.1/100 person year at risk (PYAR) (95% CI 2.84–3.37). The incidence of pregnant was higher between the age 15 and 29 years (5.86/100 PYAR, 95% CI: 5.23–6.55). Cohabited and those who are married were associated with high incident rate of pregnant (5.62/100 PYAR, 95% CI: 1.81–17.43 and 4.16/100 PYAR, 95% CI: 3.79–4.57). Weight >55 kg were associated with high incidence of pregnant (5.03 PYAR, 95% CI: 4.54–5.57), and WHO stage one have high incidence of pregnant (11.14/100 PYAR, 95% CI: 9.95–12.47). Conclusion: Young age and being healthier were the main predictors of pregnancy after ART initiation in this population. Policy for integration of family planning services into HIV care and treatment clinics should be strengthened but focused to young women. More follow-up is needed for pregnant and newborn outcome.
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思米峪地区接受HAART治疗妇女妊娠发生率及决定因素:14年回顾性随访
导言:迄今为止,高活性抗逆转录病毒疗法的引入已导致感染艾滋病毒的女性疾病进展的相当减少和生殖系统正常功能的恢复。本研究的主要目的是找出坦桑尼亚Simiyu地区art登记客户中怀孕的程度及其决定因素。方法:采用回顾性队列研究方法,对2005 - 2018年思米峪地区HIV/AIDS妇女开展抗逆转录病毒治疗的情况进行研究。Kaplan-Meier生存图用于解释不同组之间怀孕经历的差异。采用Cox比例风险法建立模型以确定妊娠的预测因子。结果:共有525名妇女怀孕,总发病率为3.1/100人/年(PYAR) (95% CI 2.84-3.37)。15 ~ 29岁怀孕发生率较高(5.86/100 PYAR, 95% CI: 5.23 ~ 6.55)。同居和已婚与高怀孕发生率相关(5.62/100 PYAR, 95% CI: 1.81-17.43和4.16/100 PYAR, 95% CI: 3.79-4.57)。体重bb - 55 kg与高妊娠发生率相关(5.03 PYAR, 95% CI: 4.54-5.57),而WHO一期妊娠发生率高(11.14/100 PYAR, 95% CI: 9.95-12.47)。结论:年轻和健康是该人群开始抗逆转录病毒治疗后怀孕的主要预测因素。应加强将计划生育服务纳入艾滋病毒护理和治疗诊所的政策,但应以年轻妇女为重点。需要对妊娠和新生儿结局进行更多的随访。
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