determinants of fertility desires among hiv positive women living in the western highlands province of papua new guinea生育欲望的决定因素在hiv阳性的女性生活在巴布亚新几内亚的西部高地省.pdfVIP

World Journal of AIDS, 2011, 1, 198-207 doi:10.4236/wja.2011.14029 Published Online December 2011 (http://www.SciRP.org/journal/wja) Determinants of Fertility Desires among HIV Positive Women Living in the Western Highlands Province of Papua New Guinea * Marie Lucy Aska, Jiraporn Chompikul , Boonyong Keiwkarnka ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand. * E-mail: adjcp@mahidol.ac.th Received July 22nd, 2011; revised September 29th, 2011; accepted October 11th, 2011. ABSTRACT The objective of this study was to identify determinants of fertility desires in HIV positive women living in the Western Highlands Province, Papua New Guinea, a male-dominated, patrimonial society. A cross-sectional study was con- ducted to collect data in February, 2010. Two hundred and ninety one HIV-infected women participated in personal interviews using a structured questionnaire. Sixty-six percent of the respondents were in polygamous relationships. Thirty-four percent of the participants desired a child in the future. Chi-square tests revealed that variables associated with desire for a child were age, marital status, number of children, current co-habitation with a partner, duration of time with a partner, receipt of the bride price, domestic physical violence, sexual activity in the previous three months, partner ’s desire for a child, and current contraceptive use. Using multiple logistic regression, a partner ’s positive de- sire for a child was the strongest predictor, with an odds ratio of 13.04 (95% CI = 5.68 - 29.91). Fertility desires were largely influenced by dominant culturally sensitive issues and the family-oriented culture. The integration of effective counseling and reproductive healthcare service into HIV clinics is recommended. Holistic, culturally-relevant and fam- ily-oriented reproductive heal