Factores asociados a la aceptación de salpingoclasia posparto entre mujeres infectadas por el VIH

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Main Author: Roberto Villagrana
Format: Artículo científico
Language:en
Published: Instituto Nacional de Salud Pública 2001
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author Roberto Villagrana
author_facet Roberto Villagrana
contents Factores asociados a la aceptación de salpingoclasia posparto entre mujeres infectadas por el VIH Roberto Villagrana Ricardo Figueroa Salud Mexico pregnancy Key words: HIV tubal sterilization contraceptive methods Objective. To identify the factors associated with the acceptanceof tubal ligation after childbirth among HIV-infectedpatients. Material and methods. A case-control studywas conducted from March 1988 to February 1999, at Mexico’sNational Institute of Perinatology (INPer), in 72 HIVpositivepregnant women. Cases were 49 women whoaccepted postpartum tubal ligation after childbirth, and controlswere 23 women who refused this birth control method.Data collected for each patient were demographiccharacteristics, sexual and reproductive history, and HIVstatus. Statistical analysis consisted of descriptive measures,Chi2 or Fisher’s exact test for categorical variables, and Student’st test for continuous variables. Odds ratios (OR) with95% CI were used to compare groups and potential confounderswere assessed by stratified analysis with the Mantel-Haenszel method. Results. The patients’ mean age was25.5 ± 5.5 years. The median gestation period was 27 weeks(range 7 to 40 weeks); 16 women (22.2%) had no prenatalcare visits at INPer. The median time of HIV positivist awarenesswas 9 months (range 1 to 108). Variables associatedwith acceptance of tubal ligation were: having a prior childbirth(OR 11.1, 95% CI 3.4 to 36), pregnancy care from1995 onward (OR 4.7, 95% CI 1.7 to 13.3), and having givenbirth to an HIV-infected child (OR 4.6, 95% CI 1.05 to 23.1).Stratified analysis showed no modification of the strengthof association of these variables with acceptance of tuballigation. Conclusions. A prior childbirth was the most importantpredictor of tubal ligation acceptance. The Englishversion of this paper is available at: http://www.insp.mx/salud/index.html 2001 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10643205 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.2 Vol.43
format Artículo científico
id redalyc_10643205
institution Redalyc
language en
publishDate 2001
publisher Instituto Nacional de Salud Pública
spellingShingle Factores asociados a la aceptación de salpingoclasia posparto entre mujeres infectadas por el VIH
Roberto Villagrana
Salud
Mexico
pregnancy
Key words: HIV
tubal sterilization
contraceptive methods
Factores asociados a la aceptación de salpingoclasia posparto entre mujeres infectadas por el VIH Roberto Villagrana Ricardo Figueroa Salud Mexico pregnancy Key words: HIV tubal sterilization contraceptive methods Objective. To identify the factors associated with the acceptanceof tubal ligation after childbirth among HIV-infectedpatients. Material and methods. A case-control studywas conducted from March 1988 to February 1999, at Mexico’sNational Institute of Perinatology (INPer), in 72 HIVpositivepregnant women. Cases were 49 women whoaccepted postpartum tubal ligation after childbirth, and controlswere 23 women who refused this birth control method.Data collected for each patient were demographiccharacteristics, sexual and reproductive history, and HIVstatus. Statistical analysis consisted of descriptive measures,Chi2 or Fisher’s exact test for categorical variables, and Student’st test for continuous variables. Odds ratios (OR) with95% CI were used to compare groups and potential confounderswere assessed by stratified analysis with the Mantel-Haenszel method. Results. The patients’ mean age was25.5 ± 5.5 years. The median gestation period was 27 weeks(range 7 to 40 weeks); 16 women (22.2%) had no prenatalcare visits at INPer. The median time of HIV positivist awarenesswas 9 months (range 1 to 108). Variables associatedwith acceptance of tubal ligation were: having a prior childbirth(OR 11.1, 95% CI 3.4 to 36), pregnancy care from1995 onward (OR 4.7, 95% CI 1.7 to 13.3), and having givenbirth to an HIV-infected child (OR 4.6, 95% CI 1.05 to 23.1).Stratified analysis showed no modification of the strengthof association of these variables with acceptance of tuballigation. Conclusions. A prior childbirth was the most importantpredictor of tubal ligation acceptance. The Englishversion of this paper is available at: http://www.insp.mx/salud/index.html 2001 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10643205 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.2 Vol.43
title Factores asociados a la aceptación de salpingoclasia posparto entre mujeres infectadas por el VIH
topic Salud
Mexico
pregnancy
Key words: HIV
tubal sterilization
contraceptive methods
url https://www.redalyc.org/articulo.oa?id=10643205