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Hunter, SC; Isingo, R; Boerma, JT; Urassa, M; Mwaluko, GM; Zaba, B (2003)
Publisher: Cambridge University Press (CUP)
Languages: English
Types: Article

Classified by OpenAIRE into

mesheuropmc: virus diseases
Recent studies in sub-Saharan Africa have shown that fertility is reduced among HIV-infected women compared with uninfected women. The size and pattern of this fertility reduction has important implications for antenatal clinic-based surveillance of the epidemic and also for estimates and projections of the demographic impact of the epidemic. This paper examines the association between HIV and fertility in Kisesa, a rural area in Tanzania, where HIV prevalence among adults is about 6% and gradually increasing. The analysis is based on data obtained through a demographic surveillance system in Kisesa during 1994-98 and two large sero-surveys of all residents in 1994-95 and 1996-97. The HIV-associated fertility reduction among women was investigated by estimating fertility rates by HIV status and prevalence rates by fertility status. A substantial reduction (29%) was observed in fertility among HIV-infected women compared with HIV-uninfected women. The fertility reduction was most pronounced during the terminal stages of infection, but no clear association with duration of infection was observed. Use of modern contraception was higher among HIV-infected women. However, both among contracepting and non-contracepting women, a substantial reduction in fertility was seen among HIV-infected women.
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    • B, T., U, M., N, S., N', J., I, R., Z, B. & M, G. (2002) Socio-demographic context of the AIDS epidemic in a rural area in Tanzania with a focus on people's mobility and marriage. Sexually Transmitted Infections (in press).
    • B, J. T., U, M., S, K., K, A. & N, J. Z. (1999). Spread of HIV infection in a rural area of Tanzania. AIDS 13(10), 1233-1240.
    • B, P. & F, R. (1998) The association between maternal HIV infection and perinatal outcome: a systematic review of the literature and meta-analysis. Br. J. Obstet. Gynaec. 105(8), 836-848.
    • C, J. C., A, J. K. & C, P. (1997) Mobility, migration, sex, STDs and AIDS: an essay on sub-Saharan Africa with other parallels. In: Sexual Cultures and Migration in the Era of AIDS: Anthropological and Demographic Perspectives, pp. 41-54. Edited by G. Herdt. Oxford University Press, Oxford.
    • C, L. M., N, J. S., R, A., M, S. S., K, A. & W, J. A. G. (1997) Estimates of the impact of the HIV infection on fertility in a rural Ugandan population cohort. Hlth Trans. Rev. (suppl. 2) 7, 113-126.
    • D, S., B, W. A., W, G. C. & G, J. J. (1993) Procreation and HIV [letter]. Lancet 342(8881), 1241-1242.
    • F, I., N, J., M, Z., K, A. H., G, B. & B, J. T. (1997) HIV infection and sexual behaviour among women with infertility in Tanzania: a hospital-based study. Int. J. Epidemiol. 26(2), 414-419.
    • F, K., N, Z., K, K., M M, R. & S, M. (1998) Studying dynamics of the HIV epidemic: population-based data compared with sentinel surveillance in Zambia. AIDS 12(10), 1227-1234.
    • G, R. H., W, M. J., S, D., S, N., L, C., W M, F., P, L., K, N., K, G., K-L, J., Q, T. C., G, C. A. & MN, D. (1998) Population-based study of fertility in women with HIV-1 infection in Uganda. Lancet 351(9096), 98-103.
    • G, S., Z, T., A, R. M. & C, S. K. (1997) HIV and fertility change in rural Zimbabwe. Hlth Trans. Rev. (suppl. 2) 7, 89-112.
    • K, M., N, J., H, M. P., C, M., G, J. R. & B, A. (1999) Study group on the heterogeneity of HIV epidemics in African cities: Comparison of HIV-1 seroprevalence in ante-natal clinics and the general population in Kenya. Abstract 14ET3-6, XIth International Conference on AIDS and STDs in Africa, Lusaka 12-16th September 1999.
    • K, R. M., K, A., N, A., N, K. M., B, M., B, L., L J, U., L, F., G, H. & K, F. (1993) Sentinel surveillance for HIV-1 among pregnant women in a developing country: 3 years' experience and comparison with a population serosurvey. AIDS 7(6), 849-855.
    • K, A. H., G, S., N, B., W, K., K, W., S, G., G, G. P., A-O, G., K, G., W, P. & -S, F. (1999) Reductions in risk behaviour provide the most consistent explanation for declining HIV-1 prevalence in Uganda. AIDS 13(3), 391-398.
    • K, J. N., C, R. W., C, A. C., K, J. K., R, S. O., C, K., M, V. L. & C, L. (1991) Fertility parameters in men infected with human immunodeficiency virus. J. Infect. Dis. 164(3), 464-469.
    • K, G., K, J. Z. & S, A. (1996) Sentinel surveillance and cross sectional survey on HIV infection prevalence: a comparative study. E. Afr. med. J. 73(5), 298-302.
    • L, L. M., W, P. M., F, P. L., E, L. J. & G, R. H. (2000) Duration of human immunodeficiency virus infection and likelihood of giving birth in a Medicaid population in Maryland. Am. J. Epidemiol. 151(10), 1020-1028.
    • M, I., K, E., T, A., A, E., K, L., Z, L., C, M., G, J. R. & B, A. (1999) Study group on the heterogeneity of HIV epidemics in African cities: HIV prevalence in antenatal clinics and general population in Cameroon. Abstract 14ET3-5, XIth International Conference on AIDS and STDs in Africa, Lusaka 12-16th September 1999.
    • M, P. G., D, G., N, E., L, G., S, A. J. & C, J. (1990) HIV-1 and pregnant women: associated factors, prevalence, estimate of incidence and role in fetal wastage in central Africa. AIDS 4(8), 733-736.
    • M, R. M., G, J. R., B, A., T, F., S, T. Y., K, F. A., M, L. & C, M. (1999) Study group on the heterogeneity of HIV epidemics in African cities: HIV-1 prevalence using antenatal clinic attenders versus the general population - Ndola, Zambia. Abstract 14ET3-4, XIth International Conference on AIDS and STDs in Africa, Lusaka 12-16th September 1999.
    • M-G, J. & N, J. P. M. (1996) Impact of AIDS on marriage patterns, customs and practices in Uganda. Hlth Trans. Rev. (suppl.) 5, 201-208.
    • N, J. P. M. (1997) Widowhood, remarriage and migration during the HIV/AIDS epidemic in Uganda. Hlth Trans. Rev. (suppl.) 7, 125-144.
    • R, A., M, D., L, R., C, L. M., M, B. & W, J. A. (1999) Reduced fertility associated with HIV: the contribution of pre-existing subfertility. AIDS 13(15), 2133-2141.
    • R, R. W., B, V. L., N, M., B, N., M, L., M, B., U, M. & H, W. L. (1991). Fertility rates in 238 HIV-1-seropositive women in Zaire followed for 3 years post-partum. AIDS 5(12), 1521-1527.
    • S, D., D, E., P, M., D, A. & M, A. (1991) Seroprevalence of retroviral infection in women with different fertility statuses in Gabon, western equatorial Africa. J. Acquir. Immune Defic. Syndr. 4(5), 468-470.
    • S, N. K., W, M. J., G, R. H., S, D., L, C., S, R. Y., M, S. D. & K-L, J. (1994) Demographic impact of HIV infection in rural Rakai district, Uganda: results of a population-based cohort study. AIDS 8(12), 1707-1713.
    • US B   C (1998) HIV/AIDS Surveillance Database, July 1998 Release. US Bureau of the Census, International Programs Centre, Health Studies Branch.
    • W, H. U., V D, E., R, E., N, A. J., K, A., S, D. S., D, J. G. & M, D. W. (1994) Seroprevalence and incidence of sexually transmitted diseases in a rural Ugandan population. Int. J. STD and AIDS 5(5), 332-337.
    • W-W, R., B, S., D, R., O, S., R, U., M, R., L, A. & S, S. (1988) Evaluation of the WHO clinical case definition for AIDS in Uganda. J. Am. med. Ass. 260(22), 3286-3289.
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