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HIV and induced abortion among migrants from sub-Saharan Africa living in Île-de-France: Results of the PARCOURS study.
Pilecco, Flávia B; Ravalihasy, Andrainolo; Guillaume, Agnès; Desgrées du Loû, Annabel.
Afiliação
  • Pilecco FB; Departamento de Medicina Preventiva e Social, Universidade Federal de Minas Gerais. Avenida Alfredo Balena, 190, sala 803. Zip Code: 30130-100. Belo Horizonte, MG, Brazil.
  • Ravalihasy A; Programa de Pós-Graduação em Saúde Pública, Universidade Federal de Minas Gerais. Avenida Alfredo Balena, 190, sala 803. Zip Code: 30130-100. Belo Horizonte, MG, Brazil.
  • Guillaume A; Centre Population & Développement (UMR 196 - Université Paris Cité/IRD). 45 rue des Saints-Pères. Zip Code: 75006. Paris, France.
  • Desgrées du Loû A; Centre Population & Développement (UMR 196 - Université Paris Cité/IRD). 45 rue des Saints-Pères. Zip Code: 75006. Paris, France.
J Migr Health ; 10: 100237, 2024.
Article em En | MEDLINE | ID: mdl-38989051
ABSTRACT

Introduction:

HIV heavily affects sub-Saharan African women living in France and can impact reproductive decisions. It was investigated whether HIV was associated with induced abortion in pregnancies held after migration by women from sub-Saharan Africa living in Île-de-France.

Methods:

We used data on ANRS Parcours, a retrospective life event survey conducted in health facilities in the metropolitan region of Paris, between February 2012 and May 2013, with migrants from sub-Saharan Africa. Data on the history of pregnancies were collected among women living with HIV (HIV group) and those attending primary care centers (reference group). We investigated 242 women in the reference group, who had 729 pregnancies, and the 277 women in the HIV group, who had 580 pregnancies. The association between abortion and HIV was evaluated using clustered logistic models, successively adjusted for women and pregnancy characteristics, for the whole sample, and stratified by pregnancy intendedness.

Results:

In the reference group, 11.0 % of pregnancies were terminated in abortion, the same situation as 14.1 % in the HIV group (p = 0.124). HIV was not associated with abortion in the crude and adjusted models. However, after adjustments, HIV exhibited a non-significant trend towards reducing the likelihood of abortion, particularly when considering the intendedness of pregnancy variable.

Conclusions:

Factors that shape the overall context of women's lives and pregnancies, which are shared with the reference group, may have a more significant impact on reproductive decision-making than HIV alone. Health services must pay attention to the intendedness of pregnancies, providing advice and support on the prevention of mother-to-child transmission to women living with HIV who intend to become pregnant, in addition to strengthening the provision of family planning and the prevention of unintended pregnancies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Migr Health Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Migr Health Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido