A Study on Family Planning Methods Among HIV Sero Discordant Couples in Karnataka
Keywords:
HIV, Serodiscordancy, ART Adherence, KarnatakaAbstract
Introduction: India has third largest number of people living with HIV/AIDS in the world. Sero-discordance in couples refers to two people (One HIV positive and other negative) who are in ongoing sexual relationship in which both partners have tested for HIV and there has been full disclosure of HIV status. This study aims to understand planning methods and adherence to ART treatment among HIV sero-discordant couples in Karnataka.
Methods: A cross sectional study was conducted in Karnataka from Apr to September 2015 .A total of 314 sero-discordant couples enrolled in PLHIV Networks for HIV care and support services in 4 sites of Karnataka were selected for the study .
Results: Majority (79%) of sero-discordant couples have adopted sterilization method of contraception. The condom usage (12%) and copper-T(2%) methods were pretty low. Adherence to ART (≥ 95%) among sero-discordant couples was high at 94.6%. PLHIV with a spouse having higher educational status were better adher- ing to ART on comparison with spouse of lower educational sta- tus. This difference was statistically significant (P<0.01).
Conclusion: The study shows that the HIV sero-discordant couples are using sterilization methods more in comparison to other family planning methods and are highly adherent to ART.
References
NACO Annual report 2013-14 . Department of AIDS Con- trol. MoHFW. Govt of India. New Delhi. Available at www.naco.gov.in. Accessed on Jan 2015.
James Wilton, HIV prevention within serodiscordant couples: A changing paradigm. Prevention in Focus, Spring 2015 : Available at http://www.catie.ca/en/printpdf
/pif/spring-2015/hiv-prevention-within- serodiscordant- couples-changing-paradigm. Accessed on Jan 2015.
Crepaz N, Hart TA, Marks G. Highly active antiretroviral therapy and sexual risk behavior: A meta-analytic review. J Am Med Assoc 2004; 292: 224–236.
Kumarasamy N, Venkatesh KK, Srikrishnan AK, Prasad L, Balakrishnan P, Thamburaj E, Sharma J, Solomon S, Mayer
K. Risk factors for HIV transmission among heterosexual discordant couples in South India. HIV Medicine. 2009;11:178–86
Joglekar N, Paranjape R, Jain R, Rahane G, Potdar R, et al. Barriers to ART adherence & follow ups among patients at- tending ART centres in Maharashtra, India. Indian J Med Res 2011; 134: 954–959
Sunil Suhas Solomon, Suniti Solomon. HIV serodiscordant relationships in India: Translating science to practice. Indian J Med Res 134, December 2011, pp 904-911
E.V. Mocanu. Facts and myths in serological screening of ART couples. Facts Views Vis Obgyn. 2012; 4(3): 198–202
HIV fact sheet. 2006. NACO, Government of India. Availa- ble at.www.naco.gov.in. Accessed on Jan 2015.
Technical report ,NACO 2013-14. Department of AIDS Con- trol. MoHFW. Govt of India. New Delhi. Available at www.naco.gov.in. Accessed on Jan 2015.
Pamela Bachanas, Amy Medley, Sherri Pals, Daniel Kidder, Gretchen Antelman, Irene Benech et al Disclosure, Know- ledge of Partner Status, and Condom Use Among HIV- Positive Patients Attending Clinical Care in Tanzania, Kenya, and Namibia. AIDS Patient Care STDS. 2013 Jul; 27(7): 425–435
Ndola Prata, Farnaz Vahidnia and Ashley Fraser. Gender and Relationship Differences in Condom Use Among 15–24-Year-Olds in Angola. Int Fam Plan Perspect. 2005;31(4):192- 9.
A.Kot .In Sub-Saharan Africa, HIV-Serodiscordant Couples Often Use Condoms—But Not Other Forms of Contracep- tives: International perspectives on sexual and reproductive health.Vol 36. Issue 4 .2010. P 214-215
Mocroft A, Vella S, Benfield TL, Chiesi A, Miller V, Garga- lianos P, et al. Changing patterns of mortality across Europe in patients infected with HIV-1. EuroSIDA Study Group. Lancet 1998; 352 : 1725-30.
Gray RH, Wawer MJ, Brookmeyer R, Sewankambo NK, Serwadda D, Wabwire-Mangen F, et al. Probability of HIV-1 transmission per coital act in monogamous, heterosexual, HIV-1-discordant couples in Rakai, Uganda. Lancet 2001; 357 : 1149-53
Del Romero J, Castilla J, Hernando V, Rodriguez C, Garcia S (2010) Combined antiretroviral treatment and heterosexual transmission of HIV-1: cross sectional and prospective co- hort study. BMJ 340: c2205.
Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, et al. (2011) Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med 365: 493–505
Jia Z, Mao Y, Zhang F, Ruan Y, Ma Y, et al. (2013) Antiretro- viral therapy to prevent HIV transmission in serodiscordant couples in China (2003–11): A national observational cohort study. Lancet 382: 1195–1203.
Liao L, Xing H, Su B, Wang Z, Ruan Y, et al. (2013) Impact of HIV drug resistance on virologic and immunologic fail- ure and mortality in a cohort of patients on antiretroviral therapy in China. AIDS 27: 1815–1824.
Eyawo O et al. HIV status in discordant couples in sub- Saharan Africa: A systematic review and meta-analysis. The Lancet Infectious Diseases, 2011, 11(4):263–264.
Liu H, Su Y, Zhu L, Xing J, Wu J, Wang N (2014) Effective- ness of ART and Condom Use for Prevention of Sexual HIV Transmission in Serodiscordant Couples: A Systematic Re- view and Meta-Analysis. PLoS ONE 9(11): e111175. doi:10.1371/journal.pone.0111175.
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