Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 2004

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Hormonal contraception and risk of cervical infections among HIV-1-

seropositive Kenyan women.

AUTHORS

Lavreys L; Chohan V; Overbaugh J; Hassan W; McClelland RS

SOURCE

AIDS. 2004;18:2179-2184.

ABSTRACT

The objective was to evaluate the relationship between hormonal contraceptive use and the acquisition of cervical

sexually transmitted infections (STI) among HIV-1-infected women. A prospective cohort study of 242 commercial

sex workers in Mombasa, Kenya, followed from the time of HIV-1 infection. At monthly follow-up visits, sexual

behavior and contraceptive use were recorded, and laboratory screening for STI was performed. Multivariate

Andersen-Gill proportional hazards models were constructed to examine the association between the use of

hormonal contraception and the occurrence of cervical STI. The median duration of follow-up after HIV-1 acquisition

was 35 months, and 799 person-years of follow-up were accrued. After adjustment for demographic factors and

sexual behavior, women using the injectable contraceptive depot medroxyprogesterone acetate were at increased risk

of Chlamydia trachomatis infection [hazard ratio (HR) 3.1, 95% confidence interval (CI) 1.0-9.4, P = 0.05] and

cervicitis (HR 1.6, 95% CI 1.0-2.3, P = 0.03) compared with women using no contraception. The use of oral

contraceptive pills was associated with an increased risk of cervicitis (HR 2.3, 95% CI 1.4-3.8, P = 0.001). Hormonal

contraception was not associated with an increased risk of infection with Neisseria gonorrhoeae. The use of

hormonal contraception by HIV-1-infected women was associated with an increased risk of cervicitis and cervical

chlamydia infection. HIV-1- seropositive women using hormonal contraception should be counseled about the

importance of consistent condom use to prevent both STI and HIV-1 transmission. (PubHealth.info Document ID:

CONT1T 566-06)

PubHealth.info NOTE: The author(s) of this article titled, "Hormonal contraception and risk of cervical infections

among HIV-1-seropositive Kenyan women.", is(are) Lavreys L; Chohan V; Overbaugh J; Hassan W; McClelland

RS. The source of this article is "AIDS. 2004;18:2179-2184.". This article was published in 2004 in English

language(s). (PubHealth.info® Document ID: CONT1T 566-06. All rights reserved with PubHealth.info) PIN: 566

This article is peer-reviewed.

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