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HIV-positive women in northeast Brazil: Tubal sterilization, medical recommendation and reproductive rights

2007; Taylor & Francis; Volume: 19; Issue: 10 Linguagem: Inglês

10.1080/09540120701405411

1360-0451

Francisco Artur Forte Oliveira, Lígia Regina Franco Sansigolo Kerr, Amanda Cavalcante Frota, Aglaêr Alves da Nóbrega, Zenilda Vieira Bruno, Terezinha do Menino Jesus Silva Leitão, Carl Kendall, Marli Teresinha Gimeniz Galvão,

HIV/AIDS Research and Interventions

Abstract Tubal sterilization is the most common contraceptive method used by Brazilian HIV-positive women. This cross sectional study describes the main reasons why HIV-positive women decide to be sterilized and identifies factors associated with choosing sterilization in HIV-positive women in Ceará, northeast Brazil. Data from 229 non-sterilized women, 80 women sterilized before HIV diagnosis and 48 women sterilized after diagnosis were analysed. Of the women sterilized after HIV diagnosis, 96% had the procedure done in the postpartum, during a caesarean section. No desire for more children was the most common appointed reason to be sterilized (39.6%), followed by medical recommendation because of HIV (31.3%). Seventy-nine women (28.5%) had a child after HIV diagnosis. Of those, 46 (58.2%) were sterilized in the postpartum. Factors associated with sterilization for HIV-positive women were: having a child after diagnosis (AOR: 120.9; 95%CI: 27.8–525.4) and having at least three children (AOR: 2.8; 95%CI: 1.1–7.1). It is recommended that non-coercive counselling should be provided so that HIV-positive women can make informed decisions on their reproductive options.