Predictors of Dual Contraception among HIV Discordant Relationships in Zambia Open Access

Brown, Danielle (2015)

Permanent URL:


Background: Mother to child transmission and unintended pregnancy are major concerns among HIV discordant couples. Dual contraception use is proposed as way to increase pregnancy prevention and contraception effectiveness for such high risk couples. Investigation on predictors of dual contraception use among HIV discordant couples is not well documented.

Methods: To further examine dual contraception trends, this study utilized a longitudinal cohort of married and cohabitating Zambian couples recruited from 1994 to 2012 to participate in HIV counseling and testing (CVCT) services. Demographic, family planning, sexual history, and clinical measures were collected as possible predictors of dual contraception use.

Results: Overall increasing number of male lifetime sex partners, male reporting having a STI in the previous year, female being post-partum, and the male wanting a child within the next year best predicted dual use among HIV positive female discordant couples. For HIV positive male discordant couples, decreasing number of female lifetime sex partners, increasing number of male lifetime sex partners, female being post-partum, and decreasing fertility intentions of both male and female best predicted dual use.

Conclusions: Final models suggest males and post-partum female populations are particularly important groups to advocate increased dual contraception use. Increasing fertility desires across HIV discordant couples require expanded family planning outreach.

Table of Contents

  • Background. 1
  • Introduction. 8
  • Methods. 10
  • Results. 13
  • Discussion. 16
  • Conclusions. 18
  • References. 19
  • Tables. 23

About this Master's Thesis

Rights statement
  • Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.
  • English
Research Field
Committee Chair / Thesis Advisor
Partnering Agencies
Last modified

Primary PDF

Supplemental Files