ingest cdrApp 2018-06-13T15:57:55.460Z 51cd2fe2-3fd7-401f-a923-a97bc3db68a2 modifyDatastreamByValue RELS-EXT fedoraAdmin 2018-06-13T16:26:01.067Z Setting exclusive relation addDatastream MD_TECHNICAL fedoraAdmin 2018-06-13T16:26:01.735Z Adding technical metadata derived by FITS addDatastream MD_FULL_TEXT fedoraAdmin 2018-06-13T16:26:25.028Z Adding full text metadata extracted by Apache Tika modifyDatastreamByValue RELS-EXT fedoraAdmin 2018-06-13T16:26:47.317Z Setting exclusive relation modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-07-16T20:46:53.271Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-07-18T16:22:13.804Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-08-22T15:01:20.887Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-09-28T17:46:43.271Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-10-12T16:41:15.064Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2019-03-22T19:58:37.392Z Katherine Rucinski Author Department of Epidemiology Gillings School of Global Public Health Longitudinal patterns of unmet need for contraception and the effect of fertility intentions on attendance at HIV clinical care visits among HIV-infected women on antiretroviral therapy in South Africa Fertility intentions and contraceptive use are often not assessed in the context of HIV clinical care, representing a possible gap in many current programs if women’s family planning needs change over time. Additionally, women who are planning to conceive have different clinical needs than those what wish to prevent pregnancy, precipitating potential differences in the frequency with which women attend HIV clinical care visits. We used data from a prospective cohort study of 850 non-pregnant, HIV-infected women aged 18-35 on or initiating antiretroviral therapy (ART) in Johannesburg, South Africa between 2009 and 2010. In Aim 1, we used group-based trajectory modeling to identify distinct patterns of unmet need over the 12-month study period. Half of the enrolled women were predicted to have a consistently high probability of unmet need, 22.9% a consistently low probability, 16.7% a decreasing probability, and 10.4% an increasing probability over time. In Aim 2, we estimated the effect of fertility intentions on attendance at HIV clinical care visits. Women were classified as having either current fertility intentions (trying to conceive at time of interview), short-term fertility intentions (planning to conceive in the next 12 months), long-term fertility intentions (planning to conceive in the future) or having no plans to conceive. Attendance was assessed dichotomously (any attendance vs. none) in 90-day intervals. We used generalized estimating equations to estimate the effect of fertility intentions on the odds of attending clinic visits over the 12-month study period. We found no difference in clinic attendance by fertility intentions in the full cohort. Among women who had recently initiated ART, those that planned to conceive were more likely to attend HIV clinical care visits (aOR 2.95, 95% CI: 1.19, 7.30) than those with no plans to conceive. Through this research we have demonstrated that family planning needs can change over time and thus should be assessed more regularly in HIV-infected women. Spring 2018 2018 Epidemiology Engagement in HIV Care, Family Planning, Fertility Intentions, HIV/AIDS, Reproductive Health, Unmet Need for Contraception eng Doctor of Philosophy Dissertation University of North Carolina at Chapel Hill Graduate School Degree granting institution Epidemiology Audrey Pettifor Thesis advisor Kimberly Powers Thesis advisor Sheree Schwartz Thesis advisor Brian Pence Thesis advisor Benjamin Chi Thesis advisor text Katherine Rucinski Author Department of Epidemiology Gillings School of Global Public Health Longitudinal patterns of unmet need for contraception and the effect of fertility intentions on attendance at HIV clinical care visits among HIV-infected women on antiretroviral therapy in South Africa Fertility intentions and contraceptive use are often not assessed in the context of HIV clinical care, representing a possible gap in many current programs if women’s family planning needs change over time. Additionally, women who are planning to conceive have different clinical needs than those what wish to prevent pregnancy, precipitating potential differences in the frequency with which women attend HIV clinical care visits. We used data from a prospective cohort study of 850 non-pregnant, HIV-infected women aged 18-35 on or initiating antiretroviral therapy (ART) in Johannesburg, South Africa between 2009 and 2010. In Aim 1, we used group-based trajectory modeling to identify distinct patterns of unmet need over the 12-month study period. Half of the enrolled women were predicted to have a consistently high probability of unmet need, 22.9% a consistently low probability, 16.7% a decreasing probability, and 10.4% an increasing probability over time. In Aim 2, we estimated the effect of fertility intentions on attendance at HIV clinical care visits. Women were classified as having either current fertility intentions (trying to conceive at time of interview), short-term fertility intentions (planning to conceive in the next 12 months), long-term fertility intentions (planning to conceive in the future) or having no plans to conceive. Attendance was assessed dichotomously (any attendance vs. none) in 90-day intervals. We used generalized estimating equations to estimate the effect of fertility intentions on the odds of attending clinic visits over the 12-month study period. We found no difference in clinic attendance by fertility intentions in the full cohort. Among women who had recently initiated ART, those that planned to conceive were more likely to attend HIV clinical care visits (aOR 2.95, 95% CI: 1.19, 7.30) than those with no plans to conceive. Through this research we have demonstrated that family planning needs can change over time and thus should be assessed more regularly in HIV-infected women. Spring 2018 2018 Epidemiology Engagement in HIV Care, Family Planning, Fertility Intentions, HIV/AIDS, Reproductive Health, Unmet Need for Contraception eng Doctor of Philosophy Dissertation University of North Carolina at Chapel Hill Graduate School Degree granting institution Epidemiology Audrey Pettifor Thesis advisor Kimberly Powers Thesis advisor Sheree Schwartz Thesis advisor Brian Pence Thesis advisor Benjamin Chi Thesis advisor text Katherine Rucinski Author Department of Epidemiology Gillings School of Global Public Health Longitudinal patterns of unmet need for contraception and the effect of fertility intentions on attendance at HIV clinical care visits among HIV-infected women on antiretroviral therapy in South Africa Fertility intentions and contraceptive use are often not assessed in the context of HIV clinical care, representing a possible gap in many current programs if women’s family planning needs change over time. Additionally, women who are planning to conceive have different clinical needs than those what wish to prevent pregnancy, precipitating potential differences in the frequency with which women attend HIV clinical care visits. We used data from a prospective cohort study of 850 non-pregnant, HIV-infected women aged 18-35 on or initiating antiretroviral therapy (ART) in Johannesburg, South Africa between 2009 and 2010. In Aim 1, we used group-based trajectory modeling to identify distinct patterns of unmet need over the 12-month study period. Half of the enrolled women were predicted to have a consistently high probability of unmet need, 22.9% a consistently low probability, 16.7% a decreasing probability, and 10.4% an increasing probability over time. In Aim 2, we estimated the effect of fertility intentions on attendance at HIV clinical care visits. Women were classified as having either current fertility intentions (trying to conceive at time of interview), short-term fertility intentions (planning to conceive in the next 12 months), long-term fertility intentions (planning to conceive in the future) or having no plans to conceive. Attendance was assessed dichotomously (any attendance vs. none) in 90-day intervals. We used generalized estimating equations to estimate the effect of fertility intentions on the odds of attending clinic visits over the 12-month study period. We found no difference in clinic attendance by fertility intentions in the full cohort. Among women who had recently initiated ART, those that planned to conceive were more likely to attend HIV clinical care visits (aOR 2.95, 95% CI: 1.19, 7.30) than those with no plans to conceive. Through this research we have demonstrated that family planning needs can change over time and thus should be assessed more regularly in HIV-infected women. Spring 2018 2018 Epidemiology Engagement in HIV Care, Family Planning, Fertility Intentions, HIV/AIDS, Reproductive Health, Unmet Need for Contraception eng Doctor of Philosophy Dissertation University of North Carolina at Chapel Hill Graduate School Degree granting institution Epidemiology Audrey Pettifor Thesis advisor Kimberly Powers Thesis advisor Sheree Schwartz Thesis advisor Brian Pence Thesis advisor Benjamin Chi Thesis advisor text Katherine Rucinski Author Department of Epidemiology Gillings School of Global Public Health Longitudinal patterns of unmet need for contraception and the effect of fertility intentions on attendance at HIV clinical care visits among HIV-infected women on antiretroviral therapy in South Africa Fertility intentions and contraceptive use are often not assessed in the context of HIV clinical care, representing a possible gap in many current programs if women’s family planning needs change over time. Additionally, women who are planning to conceive have different clinical needs than those what wish to prevent pregnancy, precipitating potential differences in the frequency with which women attend HIV clinical care visits. We used data from a prospective cohort study of 850 non-pregnant, HIV-infected women aged 18-35 on or initiating antiretroviral therapy (ART) in Johannesburg, South Africa between 2009 and 2010. In Aim 1, we used group-based trajectory modeling to identify distinct patterns of unmet need over the 12-month study period. Half of the enrolled women were predicted to have a consistently high probability of unmet need, 22.9% a consistently low probability, 16.7% a decreasing probability, and 10.4% an increasing probability over time. In Aim 2, we estimated the effect of fertility intentions on attendance at HIV clinical care visits. Women were classified as having either current fertility intentions (trying to conceive at time of interview), short-term fertility intentions (planning to conceive in the next 12 months), long-term fertility intentions (planning to conceive in the future) or having no plans to conceive. Attendance was assessed dichotomously (any attendance vs. none) in 90-day intervals. We used generalized estimating equations to estimate the effect of fertility intentions on the odds of attending clinic visits over the 12-month study period. We found no difference in clinic attendance by fertility intentions in the full cohort. Among women who had recently initiated ART, those that planned to conceive were more likely to attend HIV clinical care visits (aOR 2.95, 95% CI: 1.19, 7.30) than those with no plans to conceive. Through this research we have demonstrated that family planning needs can change over time and thus should be assessed more regularly in HIV-infected women. Spring 2018 2018 Epidemiology Engagement in HIV Care, Family Planning, Fertility Intentions, HIV/AIDS, Reproductive Health, Unmet Need for Contraception eng Doctor of Philosophy Dissertation Epidemiology Audrey Pettifor Thesis advisor Kimberly Powers Thesis advisor Sheree Schwartz Thesis advisor Brian Pence Thesis advisor Benjamin Chi Thesis advisor text University of North Carolina at Chapel Hill Degree granting institution Katherine Rucinski Creator Department of Epidemiology Gillings School of Global Public Health Longitudinal patterns of unmet need for contraception and the effect of fertility intentions on attendance at HIV clinical care visits among HIV-infected women on antiretroviral therapy in South Africa Fertility intentions and contraceptive use are often not assessed in the context of HIV clinical care, representing a possible gap in many current programs if women’s family planning needs change over time. Additionally, women who are planning to conceive have different clinical needs than those what wish to prevent pregnancy, precipitating potential differences in the frequency with which women attend HIV clinical care visits. We used data from a prospective cohort study of 850 non-pregnant, HIV-infected women aged 18-35 on or initiating antiretroviral therapy (ART) in Johannesburg, South Africa between 2009 and 2010. In Aim 1, we used group-based trajectory modeling to identify distinct patterns of unmet need over the 12-month study period. Half of the enrolled women were predicted to have a consistently high probability of unmet need, 22.9% a consistently low probability, 16.7% a decreasing probability, and 10.4% an increasing probability over time. In Aim 2, we estimated the effect of fertility intentions on attendance at HIV clinical care visits. Women were classified as having either current fertility intentions (trying to conceive at time of interview), short-term fertility intentions (planning to conceive in the next 12 months), long-term fertility intentions (planning to conceive in the future) or having no plans to conceive. Attendance was assessed dichotomously (any attendance vs. none) in 90-day intervals. We used generalized estimating equations to estimate the effect of fertility intentions on the odds of attending clinic visits over the 12-month study period. We found no difference in clinic attendance by fertility intentions in the full cohort. Among women who had recently initiated ART, those that planned to conceive were more likely to attend HIV clinical care visits (aOR 2.95, 95% CI: 1.19, 7.30) than those with no plans to conceive. Through this research we have demonstrated that family planning needs can change over time and thus should be assessed more regularly in HIV-infected women. Epidemiology Engagement in HIV Care; Family Planning; Fertility Intentions; HIV/AIDS; Reproductive Health; Unmet Need for Contraception eng Doctor of Philosophy Dissertation Epidemiology Audrey Pettifor Thesis advisor Kimberly Powers Thesis advisor Sheree Schwartz Thesis advisor Brian Pence Thesis advisor Benjamin Chi Thesis advisor text University of North Carolina at Chapel Hill Degree granting institution 2018 2018-05 Katherine Rucinski Author Department of Epidemiology Gillings School of Global Public Health Longitudinal patterns of unmet need for contraception and the effect of fertility intentions on attendance at HIV clinical care visits among HIV-infected women on antiretroviral therapy in South Africa Fertility intentions and contraceptive use are often not assessed in the context of HIV clinical care, representing a possible gap in many current programs if women’s family planning needs change over time. Additionally, women who are planning to conceive have different clinical needs than those what wish to prevent pregnancy, precipitating potential differences in the frequency with which women attend HIV clinical care visits. We used data from a prospective cohort study of 850 non-pregnant, HIV-infected women aged 18-35 on or initiating antiretroviral therapy (ART) in Johannesburg, South Africa between 2009 and 2010. In Aim 1, we used group-based trajectory modeling to identify distinct patterns of unmet need over the 12-month study period. Half of the enrolled women were predicted to have a consistently high probability of unmet need, 22.9% a consistently low probability, 16.7% a decreasing probability, and 10.4% an increasing probability over time. In Aim 2, we estimated the effect of fertility intentions on attendance at HIV clinical care visits. Women were classified as having either current fertility intentions (trying to conceive at time of interview), short-term fertility intentions (planning to conceive in the next 12 months), long-term fertility intentions (planning to conceive in the future) or having no plans to conceive. Attendance was assessed dichotomously (any attendance vs. none) in 90-day intervals. We used generalized estimating equations to estimate the effect of fertility intentions on the odds of attending clinic visits over the 12-month study period. We found no difference in clinic attendance by fertility intentions in the full cohort. Among women who had recently initiated ART, those that planned to conceive were more likely to attend HIV clinical care visits (aOR 2.95, 95% CI: 1.19, 7.30) than those with no plans to conceive. Through this research we have demonstrated that family planning needs can change over time and thus should be assessed more regularly in HIV-infected women. Spring 2018 2018 Epidemiology Engagement in HIV Care, Family Planning, Fertility Intentions, HIV/AIDS, Reproductive Health, Unmet Need for Contraception eng Doctor of Philosophy Dissertation University of North Carolina at Chapel Hill Graduate School Degree granting institution Epidemiology Audrey Pettifor Thesis advisor Kimberly Powers Thesis advisor Sheree Schwartz Thesis advisor Brian Pence Thesis advisor Benjamin Chi Thesis advisor text Katherine Rucinski Creator Department of Epidemiology Gillings School of Global Public Health Fertility intentions and contraceptive use are often not assessed in the context of HIV clinical care, representing a possible gap in many current programs if women’s family planning needs change over time. Additionally, women who are planning to conceive have different clinical needs than those what wish to prevent pregnancy, precipitating potential differences in the frequency with which women attend HIV clinical care visits. We used data from a prospective cohort study of 850 non-pregnant, HIV-infected women aged 18-35 on or initiating antiretroviral therapy (ART) in Johannesburg, South Africa between 2009 and 2010. In Aim 1, we used group-based trajectory modeling to identify distinct patterns of unmet need over the 12-month study period. Half of the enrolled women were predicted to have a consistently high probability of unmet need, 22.9% a consistently low probability, 16.7% a decreasing probability, and 10.4% an increasing probability over time. In Aim 2, we estimated the effect of fertility intentions on attendance at HIV clinical care visits. Women were classified as having either current fertility intentions (trying to conceive at time of interview), short-term fertility intentions (planning to conceive in the next 12 months), long-term fertility intentions (planning to conceive in the future) or having no plans to conceive. Attendance was assessed dichotomously (any attendance vs. none) in 90-day intervals. We used generalized estimating equations to estimate the effect of fertility intentions on the odds of attending clinic visits over the 12-month study period. We found no difference in clinic attendance by fertility intentions in the full cohort. Among women who had recently initiated ART, those that planned to conceive were more likely to attend HIV clinical care visits (aOR 2.95, 95% CI: 1.19, 7.30) than those with no plans to conceive. Through this research we have demonstrated that family planning needs can change over time and thus should be assessed more regularly in HIV-infected women. 2018-05 2018 Epidemiology Engagement in HIV Care; Family Planning; Fertility Intentions; HIV/AIDS; Reproductive Health; Unmet Need for Contraception eng Doctor of Philosophy Dissertation University of North Carolina at Chapel Hill Graduate School Degree granting institution Audrey Pettifor Thesis advisor Kimberly Powers Thesis advisor Sheree Schwartz Thesis advisor Brian Pence Thesis advisor Benjamin Chi Thesis advisor text Rucinski_unc_0153D_17563.pdf uuid:60e9b879-adb2-43b5-bff7-be74e8fe779e 2020-06-13T00:00:00 2018-04-20T02:22:26Z proquest application/pdf 1342916