%0 Journal Article %T Reproductive Healthcare Needs and Desires in a Cohort of HIV-Positive Women %A Martina L. Badell %A Eva Lathrop %A Lisa B. Haddad %A Peggy Goedken %A Minh Ly. Nguyen %A Carrie A. Cwiak %J Infectious Diseases in Obstetrics and Gynecology %D 2012 %I Hindawi Publishing Corporation %R 10.1155/2012/107878 %X Background. The aim of this study was to determine current contraceptive use, contraceptive desires and knowledge, future fertility desires, and sterilization regret in a cohort of HIV-positive women. Study Design. 127 HIV-positive women receiving care at an urban infectious disease clinic completed a survey addressing their contraceptive and reproductive histories as well as their future contraceptive and fertility desires. Results. The most common forms of contraception used were sterilization (44.4%) and condoms (41.3%). Less than 1% used a long-term reversible method of contraception (LARC) despite these being the methods that best fit their desired attributes of a contraceptive method. Overall, 29.4% desired future fertility. Only 50.6% of those sexually active had spoken with a provider within the last year regarding their contraceptive plans. There was a high degree of sterilization regret (36.4%), and 18.2% of sterilized women desired future fertility. Multivariate analysis found women in a monogamous relationship had a statistically increased rate of regret compared to women who were not sexually active (OR 13.8, 95% CI 1.6¨C119, ). Conclusion. Given the diversity in contraceptive and fertility desires, coupled with a higher rate of sterilization regret than is seen in the general population, integration of comprehensive family planning services into HIV care via increased contraceptive education and access is imperative. 1. Introduction Since the mean desired fertility rate in the United States is 2 [1], American women spend most of their reproductive lives attempting to space or prevent pregnancies; however, nearly half of all pregnancies in the USA are unintended (unwanted or mistimed) [2]. Women at highest risk for unintended pregnancies are also at highest risk for HIV and sexually transmitted infection acquisition, including women of minority race, lower education level, and lower socioeconomic status [3]. Approximately 100,000 women of reproductive age in the USA are infected with HIV, and women of color disproportionately account for 80% of HIV-infected women [4]. The prognosis for people living with HIV has greatly improved and therefore the healthcare community is able to focus on quality-of-life issues rather than only length of life issues [5]. For example, the availability and use of highly active antiretroviral therapy (HAART) has dramatically reduced mother-to-child transmission and allowed HIV-positive women to live longer, healthier lives which in turn has affected their fertility desires [6, 7]. Cohort studies of HIV-positive %U http://www.hindawi.com/journals/idog/2012/107878/