{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:25:50Z","timestamp":1788870350045,"version":"build-2803163510"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T00:00:00Z","timestamp":1680825600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T00:00:00Z","timestamp":1680825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Sex Behav"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Worldwide, the human immune deficiency virus is the leading cause of death for women of childbearing age. Around two-thirds of all pregnant women living with the human immune deficiency virus experience an unintended pregnancy. The correct and consistent use of dual contraceptive methods is important to prevent unintended pregnancy and transmission of sexually transmitted infections. However, little is known about the utilization of dual contraceptive methods among HIV-infected women. Thus, this study aimed to assess dual contraceptive utilization and associated factors among HIV-positive women attending antiretroviral therapy (ART) in Finote Selam Hospital, Northwest Ethiopia. Facility-based cross-sectional study design was conducted from September 1 to October 30, 2019, in Finote Selam Hospital among HIV-positive women. A systematic random sampling technique was used to select study participants and the data were gathered by an interviewer-administered structured pretested questionnaire. Factors associated with dual contraceptive use were identified through binary logistic regression. Finally, a <jats:italic>p<\/jats:italic>-value\u2009&lt;\u20090.05 was taken as a cutoff point to declare a significant association, and the direction and strength of the association were determined by the adjusted odds ratio. The study showed that 21.8% of HIV-positive women attending ART care in Finote Selam Hospital utilize dual contraceptive methods. Dual contraceptive utilization was significantly associated with having a child (AOR: 3.29; CI 1.45, 7.47), having family support to use dual contraceptives (AOR: 3.02; CI 1.39, 6.54), having multiple sexual partners (AOR: 0.11; CI 0.05, 0.22), and urban residence (AOR: 3.64; 1.82, 7.3). The study revealed that low utilization of dual contraceptive methods. This will continue major public health problems in the study area unless future interventions conducted.<\/jats:p>","DOI":"10.1007\/s10508-023-02593-8","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T13:03:52Z","timestamp":1680872632000},"page":"2639-2646","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Dual Contraceptive Method Utilization and Associated Factors Among HIV Positive Women Attending ART Clinic in Finote-Selam Hospital: Cross-Sectional Study"],"prefix":"10.1007","volume":"52","author":[{"given":"Anteneh","family":"Jemberie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2847-4841","authenticated-orcid":false,"given":"Bewket Yeserah","family":"Aynalem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liknaw Bewket","family":"Zeleke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Addisu Alehegn","family":"Alemu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tenaw Yimer","family":"Tiruye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,4,7]]},"reference":[{"issue":"12","key":"2593_CR2","doi-asserted-by":"publisher","first-page":"824","DOI":"10.1258\/ijsa.2008.008067","volume":"19","author":"S Aboud","year":"2008","unstructured":"Aboud, S., Msamanga, G., Read, J. S., Mwatha, A., Chen, Y. Q., Potter, D., Valentine, M., Sharma, U., Hoffmann, I., Taha, T. E., & Goldenberg, R. L. (2008). Genital tract infections among HIV-infected pregnant women in Malawi, Tanzania and Zambia. International Journal of STD & AIDS, 19(12), 824\u2013832.","journal-title":"International Journal of STD & AIDS"},{"key":"2593_CR4","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1016\/S0968-8080(06)28262-4","volume":"14","author":"M Berer","year":"2006","unstructured":"Berer, M. (2006). Dual protection more needed than practiced or understood. Reproductive Health Matters, 14, 162\u2013170.","journal-title":"Reproductive Health Matters"},{"issue":"5","key":"2593_CR5","doi-asserted-by":"publisher","first-page":"e5690","DOI":"10.1371\/journal.pone.0005690","volume":"4","author":"MS Campbell","year":"2009","unstructured":"Campbell, M. S., Gottlieb, G. S., Hawes, S. E., Nickle, D. C., Wong, K. G., Deng, W., Lampinen, T. M., Kiviat, N. B., & Mullins, J. I. (2009). HIV-1 superinfection in the antiretroviral therapy era: Are seroconcordant sexual partners at risk? PLoS ONE, 4(5), e5690.","journal-title":"PloS one"},{"key":"2593_CR3","unstructured":"Central Statistical Agency [Ethiopia] & ICF International. (2012). Ethiopia Demographic and Health Survey 2011. Author."},{"key":"2593_CR7","unstructured":"Central Statistical Agency (CSA) [Ethiopia] & ICF. (2017). Ethiopia Demographic and Health Survey 2016. Author. http:\/\/dhsprogram.com\/pubs\/pdf\/FR328\/FR328.pdf"},{"key":"2593_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2011\/376432","volume":"2011","author":"V Chakrapani","year":"2011","unstructured":"Chakrapani, V., Kershaw, T., Shunmugam, M., Newman, P. A., Cornman, D. H., & Dubrow, R. (2011). Prevalence of and barriers to dual-contraceptive methods use among married men and women living with HIV in India. Infectious Diseases in Obstetrics and Gynecology,.","journal-title":"Infectious Diseases in Obstetrics and Gynecology"},{"issue":"4","key":"2593_CR8","first-page":"21","volume":"15","author":"B Darega","year":"2015","unstructured":"Darega, B., Dida, N., Hirko, A., Bezu, T., Ibrahim, M., & Adem, K. (2015). Unplanned pregnancy: Prevalence and associated factors among antenatal care attending women in Bale Zone, Oromiya region, Southeast Ethiopia: A facility-based cross sectional study. Global Journal of Medical Research, 15(4), 21\u201328.","journal-title":"Global Journal of Medical Research"},{"key":"2593_CR1","first-page":"25","volume":"20","author":"DBDTGG Abdissa","year":"2015","unstructured":"Demissie, D. B., Girma, T., & Abdissa, G. (2015). Dual contraceptive utilization and associated factors among people living with HIV attending ART clinic in Fitche Hospital, Ethiopia. Journal of Health, Medicine and Nursing, 20, 25\u201333.","journal-title":"Health, Medicine and Nursing"},{"issue":"1","key":"2593_CR11","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1300\/J013v39n01_02","volume":"39","author":"SM Harvey","year":"2004","unstructured":"Harvey, S. M., Henderson, J. T., & Branch, M. R. (2004). Protecting against both pregnancy and disease: Predictors of dual method use among a sample of women. Women & Health, 39(1), 25\u201343.","journal-title":"Women & Health"},{"key":"2593_CR12","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1097\/OLQ.0b013e3181e1a162","volume":"37","author":"R Heffron","year":"2010","unstructured":"Heffron, R., Were, E., Celum, C., Mugo, N., Ngure, K., Kiarie, J., & Baeten, J. M. (2010). A prospective study of contraceptive use among African women in HIV-1 serodiscordant partnerships. Sexually Transmitted Diseases, 37, 621\u2013628.","journal-title":"Sexually Transmitted Diseases"},{"issue":"2","key":"2593_CR13","first-page":"1023","volume":"3","author":"MS Jifar","year":"2017","unstructured":"Jifar, M. S., Handiso, T. B., Mare, T. D., & Ibrahim, S. A. (2017). Dual contraceptive utilization and associated factors among Human Immunodeficiency Virus (HIV) positive women attending anti retro viral therapy (ART) clinic in Hossana Hospital, Southern Ethiopia. SM Journal of Gynecology and Obstetrics, 3(2), 1023.","journal-title":"SM Journal of Gynecology and Obstetrics"},{"key":"2593_CR14","volume-title":"Utilization of family planning services amongsexually active people living with HIV\/AIDS in Taso Tororo","author":"EJ Joseph","year":"2010","unstructured":"Joseph, E. J. (2010). Utilization of family planning services amongsexually active people living with HIV\/AIDS in Taso Tororo. Makerere University."},{"issue":"5","key":"2593_CR15","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1097\/01.qai.0000191284.62707.b7","volume":"41","author":"RS McClelland","year":"2006","unstructured":"McClelland, R. S., Baeten, J. M., Richardson, B. A., Lavreys, L., Emery, S., Mandaliya, K., Ndinya-Achola, J. O., & Overbaugh, J. (2006). A comparison of genital HIV-1 shedding and sexual risk behavior among Kenyan women based on eligibility for initiation of HAART according to WHO guidelines. Journal of Acquired Immune Deficiency Syndromes, 41(5), 611\u2013615.","journal-title":"Journal of Acquired Immune Deficiency Syndromes"},{"issue":"6","key":"2593_CR16","first-page":"107","volume":"4","author":"W Meseret","year":"2015","unstructured":"Meseret, W., Tesso, F. Y., & Beyene, T. T. (2015). Dual-contraceptive method utilization and associated factors among HIV positive women attending art clinic in Gebretsadik Shawo Hospital, SNNPR, South West Ethiopia. Women\u2019s Health Care, 4(6), 107\u2013114.","journal-title":"Women\u2019s Health Care"},{"key":"2593_CR17","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/s12978-016-0123-2","volume":"13","author":"W Munsakul","year":"2016","unstructured":"Munsakul, W., Lolekha, R., Kowadisaiburana, B., Roongpisuthipong, A., Jirajariyavej, S., Asavapiriyanont, S., Hancharoenkit, U., Baipluthong, B., Pattanasin, S., & Martin, M. (2016). Dual contraceptive method use and pregnancy intention among people living with HIV receiving HIV care at six hospitals in Thailand. Reproductive Health, 13, 8.","journal-title":"Reproductive Health"},{"key":"2593_CR18","doi-asserted-by":"crossref","unstructured":"Myer, L., Morroni, C., Mathews, C. & Little, F. (2002). Dual method use in South Africa. International Family Planning Perspectives, pp.119\u2013121.","DOI":"10.2307\/3088245"},{"key":"2593_CR19","doi-asserted-by":"publisher","first-page":"S89","DOI":"10.1097\/01.aids.0000363781.50580.03","volume":"23","author":"K Ngure","year":"2009","unstructured":"Ngure, K., Heffron, R., Mugo, N., Irungu, E., Celum, C., & Baeten, J. (2009). Successful increase in contraceptive uptake among Kenyan HIV-1 serodiscordant couples enrolled in an HIV-1 prevention trial. AIDS, 23, S89.","journal-title":"AIDS"},{"key":"2593_CR9","doi-asserted-by":"publisher","unstructured":"Oulman, E., Kim, T. H. M., Yunis, K., & Tamim, H. (2011). Prevalence and predictors of unintended pregnancy among women: An analysis of the Canadian Maternity Experiences Survey. BMC Pregnancy and Childbirth, 15. https:\/\/doi.org\/10.1186\/s12884-015-0663-4","DOI":"10.1186\/s12884-015-0663-4"},{"key":"2593_CR20","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1186\/s13104-019-4053-2","volume":"12","author":"MM Reta","year":"2019","unstructured":"Reta, M. M., Tessema, G. A., & Shiferaw, G. (2019). Prevalence of dual contraceptive use and associated factors among HIV positive women at University of Gondar Hospital, Northwest Ethiopia. BMC Research Notes, 12, 36.","journal-title":"BMC Research Notes"},{"key":"2593_CR21","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1111\/j.1728-4465.2010.00250.x","volume":"41","author":"S Singh","year":"2010","unstructured":"Singh, S., Sedgh, G., & Hussain, R. (2010). Unintended pregnancy: worldwide levels, trends, and outcomes. Studies in Family Planning, 41, 241\u2013250.","journal-title":"Studies in Family Planning"},{"key":"2593_CR24","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1186\/1471-2393-13-150","volume":"13","author":"CE Warren","year":"2013","unstructured":"Warren, C. E., Abuya, T., & Askew, I. (2013). Family planning practices and pregnancy intentions among HIV-positive and HIV-negative postpartum women in Swaziland: A cross sectional survey. BMC Pregnancy and Childbirth, 13, 150.","journal-title":"BMC Pregnancy and Childbirth"},{"key":"2593_CR25","doi-asserted-by":"publisher","first-page":"809","DOI":"10.1097\/01.OLQ.0000086617.41012.14","volume":"30","author":"TE Wilson","year":"2003","unstructured":"Wilson, T. E., Koenig, L. J., Walter, E., Fernandez, I., & Ethier, K. (2003). Dual contraceptive method use for pregnancy and disease prevention among HIV-infected and HIV-uninfected women: The importance of an event-level focus for promoting safer sexual behaviors. Sexually Transmitted Diseases, 30, 809\u2013812.","journal-title":"Sexually Transmitted Diseases"},{"key":"2593_CR10","unstructured":"World Health Organization. (2011). Global HIV\/AIDS Response: Epidemic update and health sector progress towards Universal Access Progress Report 2011. Author."}],"updated-by":[{"DOI":"10.1007\/s10508-023-02613-7","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000}}],"container-title":["Archives of Sexual Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10508-023-02593-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10508-023-02593-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10508-023-02593-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T18:12:00Z","timestamp":1694715120000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10508-023-02593-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,7]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["2593"],"URL":"https:\/\/doi.org\/10.1007\/s10508-023-02593-8","relation":{"correction":[{"id-type":"doi","id":"10.1007\/s10508-023-02613-7","asserted-by":"object"}]},"ISSN":["0004-0002","1573-2800"],"issn-type":[{"value":"0004-0002","type":"print"},{"value":"1573-2800","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,7]]},"assertion":[{"value":"24 July 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 March 2023","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 March 2023","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 April 2023","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 May 2023","order":5,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":6,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s10508-023-02613-7","URL":"https:\/\/doi.org\/10.1007\/s10508-023-02613-7","order":8,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors report no conflicts of interest in this work.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All authors have a copy of this manuscript. The authors would like to confirm that this article has not been submitted to any other journal and we fully agree to be published by this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"The ethical acceptability of the research was reviewed and approved by the Debre Markos University College of Health Science Research Ethics Review Committee before starting data collection. The data collectors obtained approved written informed consent from each participant after explaining the purpose of the study and the participant had the right to withdraw from the study without restriction.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval and Consent to Participate"}}]}}