{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:28:55Z","timestamp":1785882535073,"version":"3.56.0"},"reference-count":40,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":583,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Women living with HIV are a minority population with unique care needs. Rates of unintended pregnancy are higher among women living with HIV versus HIV negative women. However, uptake of contraception among women living with HIV including long-acting-reversible contraceptives (LARCs) remains low. This quality improvement project aimed to identify gaps in reproductive healthcare for women living with HIV attending Melbourne Sexual Health Centre (MSHC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective review of women living with HIV attending MSHC for HIV care February 2019\u2013February 2020. Women aged over 45\u00a0years were excluded. Primary outcomes included proportion using contraception, methods used and whether a sexual or reproductive health history had been taken in the past year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 100 women were included, predominantly born overseas (Asia, 38%; sub-Saharan Africa, 34%). Of these, 5% were pregnant, 16% were trying to conceive and 1% were undergoing elective oocyte preservation. Of the remaining 74 women, 48.6% were using any form of contraception, including 17.6% women using less-effective methods (withdrawal and condoms), 6.8% using the combined oral contraceptive pill, 18.9% using LARCs and 5.4% using permanent methods. Sexual activity status was documented for 61% women, 1% declined to answer and not documented for 38% women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Rate of contraceptive use in this study was lower than previously reported among women living with HIV in Australia; however, our findings suggest contraceptive methods may be changing in light of undetectable equals untransmittable and increased fertility desires. Discussions regarding sexual activity and reproductive health were limited. Mechanisms to increase clinician\u2013patient discourse regarding these important issues should be explored.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh23122","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T05:37:52Z","timestamp":1704173872000},"source":"Crossref","is-referenced-by-count":2,"title":["Reproductive health among women living with HIV attending Melbourne Sexual Health Centre for HIV care from February 2019 to February 2020"],"prefix":"10.1071","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6888-1806","authenticated-orcid":true,"given":"Joanne","family":"Peel","sequence":"first","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"BDepartment of Infectious Diseases, Alfred Hospital, Melbourne, Vic., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Brousse de Gersigny","sequence":"additional","affiliation":[{"name":"CThe University of Sydney, Sydney, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Teague","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayne","family":"Howard","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona","family":"Bradshaw","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"DCentral Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Chen","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."},{"name":"DCentral Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Bissessor","sequence":"additional","affiliation":[{"name":"AMelbourne Sexual Health Centre, Alfred Health, Melbourne, Vic., Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2024,1,2]]},"reference":[{"key":"2025102615330343500_R1","unstructured":"UN AIDS resources. 20.2 million girls and women living with HIV. 2022. 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