{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:46:32Z","timestamp":1777916792073,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rates of unintended pregnancy may be higher in women living with human immunodeficiency virus (WLWH) than in the general population, and it is unclear how populations of WLWH with intended and unintended pregnancy differ. We compared baseline characteristics and outcomes between WLWH with intended and unintended pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective analysis of WLWH enrolled in a human immunodeficiency virus (HIV) and Pregnancy clinic from 2003 to 2014. Data were analyzed using descriptive statistics, chi-square test, Student's\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test, one-way analysis of variance, and linear and logistic regression analysis. Two-tailed\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value &lt;0.05 was considered significant. The study was approved by the Johns Hopkins University School of Medicine Institutional Review Board.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Sixty-nine (27.1%) of 255 women reported an intended pregnancy. Women with intended pregnancy (WWIP) were more likely to be older, White, married, privately insured, and college educated. WWIP were less likely to use tobacco (15.9% vs. 44.2%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), alcohol (2.9% vs. 11.1%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.041), opiates (0.0% vs. 19.3%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), or cocaine (2.9% vs. 21.0%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) during pregnancy, more likely to disclose their HIV status to the father of the baby by delivery (100.0% vs. 15.8%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and more likely to receive less effective contraception at delivery (condoms 14.9% vs. 4.8%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.024; sterilization 11.9% vs. 22.1%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.028). In multivariate regression analysis, pregnancy intendedness was an important predictor of nondetectable viral load at pregnancy entry but not at delivery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>WLWH vary in their baseline characteristics and pregnancy outcomes depending on pregnancy intendedness, highlighting the need to improve pregnancy timing in WLWH and intensify interventions for women with unintended pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2022.0010","type":"journal-article","created":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T10:30:49Z","timestamp":1672914649000},"page":"445-451","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Women Living with Human Immunodeficiency Virus with Intended and Unintended Pregnancy: Characteristics and Patient Outcomes"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7994-8149","authenticated-orcid":false,"given":"Emily M.","family":"Murphy","sequence":"first","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean M.","family":"Keller","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5294-7165","authenticated-orcid":false,"given":"Anna M.","family":"Powell","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorraine A.","family":"Milio","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanne S.","family":"Sheffield","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia H.","family":"Argani","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison G.","family":"Livingston","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean R.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"Centers for Disease Control and Prevention. HIV Surveillance Report 2019; vol. 32. Published May 2021. Available from: http:\/\/www.cdc.gov\/hiv\/library\/reports\/hiv-surveillance.html [Last accessed: May 2022]."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0033354918800466"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2011.596514"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-009-9637-8"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2013.855295"},{"key":"e_1_3_5_7_2","unstructured":"Centers for Disease Control and Prevention. Unintended Pregnancy. Published September 2019. 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Is Periconceptional substance use associated with unintended pregnancy?. Womens Health Rep (New Rochelle), 2020; 1(1):17\u201325.","journal-title":"Womens Health Rep (New Rochelle)"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.88.4.663"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2010.08.011"},{"key":"e_1_3_5_25_2","unstructured":"Centers for Disease Control amd Prevention. Polysubstance Use in Pregnancy. Published November 2020. Available from: https:\/\/www.cdc.gov\/pregnancy\/polysubstance-use-in-pregnancy.html. [Last accessed: May 2020]."},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-018-0066-2"},{"key":"e_1_3_5_27_2","first-page":"2016","article-title":"Pregnancy desire, partner serodiscordance, and partner HIV disclosure among reproductive age HIV-infected women in an urban clinic","author":"Rhodes CM","year":"2016","unstructured":"Rhodes CM, , Cu-Uvin S, , Rana AI. Pregnancy desire, partner serodiscordance, and partner HIV disclosure among reproductive age HIV-infected women in an urban clinic. 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