SOCIO-DEMOGRAPHIC DETERMINANTS OF FAMILIAL AND PARTNER PRESSURES TO CONCEIVE IN HIV-POSITIVE WOMEN IN ONTARIO, CANADA
Bibliographic record
Abstract
Introduction Access to antiretroviral therapy has improved quality of life, minimized vertical transmission, and reduced mortality and morbidity in HIV-infected women. With these advances, many HIV-infected women and their partners are deciding to have children or carry unplanned pregnancies to term. Objective To examine the relationship between socio-demographic factors and family and partner pressures to conceive in HIV-positive women in Ontario, Canada. Methods Cross-sectional design examined data from the HIV Pregnancy Planning Questionnaire conducted in Ontario, Canada between 2007 and 2009. HIV-positive women aged 18-52 years were included in the analysis. A total of 486 women and 336 women provided information on family and partner pressures to conceive, respectively. Step-wise logistic regression was used to examine the relationship between socio-demographic variables and family and partner pressures to conceive. Socio-demographic variables included age, ethnicity, religion, country of birth, marital status, annual household income, education, years lived in Canada, number of lifetime births, HIV medication, hepatitis C co-infection, CD4 cell count, and viral load. Results There is 0.95 (95% CI: 0.91-0.99; p-value: 0.0253) and 0.95 (95% CI: 0.93-0.98; p-value: <.0001) lower odds of family pressures to conceive with increased age and years lived in Canada, respectively. Women married or in common-law relationship have 3.08 (95% CI: 1.39–6.80; p-value: 0.0055) and women having 2 lifetime births have 1.98 (95% CI: 1.02–3.84; p-value: 0.0428) higher odds of family pressures to conceive. There is 0.96 (95% CI: 0.93-0.98; p-value: 0.0013) lower odds of partner pressure with increased years lived in Canada. Women married or in common-law relationship have 4.20 (95% CI: 1.58–11.17; p-value: 0.0040) and those living with partner (but are not married or in common-law relationship) have 4.47 (95% CI: 1.27–15.67; p-value: 0.0195) higher odds of partner pressures to conceive. Conclusion Results suggest that age, number of years lived in Canada, marital status, and number of lifetime births are associated with family and partner pressures to conceive. Identification of these factors will allow health care providers to assist HIV-positive women and their partners make informed reproductive decisions.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".