The WHOMEN's scale (women's HAART optimism monitoring and EvaluatioN scale v.1) and the association with fertility intentions and sexual behaviours among HIV-positive women in Uganda

Angela Kaida, Viviane Dias Lima, Irene Andia, Jerome Kabakyenga, Pamela Mbabazi, Nneka Emenyonu, Thomas L. Patterson, Robert S. Hogg, David Bangsberg

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

The objective of this study was to develop a reliable HAART optimism scale among HIV-positive women in Uganda and to test the scale's validity against measures of fertility intentions, sexual activity, and unprotected sexual intercourse. We used cross-sectional survey data of 540 women (18-50 years) attending Mbarara University's HIV clinic in Uganda. Women were asked how much they agreed or disagreed with 23 statements about HAART. Data were subjected to a principal components and factor analyses. Subsequently, we tested the association between the scale and fertility intentions and sexual behaviour using Wilcoxon rank sum test. Factor analysis yielded three factors, one of which was an eight-item HAART optimism scale with moderately high internal consistency (α = 0.70). Women who reported that they intended to have (more) children had significantly higher HAART optimism scores (median = 13.5 [IQR: 12-16]) than women who did not intend to have (more) children (median = 10.5 [IQR: 8-12]; P < 0.0001). Similarly, women who were sexually active and who reported practicing unprotected sexual intercourse had significantly higher HAART optimism scores than women who were sexually abstinent or who practiced protected sexual intercourse. Our reliable and valid scale, termed the Women's HAART Optimism Monitoring and EvaluatioN scale (WHOMEN's scale), may be valuable to broader studies investigating the role of HAART optimism on reproductive intentions and sexual behaviours of HIV-positive women in high HIV prevalence settings.

Original languageEnglish (US)
JournalAIDS and Behavior
Volume13
Issue numberSUPPL. 1
DOIs
StatePublished - Jun 2009
Externally publishedYes

Fingerprint

Uganda
Highly Active Antiretroviral Therapy
Sexual Behavior
Fertility
HIV
Coitus
Nonparametric Statistics
Statistical Factor Analysis
Optimism
Reproductive Behavior
Principal Component Analysis
Cross-Sectional Studies

Keywords

  • Fertility intentions
  • HAART
  • HAART optimism
  • HAART optimism scale
  • HIV
  • Scale
  • Sexual behaviour
  • Uganda
  • Women

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

The WHOMEN's scale (women's HAART optimism monitoring and EvaluatioN scale v.1) and the association with fertility intentions and sexual behaviours among HIV-positive women in Uganda. / Kaida, Angela; Lima, Viviane Dias; Andia, Irene; Kabakyenga, Jerome; Mbabazi, Pamela; Emenyonu, Nneka; Patterson, Thomas L.; Hogg, Robert S.; Bangsberg, David.

In: AIDS and Behavior, Vol. 13, No. SUPPL. 1, 06.2009.

Research output: Contribution to journalArticle

Kaida, Angela ; Lima, Viviane Dias ; Andia, Irene ; Kabakyenga, Jerome ; Mbabazi, Pamela ; Emenyonu, Nneka ; Patterson, Thomas L. ; Hogg, Robert S. ; Bangsberg, David. / The WHOMEN's scale (women's HAART optimism monitoring and EvaluatioN scale v.1) and the association with fertility intentions and sexual behaviours among HIV-positive women in Uganda. In: AIDS and Behavior. 2009 ; Vol. 13, No. SUPPL. 1.
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