Multistate model for correlates of parity progression among women living with HIV in Ibadan, Nigeria

Multistate model for correlates of parity progression among women living with HIV in Ibadan, Nigeria | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Help Center Sign In Submit a Preprint Cite Share Download PDF Short Report Multistate model for correlates of parity progression among women living with HIV in Ibadan, Nigeria Ahmed Olagunju, Joshua O. Akinyemi, Rotimi Afolabi, Olutosin A. Awolude This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4927011/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 01 Apr, 2025 Read the published version in BMC Research Notes → Version 1 posted 4 You are reading this latest preprint version Abstract Globally, childbearing is a major concern for women living with HIV (WLWH). This study examined parity progression and its predictors among WLWH in Ibadan, Southwest Nigeria. We analysed dataset from a cross-sectional study on childbearing progression among 933 respondents aged 18–49 years receiving care at the HIV Program, University College Hospital, Ibadan. Multistate model was employed for analysis. The adjusted total fertility rate was 3.54. More than 70% were likely to progress from first-to-second birth (HR = 1.77; CI: 1.40, 2.23)but none of the covariates analysed were associated with progression. WLWH were less likely of progression from second-to-third birth (HR = 0.14; 95% CI: 0.13, 0.16). Having 1–2 children at HIV diagnosis (HR = 0.59; CI: 0.48, 0.71), being widowed (HR = 1.36; CI: 1.04, 1.80), having a partner with secondary education(HR = 1.23; 95% CI: 1.02, 1.49), partner’s employment status (HR = 1.40; 95% CI: 1.04, 1.80),, knowledge of partner’s HIV status (Negative) (HR = 0.75; 95% CI: 0.61, 0.94) were associated with progression to third birth. The estimated total fertility rate was lower than the national and the Southwest estimates. Different factors were associated with birth progression from one parity to another. Fertility Parity Progression Multistate model Women living with HIV Fertility rate Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 01 Apr, 2025 Read the published version in BMC Research Notes → Version 1 posted Editorial decision: Revision requested 21 Aug, 2024 Editor assigned by journal 20 Aug, 2024 Submission checks completed at journal 20 Aug, 2024 First submitted to journal 16 Aug, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4927011","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Short Report","associatedPublications":[],"authors":[{"id":343225141,"identity":"a9ff46a3-29d0-46c5-838e-903cef6e2451","order_by":0,"name":"Ahmed Olagunju","email":"","orcid":"","institution":"University of Ibadan","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Ahmed","middleName":"","lastName":"Olagunju","suffix":""},{"id":343225145,"identity":"303ddaa4-7daa-4594-8884-fa39866e312c","order_by":1,"name":"Joshua O. 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This study examined parity progression and its predictors among WLWH in Ibadan, Southwest Nigeria. We analysed dataset from a cross-sectional study on childbearing progression among 933 respondents aged 18\u0026ndash;49 years receiving care at the HIV Program, University College Hospital, Ibadan. Multistate model was employed for analysis. The adjusted total fertility rate was 3.54. More than 70% were likely to progress from first-to-second birth (HR\u0026thinsp;=\u0026thinsp;1.77; CI: 1.40, 2.23)but none of the covariates analysed were associated with progression. WLWH were less likely of progression from second-to-third birth (HR\u0026thinsp;=\u0026thinsp;0.14; 95% CI: 0.13, 0.16). Having 1\u0026ndash;2 children at HIV diagnosis (HR\u0026thinsp;=\u0026thinsp;0.59; CI: 0.48, 0.71), being widowed (HR\u0026thinsp;=\u0026thinsp;1.36; CI: 1.04, 1.80), having a partner with secondary education(HR\u0026thinsp;=\u0026thinsp;1.23; 95% CI: 1.02, 1.49), partner\u0026rsquo;s employment status (HR\u0026thinsp;=\u0026thinsp;1.40; 95% CI: 1.04, 1.80),, knowledge of partner\u0026rsquo;s HIV status (Negative) (HR\u0026thinsp;=\u0026thinsp;0.75; 95% CI: 0.61, 0.94) were associated with progression to third birth. The estimated total fertility rate was lower than the national and the Southwest estimates. Different factors were associated with birth progression from one parity to another.\u003c/p\u003e","manuscriptTitle":"Multistate model for correlates of parity progression among women living with HIV in Ibadan, Nigeria","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-09-17 18:02:47","doi":"10.21203/rs.3.rs-4927011/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2024-08-21T13:23:02+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-08-20T08:52:43+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-08-20T08:33:40+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Research Notes","date":"2024-08-16T20:45:35+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-research-notes","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"resn","sideBox":"Learn more about [BMC Research Notes](http://bmcresnotes.biomedcentral.com)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/resn/default.aspx","title":"BMC Research Notes","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"f1b0676c-9eb3-4078-b84b-d67d4f38e871","owner":[],"postedDate":"September 17th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2025-04-07T16:07:18+00:00","versionOfRecord":{"articleIdentity":"rs-4927011","link":"https://doi.org/10.1186/s13104-025-07193-4","journal":{"identity":"bmc-research-notes","isVorOnly":false,"title":"BMC Research Notes"},"publishedOn":"2025-04-01 15:57:20","publishedOnDateReadable":"April 1st, 2025"},"versionCreatedAt":"2024-09-17 18:02:47","video":"","vorDoi":"10.1186/s13104-025-07193-4","vorDoiUrl":"https://doi.org/10.1186/s13104-025-07193-4","workflowStages":[]},"version":"v1","identity":"rs-4927011","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4927011","identity":"rs-4927011","version":["v1"]},"buildId":"cTy_lsJlmDsVRNrSptgXS","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}