HIV infection and pregnancy status among adults attending voluntary counseling and testing in 2 developing countries

Objectives. This study investigated the impact of HIV voluntary counseling and testing (VCT) on reproduction planning among 1634 adults in 2 sub-Saharan countries. Methods. Data were obtained from a multisite randomized controlled trial. Results. At 6 months post-VCT, the women more likely to be pregnant were younger (odds ratio [OR] = 2.5; 95% confidence interval [CI] = 1.0, 6.5), not using contraceptives (OR=0.1; 95% CI =0.1, 0.3), and HIV infected (OR=3.0; 95% CI = 1.3, 7.0). An interaction emerged linking pregnancy intention at baseline and HIV serostatus with pregnancy at follow-up (OR= 0.1; 95% CI =.0, 0.4) Partner pregnancy rates did not differ by HIV serostatus among men. Conclusions. HIV diagnosis may influence reproduction planning for women but not for men.