Assessing the contraceptive needs of adolescent females living with HIV compared to an HIV-negative cohort (ABC Study)
Awarded 2011
Complex Family Planning Fellowship Research
Jennifer Robinson, MD, MHS, MPH
John Hopkins University

This study is a formal comparison of the contraceptive knowledge, attitudes, and experiences of HIV-positive adolescent females with those of their HIV-negative peers. We hypothesize that the presence of HIV – a chronic illness that requires lifelong management – will be associated with lower contraceptive adherence and different perceived barriers to successful contraceptive use than in adolescents without HIV. We also hypothesize that HIV infection will predispose young women to prefer a different type of contraception compared to HIV-negative women in the same age group. We will perform a series of face-to-face interviews (FTFI) with HIV-positive adolescent females to assess their knowledge, attitudes, and preferences regarding contraception. Based on the information gained in the interviews, we will then adapt an audio computer-assisted self-interview (ACASI) survey to assess the contraceptive experiences and needs of both HIV-positive and HIV-negative adolescent females. This survey will establish whether HIV-positive adolescents have different contraceptive needs than their HIV-negative peers, and will enable more effective counseling and future interventions to increase their successful contraceptive use.