Background: The use of a dual contraception method (DCM) is recommended as an effective method to prevent Human Immunodeficiency Virus (HIV) transmission and the adverse consequences of pregnancy in people living with HIV infection. In developing countries like Ethiopia, contraception use is subjected to sociocultural, knowledge, and accessibility-related factors that influence consumption. Accordingly, this study aims to explore the magnitude of DCM use and factors related to consumption in HIV-positive women of reproductive age.

Methods: An institutional-based cross-sectional study was conducted at Hawassa University Comprehensive Specialized Hospital. The study used a systematic sampling technique to select 268 consenting participants. Data was collected using a semi-structured questionnaire via face-to-face interview. Descriptive statistics were used to present background information, and a hierarchical binary logistic regression was used to investigate DCM use and associated factors. Results with a p-value less than 0.05 are considered significant. All data analysis was performed using SPSS version 26.

Results: The magnitude of DCM use was 30% (95% CI; 24.0-35.0). After controlling for potential confounding variables women aged 15-36 years, (AOR = 8.65, 95% CI: 2.60, 28.75) and 37-40 years, (AOR = 6.25, 95% CI, 2.08, 18.82), women with no fertility desire (AOR = 8.34, 95% CI: 3.95, 17.61), women who have open discussions with their partners (AOR = 5.71, 95% CI: 2.15, 15.11), and women with knowledge of CD4 count (AOR = 2.94, 95% CI: 1.35, 6.38) were found to have a higher likelihood of DCM use.

Conclusions: The magnitude of DCM use among reproductive-age HIV-positive women was unsatisfactory. This provided an enormous window for counseling and reproductive health promotion measures. Interventional studies and strengthening of ART and family planning services must be customized to target the major social, cultural, and knowledge barriers identified in this study to enhance the practice of DCM use.

Keywords: Dual contraceptive method; Ethiopia; HIV/AIDS; Hawassa; Pregnancy desire; Reproductive health.

© 2025. The Author(s).

背景： 使用双重避孕方法（DCM）被推荐为有效预防人类免疫缺陷病毒（HIV）传播和怀孕不良后果的方法。在像埃塞俄比亚这样的发展中国家，避孕的使用受到社会文化、知识和可及性等因素的影响。因此，本研究旨在探讨生殖年龄HIV阳性女性中双重避孕方法使用的程度及相关因素。

方法： 一项基于机构的横断面研究在霍瓦萨大学综合专科医院进行。该研究使用系统抽样技术选取了268名同意参与的研究对象。数据通过面对面访谈使用半结构化问卷收集。描述性统计用于呈现背景信息，分层二元逻辑回归用于调查双重避孕方法使用的相关因素。P值小于0.05的结果被认为是显著的。所有数据分析均使用SPSS版本26进行。

结果： 双重避孕方法使用的程度为30%（95% CI；24.0-35.0）。在控制潜在混杂变量后，年龄15-36岁的女性（AOR = 8.65, 95% CI: 2.60, 28.75）和年龄37-40岁的女性（AOR = 6.25, 95% CI, 2.08, 18.82），没有生育愿望的女性（AOR = 8.34, 95% CI: 3.95, 17.61），与伴侣开诚布公讨论的女性（AOR = 5.71, 95% CI: 2.15, 15.11）和了解CD4计数知识的女性（AOR = 2.94, 95% CI: 1.35, 6.38），被发现使用双重避孕方法的可能性更高。

结论： 生殖年龄HIV阳性女性中双重避孕方法使用的程度令人不满意。这为咨询和生殖健康推广措施提供了巨大的窗口。干预研究和强化抗逆转录病毒治疗（ART）和计划生育服务必须定制，以解决本研究中确定的主要社会、文化和知识障碍，从而促进双重避孕方法的使用。

关键词： 双重避孕方法；埃塞俄比亚；HIV/AIDS；霍瓦萨；怀孕愿望；生殖健康。

© 2025. 作者