Effect of HIV/AIDS on fertility: historical evidence from South Africa's women educators

The HIV/AIDS epidemic remains a public health challenge. Globally, South Africa ranks second in HIV prevalence and has the second lowest fertility rate in sub-Saharan Africa. The effect of HIV/AIDS on fertility is contentious, although it is often assumed in population projections that HIV/AIDS reduces fertility. This study examines the effect of HIV/AIDS on the probability of getting pregnant among South Africa's educators controlling for con founders. The data consisted of a representative sample of educators in public schools in South Africa in 2004. Statistical analysis utilized multivariate logistic regression. Controlling for con founders, HIV positive women educators aged 18-34 had higher odds of being pregnant in the preceding 12 months compared with HIV negative women educators in the same age group. There was no evidence from this study that HIV positive women were less likely to be pregnant than HIV negative women.

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Publication Details

Journal
Human Science Research Council SA
Published
2026-05-23
DOI
https://doi.org/10.14749/32381073
Primary Topic
Adolescent Sexual and Reproductive Health
Type
article
Field-Weighted Citation Impact
0.00
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article

Effect of HIV/AIDS on fertility: historical evidence from South Africa's women educators

Human Sciences Research Council
Human Science Research Council SA
Adolescent Sexual and Reproductive Health
article

Effect of HIV/AIDS on fertility: historical evidence from South Africa's women educators

Human Sciences Research Council
article en

Abstract

The HIV/AIDS epidemic remains a public health challenge. Globally, South Africa ranks second in HIV prevalence and has the second lowest fertility rate in sub-Saharan Africa. The effect of HIV/AIDS on fertility is contentious, although it is often assumed in population projections that HIV/AIDS reduces fertility. This study examines the effect of HIV/AIDS on the probability of getting pregnant among South Africa's educators controlling for con founders. The data consisted of a representative sample of educators in public schools in South Africa in 2004. Statistical analysis utilized multivariate logistic regression. Controlling for con founders, HIV positive women educators aged 18-34 had higher odds of being pregnant in the preceding 12 months compared with HIV negative women educators in the same age group. There was no evidence from this study that HIV positive women were less likely to be pregnant than HIV negative women.

Human Science Research Council SA
Good health and well-being
Openalex Percentile: Top 3%
Adolescent Sexual and Reproductive Health
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