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Consensus statement

Supporting Safer Conception and Pregnancy For Men And Women Living with and Affected by HIV

Datos Bibliográficos

ID15335145
AutoresLynn T Matthews (0000-0001-6167-6328, autor de correspondencia), Jolly Beyeza‐Kashesya (0000-0001-8148-100X, Mulago Hospital), Jolly Beyeza-Kashesya, Ian Cooke (0000-0002-7000-2306, University of Sheffield), Natasha Davies (0000-0002-0587-0326, University of the Witwatersrand), Renee Heffron (0000-0001-6039-0352, University of Washington), Angela Kaida (0000-0003-0329-1926, Simon Fraser University), John Kinuthia (0000-0001-6571-8927, Kenyatta National Hospital), Okeoma Mmeje (0000-0001-5460-4932, University of Michigan), A E Semprini (0000-0002-1113-2012, University of Milan), Shannon Weber (0000-0002-5058-4441, San Francisco General Hospital)
Año2017
Volumen22
Número6
Páginas1713-1724
Fecha de publicación2017-05-13
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaAIDS and Behavior (JOURNAL)
Identificadores de la revistaISSN: 1090-7165 • E-ISSN: 1573-3254
EditorialSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-017-1777-7
PMID28501964
OpenAlexW2612350005
IdiomaEN
Citas recibidas24
Referencias citadas76

Safer conception interventions reduce HIV incidence while supporting the reproductive goals of people living with or affected by HIV. We developed a consensus statement to address demand, summarize science, identify information gaps, outline research and policy priorities, and advocate for safer conception services. This statement emerged from a process incorporating consultation from meetings, literature, and key stakeholders. Three co-authors developed an outline which was discussed and modified with co-authors, working group members, and additional clinical, policy, and community experts in safer conception, HIV, and fertility. Co-authors and working group members developed and approved the final manuscript. Consensus across themes of demand, safer conception strategies, and implementation were identified. There is demand for safer conception services. Access is limited by stigma towards PLWH having children and limits to provider knowledge. Efficacy, effectiveness, safety, and acceptability data support a range of safer conception strategies including ART, PrEP, limiting condomless sex to peak fertility, home insemination, male circumcision, STI treatment, couples-based HIV testing, semen processing, and fertility care. Lack of guidelines and training limit implementation. Key outstanding questions within each theme are identified. Consumer demand, scientific data, and global goals to reduce HIV incidence support safer conception service implementation. We recommend that providers offer services to HIV-affected men and women, and program administrators integrate safer conception care into HIV and reproductive health programs. Answers to outstanding questions will refine services but should not hinder steps to empower people to adopt safer conception strategies to meet reproductive goals

Computer security · Environmental health · Fertility · Political science · Population · Pregnancy · Psychological intervention · Public relations · Reproductive health · SAFER · Adolescent Sexual and Reproductive Health · Computer Science · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Reproductive Medicine

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Obras citantes distintas24
Citas por año3
Intervalo de citas2018 - 2026 (9)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 23
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