Desire for fertility among HIV-seroconcordant and -discordant couples in Lusaka, Zambia

Dados Bibliográficos

ID15098451
AutoresRyan Cook (0000-0001-8754-995X, autor correspondente), Robert M Hayden (0000-0002-4379-3325, University of Miami), Robert Hayden (0000-0002-8224-9103), Stephen M Wei (0000-0001-6266-6148, University of Miami), Stephen M Weiss, Deborah L Jones (0000-0002-0309-0334, University of Miami)
Ano2014
Volume16
Fascículo7
Páginas741-751
Data de publicação2014-08-09
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2014.902103
PMID24815904
PMCIDPMC4090252
OpenAlexW2111398621
IdiomaEN
Citações recebidas8
Referências citadas31

Pregnancy rates and the desire to conceive are increasing among women living with HIV in Africa. However, attempts to conceive may increase the risk of HIV transmission or reinfection. A better understanding of factors influencing fertility desires would significantly contribute to programmes to meet the reproductive needs of women living with HIV. Using a couples-based approach, this paper explored fertility desires among HIV-seroconcordant and -discordant couples in Lusaka, Zambia. Participants were 208 heterosexual couples recruited from community health clinics and their respective catchment areas. Couples completed assessments on demographics, condom use, relationship quality and communication. Desire for children was often shared among couple members, and the strongest predictor of participants' desire for children was having a partner who wanted children. Additionally, the number of children participants had, their own reports of positive communication, and their partner's HIV serostatus influenced reproductive desires. Results support the involvement of both couple members in pre-conception counselling and pregnancy planning interventions. The inclusion of both partners may be a more effective strategy to respond to the reproductive needs of couples affected by HIV, enabling them to safeguard the health of both partners and infants

Condom · Developmental psychology · Environmental health · Family medicine · Family planning · Fertility · Human immunodeficiency virus (HIV · Population · Psychological intervention · Reproductive health · Serostatus · Sociology · Viral load · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Reproductive Health and Technologies