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My intention was a child but I was very afraid

Fertility intentions and HIV risk perceptions among HIV-serodiscordant couples experiencing pregnancy in Kenya

Bibliographic Data

ID19443266
AuthorsKenneth Ngure (0000-0002-8062-0933, ,, corresponding author), Jared M Baeten (0000-0001-8242-8438, ,), Nelly Mugo (0000-0002-2347-006X, ,), Kathryn Curran (,), Sophie Vusha (,), Renee Heffron (0000-0001-6039-0352, ,), Connie Celum (0000-0002-8813-3419, ,), Bettina Shell‐duncan (0000-0001-5020-5029, University of Washington), Bettina Shell-Duncan (,)
Year2014
Volume26
Issue10
Pages1283-1287
Publication date2014-10-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2014.911808
PMID24779445
PMCIDPMC4087054
OpenAlexW1988501545
LanguageEN
Citations received20
References cited20

We sought to understand fertility intentions and HIV risk considerations among Kenyan HIV-serodiscordant couples who became pregnant during a prospective study. We conducted individual in-depth interviews (n = 36) and focus group discussions (n = 4) and performed qualitative data analysis and interpretation using an inductive approach. Although most of the couples were aware of the risk of horizontal and vertical HIV transmission, almost all couples reported that they had intended to become pregnant and that the desire for children superseded HIV risk considerations. Motivations for pregnancy were numerous and complex: satisfying desired family size, desire for biological children, maintaining stability of the union, and sociocultural pressures. Couples desired strategies to reduce HIV risk during conception, but expressed hesitation toward assisted reproductive technologies as unnatural. HIV prevention programs should therefore address conception desires and counsel about coordinated periconception risk-reduction strategies

Antiretroviral therapy · Developmental psychology · Environmental health · Family medicine · Fertility · Focus group · Kenya · Political science · Population · Pregnancy · Qualitative research · Serodiscordant · Sociocultural evolution · Sociology · Viral load · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology

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Unique citing works20
Citations per year2
Citation span2016 - 2026 (11)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 18
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