Child desire in women and men living with HIV attending HIV outpatient clinics: Evidence from a European multicentre study

Nöstlinger, Christiana; Dec, Joanna; Platteau, Tom; Hasker, Epco

doi:10.3109/13625187.2013.801072

Cited by 18 publications

(20 citation statements)

References 29 publications

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“…This finding agrees with that of a multicenter study in Europe, which showed that 43% of those interviewed reported a desire for a child and factors associated with this desire included being younger than 36years of age [9]. This finding is also consistent with findings of several studies [6], [7], [8].…”

Section: Discussionsupporting

confidence: 83%

“…These variables include: age, age range, gender, duration of marriage, number of children, level of education, income, residence (urbanity and rurality) history of extramarital affairs, alcohol use, viral subtype [6], [7], [8]. A multicenter study by Nostlinger and colleagues, showed that 43% of the interviewees reported a desire for a child and factors associated with this desire included being younger than 36 (both male and female) and the fact that the couple had no child at all [9]. An exploratory study in Brazil, corroborated that women who had many children who were alive did not want to have more children [10].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria

Anaekwe¹

2017

SJPH

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Abstract:Background: People in discordant partnerships still deserve the right to enjoy sexual relations, and decide whether or not to have children while at the same time taking care not to infect the negative partner and the unborn child. Objective: To identify and compare factors influencing the sexual and reproductive health practices of HIV-concordant and discordant couples attending comprehensive health centers in Anambra state. Materials and methods: This was a cross-sectional comparative study of 289 (148 HIV-concordant and 141 HIV-discordant) couples, selected by a multistage sampling technique. Data were collected by interview using semi-structured questionnaire and analysed with statistical package for social sciences version 22.0. The models that met the criteria for significance, include: a statistically significant chi-square in the omnibus test (<0.05), a non-significant Hosmer Lemeshow test (> 0.05), Nagelkerke's R square of at least 0.65. Results: Presence of support from religious circle and female age < 35 at couples' HIV diagnosis appear to encourage HIV couples to bear children (p=0.007 and p<0.000) respectively. Predictor variables that were significantly associated with satisfaction with sexual relationship (p<0.05), and contributed to model significance (p<0.05) consisted of female partner duration on HIV treatment, and safe sex practice method. Conclusions: This study revealed key determinants of the sexual and reproductive health practices of HIV-concordant and discordant couples. Such factors should form the basis for designing novel couple-targeted preventive strategies.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria

Anaekwe¹

2017

SJPH

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“…3 The need and desire for FP services is substantial among HIV-positive persons in both resource-limited [4][5][6][7][8][9][10] and resource-rich [11][12][13][14] settings. The unmet need for FP services is particularly high in Kenya; one study found that nearly 70% of HIV-positive women in western Kenya indicate wishing to delay their fertility for another 2 years or not have any further children.…”

mentioning

confidence: 99%

HIV-Positive Men's Experiences with Integrated Family Planning and HIV Services in Western Kenya: Integration Fosters Male Involvement

Patel

Baum²,

Grossman

et al. 2014

AIDS Patient Care and STDs

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A growing body of evidence indicates that integrating family planning (FP) services into HIV care is effective at improving contraceptive uptake among HIV-positive women in resource-poor settings, yet little research has examined HIV-positive men's experiences with such integration. We conducted in-depth interviews with 21 HIV-positive men seeking care at HIV clinics in Nyanza, Kenya. All clinics were intervention sites for a FP/ HIV service integration cluster-randomized trial. Grounded theory was used to code and analyze the data. Our findings highlight men's motivations for FP, reasons why men prefer obtaining their FP services, which include education, counseling, and commodities, at HIV care clinics, and specific ways in which integrated FP/HIV services fostered male inclusion in FP decision-making. In conclusion, men appear invested in FP and their inclusion in FP decision-making may bolster both female and male agency. Men's positive attitudes towards FP being provided at HIV care clinics supports the programmatic push towards integrated delivery models for FP and HIV services.

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“…In a qualitative study, 93% of participating women in South Carolina had no desire to become pregnant due to concerns about HIV transmission to the fetus, financial instability, single relationship status, age, and previous childbearing or child rearing experiences [ 72 ]. A European study that explored satisfaction with sexual and reproductive health services reported that 58% of all participants (59% of sample were in a serodiscordant couple) were not satisfied with services delivered in HIV care settings, while a third of participants reported HIV-related discrimination in healthcare settings [ 73 ]. Qualitative work conducted in Northern Ireland found that love, commitment, physical pleasure, and a desire to conceive without medical interventions helped to shape perceptions of risk within the relationship [ 74 ].…”

Section: Resultsmentioning

confidence: 99%

A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings

et al. 2015

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BackgroundWhile HIV incidence has stabilized in many settings, increases in health and wellbeing among many people living with HIV/AIDS suggest that the number of HIV-serodiscordant relationships is growing. Given the deficit of reviews addressing social and behavioural characteristics of HIV-serodiscordant couples within high-income settings, our objective was to understand the scope of the published literature, identify evidence gaps, and suggest future research needs.MethodsTen electronic databases were searched. Studies were included if they were reported in English, used primary data, were from the combination antiretroviral (cART) era (>1996), reported on social or behavioural aspects, included any fraction of primary (i.e., stable) relationships, and were conducted in high-income settings. Studies that identified their unit of analysis as either the dyad or individual member of the couple were included. Studies were coded according to a thematic framework.ResultsIncluded studies (n = 154) clustered into eight themes: risk behaviours (29%), risk management (26%), reproductive issues (12%), relationship quality (9%), serostatus disclosure (7%), adherence to antiretroviral therapy (7%), vulnerability (5%), and social support (3%). The proportion of studies conducted among heterosexual couples, same-sex male couples, and mixed cohorts were 42%, 34%, and 24%, respectively. Most studies (70%) were conducted in the United States, 70% of all studies were quantitative (including interventions), but only one-third were focused on couples (dyads) where both partners are recruited to a study. Over 25% of studies focused on sexual risk among same-sex male couples.ConclusionsFuture research efforts should focus on the interrelationship of risk management strategies and relationship quality, social determinants of health and wellbeing, HIV testing, vulnerable populations, reproductive issues among same-sex couples, disclosure of serodiscordant status to social networks, dyadic studies, population-based studies, and interventions to support risk management within couples. Additional population-based studies and studies among marginalized groups would be helpful for targeting research and interventions to couples that are most in need. As HIV-positive partners are typically the link to services and research, innovative ways are needed for reaching out to HIV-negative partners. Our review suggests that significantly more research is needed to understand the social and behavioural contexts of HIV-serodiscordant relationships.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1488-9) contains supplementary material, which is available to authorized users.

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Child desire in women and men living with HIV attending HIV outpatient clinics: Evidence from a European multicentre study

Cited by 18 publications

References 29 publications

Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria

Determinants of Sexual and Reproductive Health Practices of HIV Discordant and Concordant Couples Attending Comprehensive Health Centers in Anambra State, Nigeria

HIV-Positive Men's Experiences with Integrated Family Planning and HIV Services in Western Kenya: Integration Fosters Male Involvement

A scoping review and thematic analysis of social and behavioural research among HIV-serodiscordant couples in high-income settings

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