Fertility intentions of HIV-infected women in the United Kingdom

Cliffe, Susan; Townsend, Claire L; Cortina‐Borja, Mario; Newell, Marie‐Louise

doi:10.1080/09540121.2011.554515

Cited by 36 publications

(38 citation statements)

References 27 publications

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“…With the improved life expectancy that combination ART has brought to people with HIV, and the huge reduction in vertical transmission of HIV, many women plan families. A UK study [49] found that three quarters of 450 women with HIV wanted children and 45% reported that HIV did not affect their fertility plans. Thus, when planning ART, it is important to consider a woman's fertility plans and whether this should affect the choice of ART.…”

Section: Pregnancymentioning

confidence: 97%

Optimizing antiretroviral therapy for women living with HIV

Greig

Anderson

2014

Current Opinion in Infectious Diseases

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Section: Pregnancymentioning

confidence: 97%

Optimizing antiretroviral therapy for women living with HIV

Greig

Anderson

2014

Current Opinion in Infectious Diseases

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“…Across different contexts, higher parenting intentions rates in this population are associated with perceived low risk of mother-to-child transmission (Ezeanolue, Wodi, Patel, Dieudonne, & Oleske, 2006), perceived HIV treatment advances (Cliffe, Townsend, Cortina-Borja, & Newell, 2011), recent intercourse, unprotected sex and lower HIV-disclosure rates (Finger, Clum, Trent, Ellen, & the Adolescent Medicine Trials Network for HIV/AIDS Interventions, 2012), being in a seroconcordant couple (Bonnenfant, Hindin, & Gillespie, 2012), the perception of partner procreational desire (e.g., De la Cruz, Davies, & Stewart, 2011) and being childless (Rispel, Metcalf, Moody, Cloete, & Caswell, 2011).…”

Section: Introductionmentioning

confidence: 99%

Parenting considerations in young adults with perinatally acquired HIV

et al. 2013

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An increasing number of children born with perinatally acquired HIV (PAH) are surviving into late adolescence and early adulthood. At this developmental stage, developing intimate relationships and having children are potentially important goals with associated normative challenges. Young people with PAH face a variety of additional HIV-related stressors that may be associated with relationships and parenting. These may include managing HIV disclosure to their partner and adherence to antiretroviral medication to (a) prevent transmission to partners and future offspring and (b) maintain their own health. Some of these challenges may be impacted upon by issues associated with having been born with HIV, for example, managing long-standing secrecy about HIV and having been told from a young age that life expectancy could be shortened. To date, there has been limited research into the procreational and parenting reflections of young people with PAH. This study examined the hopes and the concerns that a group of young people with PAH have regarding having children. Seven participants (five females and two males) currently or previously in an intimate relationship, aged 18-23 years, two of whom were parents, were recruited from a UK hospital clinic. They were interviewed using a semi-structured interview, with data analysed according to the principles of Interpretative Phenomenological Analysis. Four main themes were elicited: the perceived impact of having a child on intimate relationships, the effect of normative beliefs on parenting intentions and expectations, the thoughts and feelings about disclosing parental HIV status to one's children in the future, and the perceived impact of HIV on procreational intentions. Implications for supporting young people with PAH in parenting decision-making are explored.

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“…A related study conducted in the UK among HIVpositive women receiving treatment revealed that most of them desired to have more children (Cliffe, Townsend, Cortina-Borja, & Newell, 2011). Some of these women had tried unproductively to become pregnant and even resorted to medical treatment to help achieve their desires.…”

Section: Introductionmentioning

confidence: 94%

“…Some of these women had tried unproductively to become pregnant and even resorted to medical treatment to help achieve their desires. About a third of the women specifically stated that being diagnosed of HIV did not affect their fertility decision-making (Cliffe et al, 2011). Another study conducted in rural Mozambique to compare the fertility intentions of HIV-positive and HIV-negative clients reported that HIV-positive clients were less desirous of having children.…”

Section: Introductionmentioning

confidence: 97%

HIV-seropositivity is not important in childbearing decision-making among HIV-positive Ghanaian women receiving antiretroviral therapy

Laar

Taylor

Akasoe³

2015

AIDS Care

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Women in their reproductive years make up about 50% of all HIV-positive persons globally. These women, just as their HIV-negative counterparts, wield the right to procreate. However, HIV infection and lack of appropriate information on reproductive options may negatively impact women's procreative decision-making. This study assessed fertility intentions of HIV-positive women receiving antiretroviral therapy (ART) in southern Ghana. Quantitative methods were used to collect data from HIV-positive women receiving ART at four treatment centers. HIV-positive aged 18-49 years, and receiving ART were selected using systematic random sampling technique. Three hundred eighteen women were interviewed after informed consent. We used univariate analysis to generate descriptive tabulations for key variables. Bivariate analysis and logistic regression modeling respectively produced unadjusted and adjusted associations between background attributes of respondents and their childbearing decision-making. All analyses were performed using IBM SPSS Statistics for Windows, Version 20.0. Irrespective of age, reproductive history, and duration of HIV diagnosis, 46% of the women were desirous of procreating. The bivariate level analysis shows that women in their late reproductive ages (30-39 years) had the strongest desire to procreate (p < 0.001). After controlling for a number of covariates, primiparous and secundiparious women were about twice as likely to desire children (aOR = 2.553; 95% CI 1.480-4.401), and so were women aged 30-39 years (aOR = 2.149; 95% CI 1.202-3.843). Of 54% women who do not wish to procreate, achievement of desired family size (64.3%) was more popular a reason than fear of vertical transmission of HIV (7.5%), poor health status (5%), and pregnancy-related complications (1.6%).

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Fertility intentions of HIV-infected women in the United Kingdom

Cited by 36 publications

References 27 publications

Optimizing antiretroviral therapy for women living with HIV

Optimizing antiretroviral therapy for women living with HIV

Parenting considerations in young adults with perinatally acquired HIV

HIV-seropositivity is not important in childbearing decision-making among HIV-positive Ghanaian women receiving antiretroviral therapy

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