Reproductive Decisions for Women With HIV: Motherhood's Role in Envisioning a Future

Barnes, Donna B.; Murphy, Sheigla

doi:10.1177/1049732309332835

Cited by 43 publications

(105 citation statements)

References 31 publications

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“…Data were collected over the course of 7 years, although the study was cross-sectional, rather than longitudinal. This study reflects a departure from the extant research on fertility desires and parenthood among individuals living with HIV because much of the previous research emphasizes HIV positive mothers only [13][14][15][16][17][18][19][20]. The present study adds to this literature by providing fertility perspectives among HIV discordant couples who wish to conceive.…”

Section: Discussionmentioning

confidence: 53%

“…However, the desire for children among HIV positive individuals varies widely by study and by region [12]. Much of the research on fertility desires and/or reproduction among individuals with HIV/AIDS has assessed women who are HIV seropositive [13][14][15][16][17][18][19][20], with particular attention to fertility desires among sub-Saharan African populations [10,[21][22][23][24][25][26], where the majority of individuals with HIV worldwide reside [1].…”

Section: Introductionmentioning

confidence: 98%

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Life After HIV: Examination of HIV Serodiscordant Couples’ Desire to Conceive Through Assisted Reproduction

Gosselin

Sauer

2010

AIDS Behav

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The current study addresses fertility desires and considerations among 143 HIV serodiscordant, opposite-sex couples (in which only the male partner is HIV positive) in the Northeastern U.S. Couples responded to questionnaires during their initial consultation for assisted reproduction, and data were collected over 7 years and analyzed retrospectively. Results indicated that a majority of the male participants had HIV when they met their partner, and a majority also disclosed their HIV status upon meeting. Most couples reported that they had previously discussed or considered a host of fertility-related issues, including the potential risk of HIV infection to the mother and the fetus during the process of fertility treatment. The majority of couples had also discussed the possibility that the male partner could die prematurely due to HIV/AIDS and had considered making arrangements for third-party parenting in the event of the male partner's death. If their fertility treatment were to be successful in the future, most couples desired additional children, and most believed that their future child should be told of the male partner's HIV status. Predictors of the desire for additional children after successful fertility treatment included: younger age, shorter relationship duration, being childless currently, and beginning their relationship after the male partner had already been diagnosed as HIV positive. Future research on fertility desires should include perspectives of HIV positive men on fatherhood, as well as concerns and issues specific to HIV serodiscordant couples.

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Section: Discussionmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 98%

Life After HIV: Examination of HIV Serodiscordant Couples’ Desire to Conceive Through Assisted Reproduction

Gosselin

Sauer

2010

AIDS Behav

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“…For many minority women with HIV, motherhood is one of the few socially valued roles available to them. 29 Problematically then, experiences of stigma can compromise the fulfillment of this role. In some instances, participants described greater acceptance over time of their HIV status by family members.…”

Section: Qualitative Resultsmentioning

confidence: 99%

“She Told Them, Oh That Bitch Got AIDS”: Experiences of Multilevel HIV/AIDS-Related Stigma Among African American Women Living with HIV/AIDS in the South

Fletcher

Ingram

Kerr

et al. 2016

AIDS Patient Care and STDs

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African American women bear a disproportionate burden of HIV/AIDS in the United States. Although they constitute only 13% of the US population, African Americans account for nearly 65% of all new HIV infections among American women. In addition, this population suffers comparatively greater adverse health outcomes related to HIV status. African American women living with HIV in the South may be further burdened by HIV/ AIDS stigma, which is comparatively more pronounced in this region. To further explore this burden, we used narrative data and the Social Ecological Model to explore how African American women living with HIV in the US South recount, conceptualize, and cope with HIV/AIDS stigma at interpersonal, community, and institutional levels. Our narrative analysis suggests that HIV-positive African American women living in the South are vulnerable to experiences of multilevel HIV stigma in various settings and contexts across multiple domains of life. Stigma subsequently complicated disclosure decisions and made it difficult for women to feel supported in particular social, professional and medical settings that are generally regarded as safe spaces for noninfected individuals. Findings suggest that the debilitating and compounded effect of multilevel HIV/AIDS stigma on HIV-positive African American women in the South warrants closer examination to tailor approaches that effectively address the unique needs of this population.

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“…Currently, the mother-to-child transmission of HIV has decreased because of the efficacy of antiretroviral therapy (Teerawattananon, Vos, Tangcharoensathien, & Mugford, 2005). Previous research evidence has shown that information about advances in antiretroviral drugs therapy and the low risk of the mother-to-child transmission of HIV that this therapy entails positively has influenced infected women's decisions to become pregnant or to carry their pregnancies to term (Barnes & Murphy, 2009;Cooper, Harries, Myer, Orner, & Bracken, 2007).…”

mentioning

confidence: 99%

Weighing Distress: Decision-Making Surrounding Management of the Pregnancy Experience Among HIV-Infected Thai Women

Youngwanichsetha

Isaramalai

Songwathana

et al. 2010

Health Care for Women International

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The researchers conducted this grounded theory study in order to describe the decision making surrounding management of the pregnancy experience of 38 pregnant, HIV-infected Thai women. Data were collected using in-depth interviews and an open-ended questionnaire, and they were analyzed using constant comparative analysis. We found that "weighing distress" was the core category of the decision-making process. The supporting categories were being ambivalent about continuing the pregnancy, exploring alternative options, and selecting the appropriate choice. Health care providers should encourage family members to participate and be involved in the women's decision-making processes.

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Reproductive Decisions for Women With HIV: Motherhood's Role in Envisioning a Future

Cited by 43 publications

References 31 publications

Life After HIV: Examination of HIV Serodiscordant Couples’ Desire to Conceive Through Assisted Reproduction

Life After HIV: Examination of HIV Serodiscordant Couples’ Desire to Conceive Through Assisted Reproduction

“She Told Them, Oh That Bitch Got AIDS”: Experiences of Multilevel HIV/AIDS-Related Stigma Among African American Women Living with HIV/AIDS in the South

Weighing Distress: Decision-Making Surrounding Management of the Pregnancy Experience Among HIV-Infected Thai Women

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