Serodiscordance and Disclosure Among HIV-Positive Pregnant Women in the Southwestern United States

Nacius, Lori A; Levison, Judy; Minard, Charles G.; Fasser, Carl E.; Davila, Jessica A.

doi:10.1089/apc.2012.0416

Cited by 15 publications

(18 citation statements)

References 21 publications

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“…This supports some previous research which has suggested that the quality of the relationship plays a role in disclosure outcomes [e.g. [27][28][29]. This study is the first to draw multiple links between the quality of the relationship and widespread disclosure outcome and it suggests the need for more research in this area.…”

Section: Discussionsupporting

confidence: 89%

Taking into Account the Quality of the Relationship in HIV Disclosure

2016

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This article may not exactly replicate the final version published in the journal 2 Taking into account the quality of the relationship in HIV disclosure AbstractDespite growing interest in HIV disclosure, most theoretical frameworks and empirical studies focus on individual and social factors affecting the process, leaving the contribution of interpersonal factors relatively unexplored. HIV transmission and disclosure often occur within a couple however, and this is where disclosure has the most scope as a HIV transmission intervention. With this in mind, this study explores whether perceived relationship quality influences HIV disclosure outcomes. Ninety-five UK individuals with HIV participated in a crosssectional survey. Retrospective data were collected on their perceived relationship quality prior to disclosing their HIV positive status, and on disclosure outcomes. Perceived relationship quality was found to significantly affect disclosure outcomes. Positive qualities in the relationship were associated with positive outcomes, whereas negative qualities were associated with negative outcomes. Results further confirmed that this association was not merely correlational, but demonstrated predictive power. Relationship quality might act as either a risk or a resilience factor in the disclosure process, and thus warrants greater attention in future research.

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Section: Discussionsupporting

confidence: 89%

Taking into Account the Quality of the Relationship in HIV Disclosure

2016

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“…Confiding in religious leaders was more reported than in a work colleague/employer. This represents the evaluation of the choice to disclose to whom they think could provide support and this is consistent with other studies from around the world [41][42][43][44][45]48].…”

Section: Discussionsupporting

confidence: 87%

Factors influencing HIV disclosure among people living with HIV/AIDS in Nigeria: a systematic review using narrative synthesis and meta-analysis

et al. 2016

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This review discusses the overall experience of HIV disclosure on the management of the disease and barriers to disclosure. We found that PLWHA in Nigeria disclosed to at least one person within their social networks. Stigma is still a major consideration for PLWHA who experience a range of misconceptions around HIV transmission. The findings of this study may inform local policies and plans for improving the PLWHA quality of life. Targeted policies to increase disclosure of sero-positive status and reduce stigma may facilitate disease prevention. The methodological rigour of the included studies was appraised low.

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“…26 In our study, 46% of the participants did not know the HIV-status of their male partner and 28% presumed their partners were HIV-uninfected. Most women reported disclosure of HIV status to their partners, but 26% of participants reported that some or none other their partners knew their HIV status.…”

Section: Discussionmentioning

confidence: 59%

Pregnancy Intentions Among Women Living With HIV in the United States

Rahangdale

Stewart

et al. 2014

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background The number of HIV-infected women giving birth in the U.S. is increasing. Research on pregnancy planning in HIV-infected women is limited. Methods Between January 1 and December 30, 2012, pregnant women with a known HIV diagnosis prior to conception at 12 U.S. urban medical centers completed a survey including the London Measure of Unplanned Pregnancy (LMUP) scale. We assessed predictors of LMUP category (unplanned/ambivalent versus planned pregnancy) using bivariate and multivariable analyses. Results Overall, 172 women met inclusion criteria and completed a survey. Based on self-report using the LMUP scale, 23% of women had an unplanned pregnancy, 58% were ambivalent and 19% reported a planned pregnancy. Women were at lower risk for an unplanned or ambivalent pregnancy if they had previously given birth since their HIV diagnosis (adjusted Relative Risk = 0.67, 95% CI 0.47-0.94, p=0.02), had seen a medical provider in the year before the index pregnancy (aRR 0.60, 95% CI 0.46-0.77, p<0.01), or had a patient-initiated discussion of pregnancy intentions in the year prior to the index pregnancy (aRR = 0.63, 95% CI 0.46-0.77, p<0.01). Unplanned or ambivalent pregnancy was not associated with age, race/ethnicity, or educational level. Conclusions In this multi-site U.S. cohort, patient-initiated pregnancy counseling as well as being engaged in medical care prior to pregnancy were associated with a decreased probability of unplanned or ambivalent pregnancy. Interventions that promote health-care engagement among HIV-infected women and integrate contraception and preconception counseling into routine HIV care may decrease the risk of unplanned pregnancy among HIV-infected women in the U.S.

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Serodiscordance and Disclosure Among HIV-Positive Pregnant Women in the Southwestern United States

Cited by 15 publications

References 21 publications

Taking into Account the Quality of the Relationship in HIV Disclosure

Taking into Account the Quality of the Relationship in HIV Disclosure

Factors influencing HIV disclosure among people living with HIV/AIDS in Nigeria: a systematic review using narrative synthesis and meta-analysis

Pregnancy Intentions Among Women Living With HIV in the United States

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