Desire for Pregnancy and Risk Behavior in Young HIV-positive Women

Overview

Journal AIDS Patient Care STDS

Specialty Infectious Diseases

Date 2012 Apr 7

PMID 22482121

Citations 16

Authors

Julie L Finger

Gretchen A Clum

Maria E Trent

Jonathan M Ellen

Affiliations

Soon will be listed here.

Abstract

This cross-sectional study utilized data from 130 young women with behaviorally acquired HIV to examine the association between desire for pregnancy (DFP) and both sociodemographic variables and sexual risk behaviors. A single item was utilized to assess DFP. Bivariate and multivariate regression analyses were conducted. At the bivariate level, DFP was associated with increased rates of intercourse, decreased condom use, increased partner concurrency, increased rates of unprotected sex with a nonconcordant partner, and a higher number of previous sexually transmitted infections (STIs). Multivariate analyses suggested that DFP was associated with increased likelihood of recent intercourse, condom-unprotected sex, and oral sex. DFP was related to few sociodemographic variables but was associated with having fewer children currently, a history of victimization, and decreased rates of disclosure of HIV status. The few sociodemographic variables that were associated with DFP suggest that social relationships may play a role in DFP. DFP was associated with sexual behaviors that may place young women at risk for STI acquisition and secondary HIV transmission to partners. Health care providers should assess DFP in routine HIV care, providing education about fertility options, interventions for vertical transmission, family planning, and risk reduction counseling.

Citing Articles

Fertility desire and associated factors among women of reproductive age living with HIV/AIDS attending antiretroviral therapy clinic in Arba Minch General Hospital, South Ethiopia, 2021.

Tufa D, Wassihun B, Misker D, Beyene K Front Glob Womens Health. 2023; 4:1001479.

PMID: 38025980 PMC: 10666766. DOI: 10.3389/fgwh.2023.1001479.

Mediation of the association between stigma and HIV status and fertility intention by fertility desire among heterosexual couples living with HIV in Kunming, China.

Guo Y, Wichaidit W, Du Y, Liu J, Chongsuvivatwong V PLoS One. 2022; 17(12):e0278244.

PMID: 36454983 PMC: 9714893. DOI: 10.1371/journal.pone.0278244.

Reproductive decision-making of Black women living with HIV: A systematic review.

Huertas-Zurriaga A, Palmieri P, Aguayo-Gonzalez M, Dominguez-Cancino K, Casanovas-Cuellar C, Linden K Womens Health (Lond). 2022; 18:17455057221090827.

PMID: 35404192 PMC: 9006353. DOI: 10.1177/17455057221090827.

Determinants of Fertility Desire among Women Living with HIV in the Childbearing Age Attending Antiretroviral Therapy Clinic at Jimma University Medical Center, Southwest Ethiopia: A Facility-Based Case-Control Study.

Aylie N, Dadi L, Alemayehu E, Mekonn M Int J Reprod Med. 2020; 2020:6504567.

PMID: 32851055 PMC: 7441441. DOI: 10.1155/2020/6504567.

Gathering Trauma Narratives: A Qualitative Study on the Impact of Self-Identified Traumas on People Living with HIV (PLWH).

Mujumdar V, Pierson D, Briceno B, Cummer E, Hemal K, Golden S N C Med J. 2020; 81(3):149-156.

PMID: 32366621 PMC: 9853875. DOI: 10.18043/ncm.81.3.149.

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