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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Reproductive decision-making and periconception practices among HIV-positive men and women attending HIV services in Durban, South Africa
AIDS and Behavior, Volume 17, No. 2, Year 2013
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Description
Understanding reproductive decisions and periconception behavior among HIV-discordant couples is important for designing risk reduction interventions for couples who choose to conceive. In-depth interviews were conducted to explore reproductive decision-making and periconception practices among HIV-positive women with recent pregnancy (n = 30), and HIV-positive men (n = 20), all reporting partners of negative or unknown HIV-status, and attending HIV services in Durban, South Africa. Transcripts were coded for categories and emergent themes. Participants expressed strong reasons for having children, but rarely knew how to reduce periconception HIV transmission. Pregnancy planning occurred on a spectrum ranging from explicitly intended to explicitly unintended, with many falling in between the two extremes. Male fertility desire and misunderstanding serodiscordance contributed to HIV risk behavior. Participants expressed openness to healthcare worker advice for safer conception and modified risk behavior post-conception, suggesting the feasibility of safer conception interventions which may target both men and women and include serodiscordance counseling and promotion of contraception. © 2012 Springer Science+Business Media, LLC.
Authors & Co-Authors
Matthews, Lynn Turner
United States, Boston
Massachusetts General Hospital
United States, Boston
Beth Israel Deaconess Medical Center
Crankshaw, Tamaryn L.
South Africa, Durban
Mccord Hospital
Giddy, Janet
South Africa, Durban
Mccord Hospital
Kaida, Angela
Canada, Burnaby
Simon Fraser University
Smit, Jennifer Ann
South Africa, Johannesburg
University of the Witwatersrand
Ware, Norma C.
United States, Boston
Harvard Medical School
Bangsberg, David R.
United States, Boston
Massachusetts General Hospital
Uganda, Mbarara
Mbarara University of Science and Technology
Statistics
Citations: 99
Authors: 7
Affiliations: 7
Identifiers
Doi:
10.1007/s10461-011-0068-y
ISSN:
10907165
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Approach
Qualitative
Study Locations
South Africa
Participants Gender
Male
Female