Influences in fertility decisions among HIV-infected individuals in Lilongwe, Malawi: a qualitative study

2016 ◽  
Vol 43 (3) ◽  
pp. 210-215 ◽  
Author(s):  
Lisa B Haddad ◽  
Alexandra B Hoagland ◽  
Karen L Andes ◽  
Bernadette Samala ◽  
Caryl Feldacker ◽  
...  
Keyword(s):  
Antiretroviral Treatment ◽  
Hiv Transmission ◽  
Transmission Risk ◽  
Family Influences ◽  
Fertility Decisions ◽  
Treatment Services ◽  
Factors Influencing ◽  
Fertility Decision ◽  
Living With Hiv ◽  
Fertility Choices

BackgroundThe motivation to have a child may be complex with numerous influencing factors, particularly among individuals living with HIV. This study sought to understand factors influencing fertility decision-making for HIV-infected men and women in Lilongwe, Malawi.MethodsThirteen focus groups were conducted among HIV-infected individuals enrolled in antiretroviral treatment services.ResultsParticipants identified a hierarchy of influences in fertility decisions including the importance of childbearing, patriarchal influence, family influences and concern regarding HIV transmission.ConclusionsAddressing fertility conversations beyond the confines of a relationship may be important, as family plays a significant role in fertility choices. Childbearing remains a fundamental desire among many individuals with HIV; however, concerns regarding transmission risk need to be addressed with efforts made to overcome misconception and assist individuals in balancing what may be competing influences.

scholarly journals Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam

PLoS ONE ◽  
2016 ◽  
Vol 11 (12) ◽  
pp. e0168687 ◽  
Author(s):  
Bach Xuan Tran ◽  
Jongnam Hwang ◽  
Long Hoang Nguyen ◽  
Anh Tuan Nguyen ◽  
Noah Reed Knowlton Latkin ◽  
...  
Keyword(s):  
Antiretroviral Treatment ◽  
Socioeconomic Inequality ◽  
People Living With Hiv ◽  
Treatment Services ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Feedback-guided Development for Patient Education Animation: HIV Transmission via Breastfeeding

2018 ◽  
Vol 42 (2) ◽  
Author(s):  
Sarah Crawley ◽  
Shelley Wall ◽  
Lena Serghides ◽  
Marc Dryer
Keyword(s):  
Patient Education ◽  
Hiv Transmission ◽  
Healthcare Providers ◽  
Culturally Sensitive ◽  
Target Audience ◽  
Transmission Risk ◽  
User Testing ◽  
Living With Hiv ◽  
Direct Feedback ◽  
Mother To Child

This thesis project uses animation to communicate the risk of HIV transmission via breastfeeding to mothers living with HIV in Canada. Current guidelines do not recommend breastfeeding for HIV+ mothers because there is always some level of risk. Knowledge of mother-to-child transmission is poor, and the cultural pressure to breastfeed has complex implications. It was essential that the science of transmission risk be conveyed in a clear and culturally sensitive manner, to allow women to make appropriate, informed decisions about whether or not to breastfeed. To accomplish this, we adopted a user-testing approach. Throughout development, the script, animatic, and character designs were presented for feedback to members of the target audience, healthcare providers, and representatives from Canadian HIV organizations in an iterative design process. At each round of feedback, the script, animatic, and visual assets were revised, and sent for further comment. Ongoing collaboration with the target audience helped us develop an animation with a wide diversity of characters, culturally sensitive metaphors, and nuanced descriptions of risk, in response to feedback that detailed desires about representation and identified how concepts were being misunderstood. User-testing approaches are necessary when creating patient education animations. Population needs, background, and context have a dramatic impact on patient understanding, and cannot be understood properly without user testing and direct feedback. Doing so helps prevent insensitive concepts and easily misinterpreted information, and thus is key to effective patient education animation.

scholarly journals Predictors of secondary HIV transmission risk in a cohort of adolescents living with HIV in South Africa

AIDS ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Elona Toska ◽  
Siyanai Zhou ◽  
Christina A. Laurenzi ◽  
Roxanna Haghighat ◽  
Wylene Saal ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Transmission ◽  
Transmission Risk ◽  
Hiv Transmission Risk ◽  
Living With Hiv

Recent Partner-Specific HIV Transmission Risk for Youth Living with HIV

2009 ◽  
Vol 44 (2) ◽  
pp. S27
Author(s):  
Jacky M. Jennings ◽  
Jonathan M. Ellen ◽  
Bethany Griffin Deeds ◽  
D. Robert Harris ◽  
Larry R. Muenz ◽  
...  
Keyword(s):  
Hiv Transmission ◽  
Transmission Risk ◽  
Hiv Transmission Risk ◽  
Youth Living With Hiv ◽  
Living With Hiv

Relationship between serostatus disclosure and categories of HIV transmission risk in men who have sex with men living with HIV

2018 ◽  
Vol 29 (8) ◽  
pp. 744-750 ◽  
Author(s):  
Julianne M Serovich ◽  
Sandra J Reed ◽  
Ann A O’Connell ◽  
Tanja C Laschober
Keyword(s):  
Hiv Transmission ◽  
Anal Intercourse ◽  
Transmission Risk ◽  
Serostatus Disclosure ◽  
Insertive Anal Intercourse ◽  
Sexual Encounters ◽  
Sex With Men ◽  
Hiv Transmission Risk ◽  
Living With Hiv ◽  
The Relationship

In prior studies, the relationship between serostatus disclosure and reduced HIV transmission risk has been mixed. The demonstration of a clear connection may be restricted by three main methodological limitations. This study evaluates the relationship between (1) more refined measures of serostatus disclosure and (2) eight categories of HIV transmission risk (lowest to highest risk) among men who have sex with men (MSM) living with HIV, while (3) considering a number of control variables. Results demonstrate that disclosure is more likely in sexual encounters involving no intercourse or involving protected and unprotected anal intercourse with HIV-positive partners than unprotected insertive anal intercourse with HIV-negative/unknown status partners. Additionally, substance use prior to sexual encounters is less likely in lower risk categories than the highest risk category. Results of this study are important to the design of future studies, prevention, and intervention programs for MSM and to the methods used to evaluate their effectiveness.

Sexual Anxiety Among Women Living with HIV in the Era of Antiretroviral Treatment Suppressing HIV Transmission

2020 ◽  
Vol 17 (4) ◽  
pp. 765-779 ◽  
Author(s):  
Allison Carter ◽  
◽  
Sophie Patterson ◽  
Mary Kestler ◽  
Alexandra de Pokomandy ◽  
...  
Keyword(s):  
Antiretroviral Treatment ◽  
Hiv Transmission ◽  
Sexual Anxiety ◽  
Women Living With Hiv ◽  
Living With Hiv
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