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AIDS and Behavior
Published in: AIDS and Behavior 2/2013

Open Access 01-02-2013 | Original Paper

Reproductive Decision-Making and Periconception Practices Among HIV-Positive Men and Women Attending HIV Services in Durban, South Africa

Authors: Lynn T. Matthews, Tamaryn Crankshaw, Janet Giddy, Angela Kaida, Jennifer A. Smit, Norma C. Ware, David R. Bangsberg

Published in: AIDS and Behavior | Issue 2/2013

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Abstract

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.
Footnotes
1
Recent partner pregnancy was not an inclusion criteria for male participants, which may explain the discrepancy between planned pregnancies since diagnosis for men and women.
 
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Metadata
Title
Reproductive Decision-Making and Periconception Practices Among HIV-Positive Men and Women Attending HIV Services in Durban, South Africa
Authors
Lynn T. Matthews
Tamaryn Crankshaw
Janet Giddy
Angela Kaida
Jennifer A. Smit
Norma C. Ware
David R. Bangsberg
Publication date
01-02-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-0068-y

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