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Published in: Maternal and Child Health Journal 4/2013

01-05-2013

Fertility Desires Among HIV-Infected Men and Women in Los Angeles County: Client Needs and Provider Perspectives

Authors: Deborah Mindry, Glenn Wagner, Jordan Lake, Amber Smith, Sebastian Linnemayr, Molly Quinn, Risa Hoffman

Published in: Maternal and Child Health Journal | Issue 4/2013

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Abstract

Combination antiretroviral therapy for persons living with HIV/AIDS (PLHA) has extended life expectancy, and enabled PLHA to live productive lives that can include having children. Despite calls to address childbearing for PLHA there has been limited attention to developing safe conception programs. This research sought to assess the childbearing desires of PLHA and the experiences of health care providers serving this population. Research entailed a brief cross-sectional client survey given to HIV-infected men and women over age 18 at two Los Angeles County clinics administered over an 8-week period. Focus group discussions were conducted with providers at each clinic site. Although 39 % of the 93 clients surveyed reported a desire to have children, two-thirds of clients had not discussed their desires, or methods of safe conception, with providers. Providers reported challenges in providing safe conception services in resource poor settings where clients cannot afford assisted fertility services and in the absence of national, state, or county guidelines for safe conception. They noted complex and varied client circumstances and a critical need for provider training in safe conception. Guidelines that focus on safe conception and harm reduction strategies as well as the legal ramifications of counseling on these practices are needed. HIV providers need training and patients need educational tools and workshops informing them of the risks, challenges, and options available to them and their partners to safely conceive and bear an HIV-negative child.
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Metadata
Title
Fertility Desires Among HIV-Infected Men and Women in Los Angeles County: Client Needs and Provider Perspectives
Authors
Deborah Mindry
Glenn Wagner
Jordan Lake
Amber Smith
Sebastian Linnemayr
Molly Quinn
Risa Hoffman
Publication date
01-05-2013
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 4/2013
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-012-1035-6

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