Access to infertility investigations and treatment for HIV+ people: a survey of Australian infertility clinics

Pitts, Marian; Shields, Penelope

doi:10.1111/j.1467-842x.2004.tb00444.x

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…To assess available services, a questionnaire was sent to fertility clinics across Canada (Appendix A). This questionnaire was based on those used in the United Kingdom and Australia studies, as there was no other validated survey instrument available [ 13 , 14 ]. Prior to study initiation, study authors and other physicians reviewed versions of the questionnaire for face validity, and changes were incorporated for content validity and clarity.…”

Section: Methodsmentioning

confidence: 99%

“…Barriers to access include not only ethical issues, but also technical difficulties related to the handling of specimens and training of staff. In both the United Kingdom and Australia, studies have been performed to evaluate the accessibility of fertility services for HIV-infected couples [ 13 , 14 ]. The results of these studies were disappointing, with limited access for both investigations and treatments.…”

Section: Introductionmentioning

confidence: 99%

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Access to infertility services in Canada for HIV-positive individuals and couples: a cross-sectional study

2010

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BackgroundFamily and pregnancy planning issues are important among human immunodeficiency virus (HIV)-positive individuals and couples. However, access to fertility services may be limited for this population. The objective of this study was to estimate the types of services available in fertility clinics in Canada for these individuals.MethodsA survey was sent to all registered fertility clinics in Canada to assess the availability of services (investigations and treatment) for infertility and/or viral transmission risk reduction in achieving pregnancy. The proportion and location of clinics willing to carry out investigations and treatments were determined. Logistic regression analysis was performed to assess differences in response rates, investigations, and treatments by province and by couple scenario.ResultsCompleted surveys were received from 23/28 (82%) of clinics across eight Canadian provinces. Seventy-eight per cent (18/23) were willing to accept HIV-positive individuals in consultation, and 52% had actually seen at least one HIV-positive man or woman in the previous year. Clinics in every province were willing to offer infertility investigations, but only clinics located in five provinces were willing to offer fertility treatments. The most commonly available treatment was intrauterine insemination for couples in which the female partner was HIV-positive (52%). Other techniques, such as sperm washing (26%) or in vitro fertilization (17%), were less commonly offered. A smaller number of clinics were willing to offer risk reduction techniques in achieving pregnancy.ConclusionsAccess to infertility investigations and treatments in Canada is limited and regionally dependent.Trial RegistrationRegistered with ClinicalTrials.gov at http://www.clinicaltrials.gov, registration number NCT00782132.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Access to infertility services in Canada for HIV-positive individuals and couples: a cross-sectional study

2010

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“…Inadequate access to conception planning and assisted reproductive services has been documented in North America, Australia and the United Kingdom, despite the existence of guidelines for reproductive care for PLWHIV (Apoola et al, 2001;Cooper et al, 2009;Frodsham, Boag, Barton, & Gilling-Smith, 2006;Gruskin, Firestone, MacCarthy, & Ferguson, 2008;Minkoff, 2006;Pitts & Shields, 2004;Sauer, 2006;Stanitis, Brow, & Wiczyk, 2008;Yudin, Shapiro, & Loutfy, 2010). Our study showed that although 63% of participants intended a future pregnancy and 44% had a plan for conception in the near future, only 30% had spoken to an HCP about the issue and only 30% had some knowledge about conception planning and assisted reproductive services for safer conception.…”

Section: Discussionmentioning

confidence: 55%

“…International HIV sexual and reproductive health guidelines and pregnancy-planning guidelines under development in Canada are placing increasing importance on comprehensive preconception services as part of receiving good quality of care (World Health Organization [WHO], 2008). At least five European countries have national HIV conception planning programs (Apoola, Tenhof, & Allan, 2001;Bujan et al, 2007;Fakoya et al, 2008;Myer, Morroni, & ElSadr, 2005;Pitts & Shields, 2004;Rozenberg, Gerard, Manigart, Ham, & Delvigne, 2002); however, no such programs exist in Canada. Since there is little existing data regarding the support, services and resources PLWHIV require planning a pregnancy, it is imperative to assess these needs and identify gaps in order to develop programs and resources to support safer and healthier conceptions, pregnancies and future families.…”

Section: Introductionmentioning

confidence: 99%

Access to conception planning information and services for people living with HIV in Ontario, Canada: A community-based research study

Huynh

Gysler

Loutfy

et al. 2012

Vulnerable Children and Youth Studies

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Decreased mortality, decreased risk of vertical HIV transmission, and many people living with HIV (PLWHIV) being of reproductive age have led many PLWHIV to consider pregnancy. However, scarce data exist regarding the conception planning resources required and available for PLWHIV to have safe and healthy pregnancies. This study aimed to identify gaps between the need for, knowledge of, and access to conception planning information and services among PLWHIV in Ontario, Canada. PLWHIV from three large and two small urban sites in Ontario were recruited (n = 63). Participants completed a cross-sectional survey assessing demographics, expectations and plans for conception, and knowledge about and access to existing conception information and services for PLWHIV. Univariate correlations and ranked analyses were used to assess the associations between the need for, knowledge of, and access to conception planning resources with various demographic variables. Participants' median age was 40 years (interquartile range = 33-45) with 52% being female, 73% identified as heterosexual, and 27% as lesbian, gay, bisexual, queer, transgender, two-spirited, or other. Univariable analysis indicated that male PLWHIV and those from small urban areas were less likely to expect children in the future and less likely to speak to healthcare providers about conception planning. Although 63% of all participants intended to conceive and 44% had a plan for conception in the near future, only 30% had spoken to a healthcare provider about pregnancy and only 30% had some knowledge about conception planning and assisted reproductive services for safer conception for PLWHIV. Knowledge of and access to resources on conception planning for PLWHIV varied by sexual orientation and geographic location in Ontario. Our results show a gap between the need for conception information and knowledge of and access to adequate information and resources among PLWHIV in Ontario, which may impact the psychosocial well-being of PLWHIV and their children.

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“…The survey examined the presence of clinic policies regarding provision of services for HIV-infected patients, services provided at the time of the survey, and attitudes toward provision of services for HIV-infected men if the California law were to allow therapeutic use of donated sperm for a designated recipient. The survey was based upon instruments used in previous studies conducted in the United Kingdom and Australia (27,28). We imported all data into a relational database and performed summary statistics using Microsoft Excel 2004 (Microsoft Corp., Redmond, WA).…”

mentioning

confidence: 99%

Assisted reproduction for couples affected by human immunodeficiency virus in California

Barnhart

Shannon

Weber³

et al. 2009

Fertility and Sterility

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Access to infertility investigations and treatment for HIV+ people: a survey of Australian infertility clinics

Abstract: Objective: To examine the availability in Australia of investigations and treatment of infertility for people infected with HIV.

Cited by 6 publications

References 8 publications

Access to infertility services in Canada for HIV-positive individuals and couples: a cross-sectional study

Access to infertility services in Canada for HIV-positive individuals and couples: a cross-sectional study

Access to conception planning information and services for people living with HIV in Ontario, Canada: A community-based research study

Assisted reproduction for couples affected by human immunodeficiency virus in California

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