Access to infertility investigations and treatment in couples infected with HIV: questionnaire survey

Apoola, Ade; tenHof, Judith; Allan, P S

doi:10.1136/bmj.323.7324.1285

Cited by 14 publications

(16 citation statements)

References 6 publications

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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: Discussioncontrasting

confidence: 57%

“…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: 96%

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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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Section: Discussioncontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 96%

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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“…10,11 The aim was to establish whether there are policies and practices in place in infertility clinics in Australia regarding assisted conception for couples where one or both partners is HIV+.…”

Section: People On the Marginsmentioning

confidence: 99%

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

Pitts

Shields

2004

Australian and New Zealand Journal of Public Health

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“…7 Clinics providing assisted conception as of December 2000 were identified from the records of the Human Fertilisation and Embryology Authority, which licenses the use of such techniques in Britain. Of the 75 clinics sent a questionnaire, responses were received from 57 (76%).…”

Section: Access To Servicesmentioning

confidence: 99%

Infertility treatment for HIV-positive couples: far from immaculate conception

Patel¹

2003

j fam plann reprod health care

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Access to infertility investigations and treatment in couples infected with HIV: questionnaire survey

Cited by 14 publications

References 6 publications

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

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

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

Infertility treatment for HIV-positive couples: far from immaculate conception

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