"Throwing the Dice": Pregnancy Decision-Making Among HIV-Positive Women in Four U.S. Cities

Kirshenbaum, Sheri B.; Hirky, A. Elizabeth; Correale, Jacqueline; Johnson, Mallory O.; Ehrhardt, Anke Α.

doi:10.1111/j.1931-2393.2004.tb00198.x

Cited by 11 publications

(12 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies have shown that socioeconomic factors have an impact on the decision making process [10,[20][21][22]. The level of education as well as the income generation power or occupation of both male and female is factors that can play a significant role in the process of decision making [7,23].…”

Section: Discussionmentioning

confidence: 99%

Communication and the Decision Making Process among Couples with HIV/AIDS in Bulawayo, Zimbabwe

Ndlovu

2014

ISRN Infectious Diseases

View full text Add to dashboard Cite

The study explores how HIV-positive couples negotiate and make reproductive and sexually related decisions. The broader aim of the paper is to understand how men and women with HIV make decisions about contraception and reproduction and what those decisions indicate about the realities of HIV-positive relationships. In line with the study's aim to explore meanings related to the decision making process, a qualitative research approach was adopted. In-depth interviews were conducted with 15 couples in which at least one of them was HIV-positive. A critical interpretive analysis of the data was adopted in order to gain insight into decision making among the HIV-positive couples. The results indicate that decisions made were usually a result of negotiation and compromise between partners. However, women's fertility and sexual preferences were found to be a major factor in determining the outcome of the decision making process. Couples who intended to have a child were found to be active decision makers while those who only desired or did not desire to have a child were mainly passive decision makers. The study concludes that women exercise significant power over contraceptive and reproductive decisions among both active and passive decision makers.

show abstract

Section: Discussionmentioning

confidence: 99%

Communication and the Decision Making Process among Couples with HIV/AIDS in Bulawayo, Zimbabwe

Ndlovu

2014

ISRN Infectious Diseases

View full text Add to dashboard Cite

show abstract

“…Maintenant qu'elles sont informées que le risque de transmission du virus à l'enfant est bien contrôlé, i l est probable que dans un avenir proche, de plus en plus de femmes séropositives vont désirer être enceintes [12]. L'évolution des caractéristiques démographiques de l'épidémie féminine en France, avec une augmentation du nombre de jeunes femmes d'origine sub-saharienne, va probablement contribuer à l'augmentation du nombre de grossesses chez les femmes séropositives.…”

Section: Résultatsunclassified

Projets parentaux des femmes vivant avec le VIH/sida à l'ère des thérapies antirétrovirales

Heard

Sitta

2008

Med Sci (Paris)

View full text Add to dashboard Cite

Projets parentaux des femmes vivant avec le VIH/ sida à l'ère des thérapies antirétrovirales Isabelle HEARD 1 , Rémi SITTA, France LERT 2 et le groupe d'étude Anrs-Vespa 3 Résumé L'évolution, au cours de la dernière décennie, de la structure démogra-phique et épidémiologique de l'épidémie par le VIH/sida amène à faire le point sur les projets parentaux des personnes atteintes. En effet, dans le contexte actuel, grâce aux traitements antirétroviraux, un contrôle efficace de l'infection chez les parents potentiels vivant avec le VIH est assuré, de même qu'un fort taux de réduction du risque de transmission du virus de la mère à l'enfant. L'étude présentée ici concerne le désir d'enfant des femmes en âge de reproduction, ayant participé à l'enquête Anrs-Vespa, en fonction de l'origine ethnique, du mode de vie, de facteurs culturels et de santé (état immunovirologique, traitement). Par ailleurs, les couples sont plus susceptibles de s'engager dans un projet parental si au moins l'un d'eux n'est pas infecté par le VIH. L'état de santé par rapport au VIH/sida n'est pas associé au projet parental. Au vu de ces résultats, i l semble que la problématique de la parentalité devrait dorénavant être mieux prise en compte au cours de la prise en charge médicale de la séropositivité. L'infection par le VIH concerne de plus en plus de femmes dans le monde. La plupart sont jeunes, en âge de faire des enfants et

show abstract

“…6,[9][10][11][12][13][14] Previous pregnancies and abortions are associated with pregnancy 6,14 and a lower number of current children has been found to be positively associated with a woman's desire for future pregnancies. 6,9,12 In addition, concern about the risk of vertical transmission and the health of the future child, 5 as well as the outcomes of previous pregnancies while HIV positive 13 have also been shown to be important factors in pregnancy-related decision-making. While some studies have shown no significant association between DFP and sociodemographic variables, [9][10][11] others have found significant relationships between DFP and age, ethnicity, education level, gender role, living situation, coping style, perceived threat of HIV, HIV symptomatology, and partner status.…”

mentioning

confidence: 99%

“…While some studies have shown no significant association between DFP and sociodemographic variables, [9][10][11] others have found significant relationships between DFP and age, ethnicity, education level, gender role, living situation, coping style, perceived threat of HIV, HIV symptomatology, and partner status. 6,9,[11][12][13] Condom use in HIV-positive women is frequently stressed as a means of preventing acquisition of STIs and decreasing the risk of secondary transmission of HIV. Studies among primarily HIV negative African American adolescent females have shown associations between risk behavior and DFP, including increased rates of casual partners and inconsistent condom use.…”

mentioning

confidence: 99%

Desire for Pregnancy and Risk Behavior in Young HIV-Positive Women

Finger

Clum

Trent

et al. 2012

AIDS Patient Care and STDs

View full text Add to dashboard Cite

This cross-sectional study utilized data from 130 young women with behaviorally acquired HIV to examine the association between desire for pregnancy (DFP) and both sociodemographic variables and sexual risk behaviors. A single item was utilized to assess DFP. Bivariate and multivariate regression analyses were conducted. At the bivariate level, DFP was associated with increased rates of intercourse, decreased condom use, increased partner concurrency, increased rates of unprotected sex with a nonconcordant partner, and a higher number of previous sexually transmitted infections (STIs). Multivariate analyses suggested that DFP was associated with increased likelihood of recent intercourse, condom-unprotected sex, and oral sex. DFP was related to few sociodemographic variables but was associated with having fewer children currently, a history of victimization, and decreased rates of disclosure of HIV status. The few sociodemographic variables that were associated with DFP suggest that social relationships may play a role in DFP. DFP was associated with sexual behaviors that may place young women at risk for STI acquisition and secondary HIV transmission to partners. Health care providers should assess DFP in routine HIV care, providing education about fertility options, interventions for vertical transmission, family planning, and risk reduction counseling.

show abstract

"Throwing the Dice": Pregnancy Decision-Making Among HIV-Positive Women in Four U.S. Cities

Cited by 11 publications

References 17 publications

Communication and the Decision Making Process among Couples with HIV/AIDS in Bulawayo, Zimbabwe

Communication and the Decision Making Process among Couples with HIV/AIDS in Bulawayo, Zimbabwe

Projets parentaux des femmes vivant avec le VIH/sida à l'ère des thérapies antirétrovirales

Desire for Pregnancy and Risk Behavior in Young HIV-Positive Women

Contact Info

Product

Resources

About