Fertility desires among HIV-infected men and women in Los Angeles County: client needs and provider perspectives.

Maternal and Child Health Journal
Deborah MindryRisa Hoffman

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 ...Continue Reading

References

Apr 7, 2009·AIDS and Behavior·Lynn T Matthews, Joia S Mukherjee
Nov 26, 2010·The New England Journal of Medicine·Robert M GrantUNKNOWN iPrEx Study Team
Mar 5, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Suzanne K WhitmoreJanet M Blair
Mar 31, 2011·AIDS Patient Care and STDs·Kathleen E SquiresJudith A Aberg

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Citations

Feb 26, 2019·Journal of the International Association of Providers of AIDS Care·Joseph Nguemo DjiometioMona Loutfy
May 17, 2019·The Journal of the Association of Nurses in AIDS Care : JANAC·Brittany M AlexanderJames L Harmon
May 10, 2016·Clinical Medicine Insights. Women's Health·Ndidiamaka N AmutahYvonne Wesley
Dec 25, 2016·The Journal of the Association of Nurses in AIDS Care : JANAC·Shannon WeberShari L Dworkin
Aug 7, 2013·Current HIV/AIDS Reports·Deborah JonesRyan Cook
Dec 26, 2015·AIDS Care·Lisa B HaddadDenise J Jamieson
Jan 4, 2021·Maternal and Child Health Journal·Roxanne Mirabal-BeltranSarah Finocchario-Kessler
Oct 8, 2021·BMC Women's Health·Lashanda SkerrittAlexandra de Pokomandy

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