Influences in fertility decisions among HIV-infected individuals in Lilongwe, Malawi: a qualitative study.

Q Medicine Journal of Family Planning and Reproductive Health Care Pub Date : 2017-07-01 Epub Date: 2016-06-16 DOI:10.1136/jfprhc-2015-101395

Lisa B Haddad, Alexandra B Hoagland, Karen L Andes, Bernadette Samala, Caryl Feldacker, Kingsley Chikaphupha, Hannock Tweya, Jane Chiwoko, Fannie Kachale, Denise J Jamieson, Sam Phiri

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引用次数: 3

Abstract

Background: The motivation to have a child may be complex with numerous influencing factors, particularly among individuals living with HIV. This study sought to understand factors influencing fertility decision-making for HIV-infected men and women in Lilongwe, Malawi.

Methods: Thirteen focus groups were conducted among HIV-infected individuals enrolled in antiretroviral treatment services.

Results: Participants identified a hierarchy of influences in fertility decisions including the importance of childbearing, patriarchal influence, family influences and concern regarding HIV transmission.

Conclusions: Addressing fertility conversations beyond the confines of a relationship may be important, as family plays a significant role in fertility choices. Childbearing remains a fundamental desire among many individuals with HIV; however, concerns regarding transmission risk need to be addressed with efforts made to overcome misconception and assist individuals in balancing what may be competing influences.

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马拉维利隆圭艾滋病毒感染者生育决定的影响:一项定性研究。

背景:生孩子的动机可能是复杂的，有许多影响因素，特别是在艾滋病毒感染者中。这项研究试图了解影响马拉维利隆圭艾滋病毒感染者生育决策的因素。方法:在参加抗逆转录病毒治疗服务的艾滋病毒感染者中进行了13个焦点小组。结果:参与者确定了生育决策的影响等级，包括生育的重要性、父权制影响、家庭影响和对艾滋病毒传播的关注。结论:家庭在生育选择中扮演着重要的角色，因此在关系范围之外进行生育对话可能很重要。生育仍然是许多艾滋病毒感染者的基本愿望;然而，需要通过努力克服误解和帮助个人平衡可能相互竞争的影响来解决有关传播风险的关切。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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