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
{"title":"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。","authors":"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","doi":"10.1136/jfprhc-2015-101395","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>Thirteen focus groups were conducted among HIV-infected individuals enrolled in antiretroviral treatment services.</p><p><strong>Results: </strong>Participants identified a hierarchy of influences in fertility decisions including the importance of childbearing, patriarchal influence, family influences and concern regarding HIV transmission.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"210-215"},"PeriodicalIF":0.0000,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2015-101395","citationCount":"3","resultStr":"{\"title\":\"Influences in fertility decisions among HIV-infected individuals in Lilongwe, Malawi: a qualitative study.\",\"authors\":\"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\",\"doi\":\"10.1136/jfprhc-2015-101395\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>Thirteen focus groups were conducted among HIV-infected individuals enrolled in antiretroviral treatment services.</p><p><strong>Results: </strong>Participants identified a hierarchy of influences in fertility decisions including the importance of childbearing, patriarchal influence, family influences and concern regarding HIV transmission.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":15734,\"journal\":{\"name\":\"Journal of Family Planning and Reproductive Health Care\",\"volume\":\"43 3\",\"pages\":\"210-215\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1136/jfprhc-2015-101395\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Family Planning and Reproductive Health Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1136/jfprhc-2015-101395\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2016/6/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Family Planning and Reproductive Health Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/jfprhc-2015-101395","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2016/6/16 0:00:00","PubModel":"Epub","JCR":"Q","JCRName":"Medicine","Score":null,"Total":0}
Influences in fertility decisions among HIV-infected individuals in Lilongwe, Malawi: a qualitative study.
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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