'It really proves to us that we are still valuable': Qualitative research to inform a safer conception intervention for men living with HIV in South Africa
| Autor: | Jennifer A. Smit, Lynn T. Matthews, F. Nzwakie Mosery, Steven A. Safren, Kasey O’Neil, Christina Psaros, Hazar Khidir, Letitia Greener, Cecilia Milford, David R. Bangsberg, Abigail Harrison, Mxolisi Mathenjwa |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Safe Sex RNA viruses Epidemiology Maternal Health HIV Infections Pathology and Laboratory Medicine Assisted Reproductive Technology Geographical locations South Africa Immunodeficiency Viruses Pregnancy SAFER Medicine and Health Sciences Qualitative Research media_common Multidisciplinary Obstetrics and Gynecology Focus Groups Middle Aged Vaccination and Immunization Sexual Partners Anti-Retroviral Agents Medical Microbiology Viral Pathogens Viruses Medicine Female Pregnancy Partner Thematic analysis Pathogens Psychology Research Article Adult medicine.medical_specialty Science media_common.quotation_subject HIV prevention Immunology Antiretroviral Therapy Fertility Microbiology Interviews as Topic Young Adult Antiviral Therapy Intervention (counseling) Retroviruses medicine Humans Microbial Pathogens Preventive medicine Prophylaxis Lentivirus Organisms Biology and Life Sciences HIV Focus group Public and occupational health Family medicine Fertilization Medical Risk Factors Africa Women's Health Pre-Exposure Prophylaxis People and places Serostatus Qualitative research |
| Zdroj: | PLoS ONE PLoS ONE, Vol 16, Iss 3, p e0240990 (2021) |
| ISSN: | 1932-6203 |
| Popis: | Objective Many men living with HIV want to have children. Opportunities to reduce periconception HIV transmission include antiretroviral therapy as prevention, pre-exposure prophylaxis, limiting condomless sex to peak fertility, and sperm processing. Whether men have knowledge of or want to adopt these strategies remains unknown. Methods We conducted focus group discussions (FGDs) with men accessing HIV care in South Africa in 2014 to inform a safer conception intervention for men. Eligible men were 25–45 years old, living with HIV, not yet accessing treatment, and wanting to have a child with an HIV-negative or unknown serostatus female partner (referred to as the “desired pregnancy partner”). FGDs explored motivations for having a healthy baby, feasibility of a clinic-based safer conception intervention, and acceptability of safer conception strategies. Data were analyzed using thematic analysis. Results Twelve participants from three FGDs had a median age of 37 (range 23–45) years, reported a median of 2 (range 1–4) sexual partners, and 1 (range 1–3) desired pregnancy partner(s). A third (N = 4) had disclosed HIV-serostatus to the pregnancy partner. Emergent themes included opportunities for and challenges to engaging men in safer conception services. Opportunities included enthusiasm for a clinic-based safer conception intervention and acceptance of some safer conception strategies. Challenges included poor understanding of safer conception strategies, unfamiliarity with risk reduction [versus “safe” (condoms) and “unsafe” (condomless) sex], mixed acceptability of safer conception strategies, and concerns about disclosing HIV-serostatus to a partner. Conclusions Men living with HIV expressed interest in safer conception and willingness to attend clinic programs. Imprecise prevention counseling messages make it difficult for men to conceptualize risk reduction. Effective safer conception programs should embrace clear language, e.g. undetectable = untransmittable (U = U), and support multiple approaches to serostatus disclosure to pregnancy partners. |
| Databáze: | OpenAIRE |
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