Beyond HIV-serodiscordance: Partnership communication dynamics that affect engagement in safer conception care

Autor: Naomi Sanyu, David R. Bangsberg, Francis Bajunirwe, Courtney Ng, Jessica E. Haberer, Annet Kembabazi, Lynn T. Matthews, Jasmine Kastner, Adrine Kusasira, Jerome Kabakyenga, Angela Kaida, Mwebesa Bwana, Bridget Burns
Rok vydání: 2017
Předmět:
Male
RNA viruses
Maternal Health
medicine.medical_treatment
lcsh:Medicine
HIV Infections
Pathology and Laboratory Medicine
Assisted Reproductive Technology
Families
Pre-exposure prophylaxis
0302 clinical medicine
Immunodeficiency Viruses
5. Gender equality
Pregnancy
SAFER
HIV Seropositivity
Medicine and Health Sciences
Uganda
Public and Occupational Health
030212 general & internal medicine
lcsh:Science
Children
Multidisciplinary
Obstetrics and Gynecology
virus diseases
Qualitative Studies
Vaccination and Immunization
3. Good health
Sexual Partners
Medical Microbiology
Research Design
Viral Pathogens
General partnership
Viruses
Female
Health Services Research
Pathogens
Thematic analysis
0305 other medical science
Psychology
Research Article
Adult
medicine.medical_specialty
Immunology
HIV prevention
Antiretroviral Therapy
Research and Analysis Methods
Microbiology
03 medical and health sciences
Interpersonal relationship
Antiviral Therapy
Retroviruses
medicine
Humans
Interpersonal Relations
Microbial Pathogens
Preventive healthcare
030505 public health
Assisted reproductive technology
Lentivirus
lcsh:R
Organisms
Biology and Life Sciences
HIV
Health Care
Age Groups
Fertilization
Family medicine
People and Places
Women's Health
Pre-Exposure Prophylaxis
Population Groupings
lcsh:Q
Preventive Medicine
Qualitative research
Zdroj: PLoS ONE, Vol 12, Iss 9, p e0183131 (2017)
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0183131
Popis: Introduction We explored acceptability and feasibility of safer conception methods among HIV-affected couples in Uganda. Methods We recruited HIV-positive men and women on antiretroviral therapy (ART) (‘index’) from the Uganda Antiretroviral Rural Treatment Outcomes cohort who reported an HIV-negative or unknown-serostatus partner (‘partner’), HIV-serostatus disclosure to partner, and personal or partner desire for a child within two years. We conducted in-depth interviews with 40 individuals from 20 couples, using a narrative approach with tailored images to assess acceptability of five safer conception strategies: ART for the infected partner, pre-exposure prophylaxis (PrEP) for the uninfected partner, condomless sex timed to peak fertility, manual insemination, and male circumcision. Translated and transcribed data were analyzed using thematic analysis. Results 11/20 index participants were women, median age of 32.5 years, median of 2 living children, and 80% had HIV-RNA
Databáze: OpenAIRE