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Child desire in women and men living with HIV attending HIV outpatient clinics: evidence from a European multicentre study

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dc.contributor.author Nöstlinger, C. en_US
dc.contributor.author Desjardins, F. en_US
dc.contributor.author Dec, J. en_US
dc.contributor.author Platteau, T. en_US
dc.contributor.author Hasker, E. en_US
dc.date.accessioned 2014-09-25T13:39:28Z
dc.date.available 2014-09-25T13:39:28Z
dc.date.issued 2013 en_US
dc.identifier.issn 1362-5187 en_US
dc.identifier.doi http://dx.doi.org/10.3109/13625187.2013.801072 en_US
dc.identifier.other ITG-H1A; ITG-C4B; ITG-HLB; MULTI; DPH; U-HAP; U-ECTD; DCS; U-STDCLI; JIF; DOI; Abstract; UPD56 en_US
dc.identifier.uri http://hdl.handle.net/10390/7656
dc.description.abstract Objectives Fertility-related decisions are challenging for women and couples living with HIV, in spite of vertical HIV transmission rates lower than 1% under effective antiretroviral treatment. This multicentre study identified factors influencing child desire of women and men living with HIV in Europe. Methods We gathered quantitative data by means of anonymous, self-administered questionnaires distributed through a network of 13 European HIV treatment centres. Data analysis employed descriptive statistics and multivariate logistic regression. Results The majority of 427 heterosexual HIV-positive study participants were sexually active. Forty-three percent reported a child desire, 28% had unmet family planning needs. Factors independently associated with child desire were: being younger than 36 years for both genders, and having no children for women. Perceived HIV-related discrimination by health care providers was associated negatively with child desire for women, but positively for men. Conclusions Many women and men living with HIV in Europe desire children and have fertility intentions, for which they need unbiased support to conceive and deliver safely. Comprehensive and gender-specific sexual and reproductive health counselling, including pre-conception and contraceptive counselling, should be integrated into HIV care delivery. en_US
dc.language English en_US
dc.subject Viral diseases en_US
dc.subject HIV en_US
dc.subject AIDS en_US
dc.subject Men en_US
dc.subject Women en_US
dc.subject Seropositivity en_US
dc.subject Outpatients en_US
dc.subject Children en_US
dc.subject Reproductive health en_US
dc.subject Fertility en_US
dc.subject Family planning en_US
dc.subject Health care delivery en_US
dc.subject Discrimination en_US
dc.subject Unmet needs en_US
dc.subject Europe en_US
dc.title Child desire in women and men living with HIV attending HIV outpatient clinics: evidence from a European multicentre study en_US
dc.type Article en_US
dc.citation.issue 4 en_US
dc.citation.jtitle European Journal of Contraception and Reproductive Health Care en_US
dc.citation.volume 18 en_US
dc.citation.pages 251-263 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/23738886 en_US
dc.citation.jabbreviation Eur J Contracept Reprod Health Care en_US


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