TY - JOUR
T1 - Childbearing motivations, pregnancy desires, and perceived partner response to a pregnancy among urban female youth
T2 - Does HIV-infection status make a difference?
AU - Finocchario-Kessler, Sarah
AU - Sweat, Michael D.
AU - Dariotis, Jacinda K.
AU - Anderson, Jean R.
AU - Jennings, Jacky M.
AU - Keller, Jean M.
AU - Vyas, Amita A.
AU - Trent, Maria E.
N1 - Funding Information:
We are grateful to the HIV Women’s Program for funding participant remuneration. We thank Drs. George Siberry and Nancy Hutton, Mary Joyner CPNP, Mary Ann Knott-Grasso CPNP, and Angela Williams for their assistance with recruitment, Shang-en Chung, MSc. for astute data management, and all the young women who shared their time and perspective by participating in the study. SFK had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Despite a growing literature assessing pregnancy desires among HIV-infected women enrolled in clinical care, little attention has been paid to HIV-infected youth for whom pregnancy is a very relevant issue. In urban areas with high rates of teen pregnancy and HIV infection, further understanding of childbearing motivations and relationship dynamics influencing pregnancy desires among female youth is needed. This study compares the childbearing motivations, pregnancy desires, and perceived partner desire for a pregnancy among predominately African-American HIV-infected (n=46) and HIV-uninfected (n=355) female youth (15-24 years). An HIV-infected status was not significantly associated with childbearing motivations or the desire for a future pregnancy, p>0.10. HIV-infection was, however, associated with an increased likelihood to perceive that one's partner would have a positive response to a pregnancy (adjusted odds ratio [aOR] 3.5, 95% confidence interval [CI] 1.2-10.4, p=0.02) compared to uninfected peers. While race was not associated with participants own desire for a child, white youth were significantly less likely to perceive a positive partner response to becoming pregnant than their African-American peers (aOR 0.23, 95% CI 0.09-0.56, p=0.001). These data suggest that the desire for childbearing is not diminished by HIV infection among urban female youth, highlighting the need for routine, provider-initiated discussions about childbearing with urban youth to minimized unintended pregnancies and HIV transmission.
AB - Despite a growing literature assessing pregnancy desires among HIV-infected women enrolled in clinical care, little attention has been paid to HIV-infected youth for whom pregnancy is a very relevant issue. In urban areas with high rates of teen pregnancy and HIV infection, further understanding of childbearing motivations and relationship dynamics influencing pregnancy desires among female youth is needed. This study compares the childbearing motivations, pregnancy desires, and perceived partner desire for a pregnancy among predominately African-American HIV-infected (n=46) and HIV-uninfected (n=355) female youth (15-24 years). An HIV-infected status was not significantly associated with childbearing motivations or the desire for a future pregnancy, p>0.10. HIV-infection was, however, associated with an increased likelihood to perceive that one's partner would have a positive response to a pregnancy (adjusted odds ratio [aOR] 3.5, 95% confidence interval [CI] 1.2-10.4, p=0.02) compared to uninfected peers. While race was not associated with participants own desire for a child, white youth were significantly less likely to perceive a positive partner response to becoming pregnant than their African-American peers (aOR 0.23, 95% CI 0.09-0.56, p=0.001). These data suggest that the desire for childbearing is not diminished by HIV infection among urban female youth, highlighting the need for routine, provider-initiated discussions about childbearing with urban youth to minimized unintended pregnancies and HIV transmission.
KW - African-American
KW - HIV
KW - HIV-infected female adolescents and youth
KW - childbearing desires and intentions
KW - childbearing motivations
KW - perceived partner desire
KW - preconception counseling
KW - pregnancy desires
KW - pregnancy intentions
KW - urban adolescents and youth
UR - http://www.scopus.com/inward/record.url?scp=84863173763&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84863173763&partnerID=8YFLogxK
U2 - 10.1080/09540121.2011.596514
DO - 10.1080/09540121.2011.596514
M3 - Review article
C2 - 21777077
AN - SCOPUS:84863173763
SN - 0954-0121
VL - 24
SP - 1
EP - 11
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 1
ER -