Discussing childbearing with HIV-infected women of reproductive age in clinical care: A comparison of Brazil and the US

Sarah Finocchario-Kessler, F. I. Bastos, M. Malta, J. Anderson, K. Goggin, M. Sweat, J. Dariotis, N. Bertoni, D. Kerrigan

Research output: Contribution to journalArticle

Abstract

Despite long term access to highly active antiretroviral therapy in Brazil and the US, little is known about women's communication with their HIV provider regarding childbearing or the unmet need for reproductive counseling. We utilized identical survey questions to collect data from HIV-infected women of reproductive age in Rio de Janeiro (n = 180) and Baltimore (n = 181). We conducted univariate analyses to compare findings between samples of women and multivariate logistic regression to determine factors associated with childbearing desires, childbearing intentions, and provider communication among the combined sample of women (n = 361). Over one-third of women in Rio de Janeiro and nearly one-half of women in Baltimore reported the desire for future childbearing. Nevertheless, the majority of women in clinical care had not discussed future childbearing with their HIV provider. Even in countries with an advanced approach to HIV care, we found low and inadequate communication between providers and female patients about childbearing.

Original languageEnglish (US)
Pages (from-to)99-107
Number of pages9
JournalAIDS and behavior
Volume16
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • Baltimore
  • Brazil
  • Childbearing desires and intentions
  • Fertility
  • HAART
  • HIV clinical care
  • Preconception counseling
  • Pregnancy
  • Reproductive counseling
  • Rio de Janeiro

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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