Engaging HIV care providers in conversations with their reproductive-age patients about fertility desires and intentions: A historical review of the HIV epidemic in the United States

Riley J. Steiner, Finocchario Kessler Sarah, Jacinda K. Dariotis

Research output: Contribution to journalArticle

Abstract

Provider-initiated conversations with people living with HIV about reproductive plans are lacking. Providers must know whether their patients want to bear children to tailor treatment and refer for HIV preconception counseling to help achieve patients' reproductive goals while minimizing transmission to partners and children. The early focus on men who have sex with men largely excluded consideration of the epidemic's impact on reproductive health. We used a historical review of the US epidemic to describe the problem's scope and understand if this legacy underlies the current neglect of reproductive planning. Drawing on peer-reviewed literature, we discuss key themes relevant to assessing and understanding attention to desires for children among HIV-positive people. We conclude with recommendations for addressing persistent stigma and enhancing patient-provider communication about reproductive intentions.

Original languageEnglish (US)
Pages (from-to)1357-1366
Number of pages10
JournalAmerican Journal of Public Health
Volume103
Issue number8
DOIs
StatePublished - Aug 2013

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Fertility
HIV
Reproductive Health
Counseling
Communication
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Engaging HIV care providers in conversations with their reproductive-age patients about fertility desires and intentions : A historical review of the HIV epidemic in the United States. / Steiner, Riley J.; Sarah, Finocchario Kessler; Dariotis, Jacinda K.

In: American Journal of Public Health, Vol. 103, No. 8, 08.2013, p. 1357-1366.

Research output: Contribution to journalArticle

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