HIV+ men need reproductive counseling too: Assessing childbearing goals and provider communication among HIV+ Male Patients in Rio de Janeiro, Brazil

Sarah Finocchario Kessler, Francisco I. Bastos, Monica Malta, Neilane Bertoni, Homaira Hanif, Deanna Kerrigan

Research output: Contribution to journalArticle

Abstract

We assessed reported communication with HIV providers about reproductive plans among HIV+ men in Rio de Janeiro, Brazil, and factors associated with having had such communication. A total of N=311 HIV+ men (18-50 years) receiving HIV care at one of six public primary care clinics in Rio de Janeiro between 2008-2009 were surveyed. We used descriptive statistics, and multivariate logistic regression to identify factors associated with communication about childbearing with an HIV provider. HIV+ male patients (mean age=42.7 years, 57% mixed race; 23% bisexual, 51% married/committed partner, 61% with at least one biological child, 77% on ART) reported accepting attitudes of HIV and childbearing (51%), the desire (39%), and/or intention (19%) to have a future child, and reported communication with the HIV provider (14%) or their primary partner (28%) about having children. There were no significant differences between the responses of HIV+ heterosexual and bisexual men on the above outcomes. Men who discussed childbearing with their HIV provider were more likely to have accepting attitudes about HIV and childbearing [AOR 2.8, 95%CI (1.2-6.4), p=0.014], and intend to have a child [AOR 2.6, 95% CI (1.2-5.6), p=0.018], but less likely to have discussed this topic with their partner [AOR 0.32 (0.15-0.68), p=0.003]. Among men reporting communication, 40% (17/42) reported advice against having a child. An unmet need for collaborative, nonjudgmental, and provider-initiated communication about childbearing goals exists for HIV+ men in clinical care.

Original languageEnglish (US)
Pages (from-to)254-259
Number of pages6
JournalAIDS Patient Care and STDs
Volume28
Issue number5
DOIs
StatePublished - May 1 2014

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Brazil
Counseling
Communication
HIV
Heterosexuality
Primary Health Care
Logistic Models

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Medicine(all)

Cite this

HIV+ men need reproductive counseling too : Assessing childbearing goals and provider communication among HIV+ Male Patients in Rio de Janeiro, Brazil. / Finocchario Kessler, Sarah; Bastos, Francisco I.; Malta, Monica; Bertoni, Neilane; Hanif, Homaira; Kerrigan, Deanna.

In: AIDS Patient Care and STDs, Vol. 28, No. 5, 01.05.2014, p. 254-259.

Research output: Contribution to journalArticle

Finocchario Kessler, Sarah ; Bastos, Francisco I. ; Malta, Monica ; Bertoni, Neilane ; Hanif, Homaira ; Kerrigan, Deanna. / HIV+ men need reproductive counseling too : Assessing childbearing goals and provider communication among HIV+ Male Patients in Rio de Janeiro, Brazil. In: AIDS Patient Care and STDs. 2014 ; Vol. 28, No. 5. pp. 254-259.
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abstract = "We assessed reported communication with HIV providers about reproductive plans among HIV+ men in Rio de Janeiro, Brazil, and factors associated with having had such communication. A total of N=311 HIV+ men (18-50 years) receiving HIV care at one of six public primary care clinics in Rio de Janeiro between 2008-2009 were surveyed. We used descriptive statistics, and multivariate logistic regression to identify factors associated with communication about childbearing with an HIV provider. HIV+ male patients (mean age=42.7 years, 57{\%} mixed race; 23{\%} bisexual, 51{\%} married/committed partner, 61{\%} with at least one biological child, 77{\%} on ART) reported accepting attitudes of HIV and childbearing (51{\%}), the desire (39{\%}), and/or intention (19{\%}) to have a future child, and reported communication with the HIV provider (14{\%}) or their primary partner (28{\%}) about having children. There were no significant differences between the responses of HIV+ heterosexual and bisexual men on the above outcomes. Men who discussed childbearing with their HIV provider were more likely to have accepting attitudes about HIV and childbearing [AOR 2.8, 95{\%}CI (1.2-6.4), p=0.014], and intend to have a child [AOR 2.6, 95{\%} CI (1.2-5.6), p=0.018], but less likely to have discussed this topic with their partner [AOR 0.32 (0.15-0.68), p=0.003]. Among men reporting communication, 40{\%} (17/42) reported advice against having a child. An unmet need for collaborative, nonjudgmental, and provider-initiated communication about childbearing goals exists for HIV+ men in clinical care.",
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