Reproductive identities following an HIV diagnosis: strategies in the face of biographical disruption

Rose Pollard, Haneefa Saleem

Research output: Contribution to journalArticle

Abstract

This study explores how living with HIV affects fertility desires and reproductive identities in a context where HIV is highly stigmatised and parenthood is highly valued. We conducted interviews with 30 women and 30 men living with HIV, and 30 health care providers in Iringa, Tanzania. Using the conceptual framework of biographical disruption, we analysed interviews to characterise strategies participants living with HIV employed to regain a sense of normalcy. We found that living with HIV had consequences that disrupted notions of reproductive identity and that these disruptions influenced fertility desires and safer conception planning of both women and men living with HIV. Some participants relinquished the desire for children altogether, while others maintained the role of procreator as a strategy to conceal their HIV status and maintain their value in society. Perceptions of normalcy and notions of reproductive identity following an HIV diagnosis shape how people living with HIV navigate fertility decision-making in the face of biographical disruption. Findings can inform HIV programming to help those living with HIV regain a sense of normalcy by fostering solidarity, reducing community-based stigma and promoting safer conception for those who desire children and effective contraception for those who do not.

Original languageEnglish (US)
JournalCulture, Health and Sexuality
DOIs
StatePublished - Jan 1 2019

Fingerprint

fertility
HIV
desire for children
planning conception
parenthood
contraception
interview
Tanzania
solidarity
programming
Fertility
health care
decision making
community
Values
Interviews
Foster Home Care
Contraception
Health Personnel
Decision Making

Keywords

  • Biographical disruption
  • fertility
  • HIV
  • reproduction
  • Tanzania

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

@article{1b0faabb5a3c4533a28fcd90e750378a,
title = "Reproductive identities following an HIV diagnosis: strategies in the face of biographical disruption",
abstract = "This study explores how living with HIV affects fertility desires and reproductive identities in a context where HIV is highly stigmatised and parenthood is highly valued. We conducted interviews with 30 women and 30 men living with HIV, and 30 health care providers in Iringa, Tanzania. Using the conceptual framework of biographical disruption, we analysed interviews to characterise strategies participants living with HIV employed to regain a sense of normalcy. We found that living with HIV had consequences that disrupted notions of reproductive identity and that these disruptions influenced fertility desires and safer conception planning of both women and men living with HIV. Some participants relinquished the desire for children altogether, while others maintained the role of procreator as a strategy to conceal their HIV status and maintain their value in society. Perceptions of normalcy and notions of reproductive identity following an HIV diagnosis shape how people living with HIV navigate fertility decision-making in the face of biographical disruption. Findings can inform HIV programming to help those living with HIV regain a sense of normalcy by fostering solidarity, reducing community-based stigma and promoting safer conception for those who desire children and effective contraception for those who do not.",
keywords = "Biographical disruption, fertility, HIV, reproduction, Tanzania",
author = "Rose Pollard and Haneefa Saleem",
year = "2019",
month = "1",
day = "1",
doi = "10.1080/13691058.2019.1603399",
language = "English (US)",
journal = "Culture, Health and Sexuality",
issn = "1369-1058",
publisher = "Routledge",

}

TY - JOUR

T1 - Reproductive identities following an HIV diagnosis

T2 - strategies in the face of biographical disruption

AU - Pollard, Rose

AU - Saleem, Haneefa

PY - 2019/1/1

Y1 - 2019/1/1

N2 - This study explores how living with HIV affects fertility desires and reproductive identities in a context where HIV is highly stigmatised and parenthood is highly valued. We conducted interviews with 30 women and 30 men living with HIV, and 30 health care providers in Iringa, Tanzania. Using the conceptual framework of biographical disruption, we analysed interviews to characterise strategies participants living with HIV employed to regain a sense of normalcy. We found that living with HIV had consequences that disrupted notions of reproductive identity and that these disruptions influenced fertility desires and safer conception planning of both women and men living with HIV. Some participants relinquished the desire for children altogether, while others maintained the role of procreator as a strategy to conceal their HIV status and maintain their value in society. Perceptions of normalcy and notions of reproductive identity following an HIV diagnosis shape how people living with HIV navigate fertility decision-making in the face of biographical disruption. Findings can inform HIV programming to help those living with HIV regain a sense of normalcy by fostering solidarity, reducing community-based stigma and promoting safer conception for those who desire children and effective contraception for those who do not.

AB - This study explores how living with HIV affects fertility desires and reproductive identities in a context where HIV is highly stigmatised and parenthood is highly valued. We conducted interviews with 30 women and 30 men living with HIV, and 30 health care providers in Iringa, Tanzania. Using the conceptual framework of biographical disruption, we analysed interviews to characterise strategies participants living with HIV employed to regain a sense of normalcy. We found that living with HIV had consequences that disrupted notions of reproductive identity and that these disruptions influenced fertility desires and safer conception planning of both women and men living with HIV. Some participants relinquished the desire for children altogether, while others maintained the role of procreator as a strategy to conceal their HIV status and maintain their value in society. Perceptions of normalcy and notions of reproductive identity following an HIV diagnosis shape how people living with HIV navigate fertility decision-making in the face of biographical disruption. Findings can inform HIV programming to help those living with HIV regain a sense of normalcy by fostering solidarity, reducing community-based stigma and promoting safer conception for those who desire children and effective contraception for those who do not.

KW - Biographical disruption

KW - fertility

KW - HIV

KW - reproduction

KW - Tanzania

UR - http://www.scopus.com/inward/record.url?scp=85064812743&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064812743&partnerID=8YFLogxK

U2 - 10.1080/13691058.2019.1603399

DO - 10.1080/13691058.2019.1603399

M3 - Article

C2 - 31012809

AN - SCOPUS:85064812743

JO - Culture, Health and Sexuality

JF - Culture, Health and Sexuality

SN - 1369-1058

ER -