Sexual relations and childbearing decisions of HIV-discordant couples: An exploratory study in South Africa and Tanzania

Reproductive Health Matters

Volumn 19, Issue 37, 2011, Pages 184-193

  Rispel, Laetitia C ^a   Metcalf, Carol A ^b   Moody, Kevin ^c   Cloete, Allanise ^d   Caswell, Georgina ^e  

^a UNIVERSITY OF THE WITWATERSRAND   (South Africa)

^b MÉDECINS SANS FRONTIÈRES   (Switzerland)

^c Global Network of People Living with HIV/AIDS (GNP+)   (Netherlands)

^d HUMAN SCIENCES RESEARCH COUNCIL   (South Africa)

^e Programme Officer GNP+   (Netherlands)

Author keywords

Childbearing; HIV discordance; Living with HIV; Sexual relations; South Africa; Tanzania

Indexed keywords

ANTIRETROVIRUS AGENT;

ADULT; ARTICLE; CONTROLLED STUDY; DECISION MAKING; EXPLORATORY RESEARCH; FAMILY COUNSELING; FEAR; FEMALE; HEALTH SERVICE; HIGHLY ACTIVE ANTIRETROVIRAL THERAPY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTED PATIENT; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INTIMACY; MAJOR CLINICAL STUDY; MALE; PREGNANCY; PRIORITY JOURNAL; QUESTIONNAIRE; SEMI STRUCTURED INTERVIEW; SEXUALITY; SOUTH AFRICA; TANZANIA; VIRUS TRANSMISSION;

ADULT; COITUS; FAMILY PLANNING SERVICES; HIV INFECTIONS; HUMANS; MIDDLE AGED; SAFE SEX; SEXUAL PARTNERS; SOCIOECONOMIC FACTORS; SOUTH AFRICA; TANZANIA;

EID: 79955744034     PISSN: 09688080     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0968-8080(11)37552-0     Document Type: Article

References (51)

1. 2009 AIDS Epidemic Update 2009, UNAIDS, World Health OrganizationWorld Health Organization, UNAIDS/WHO, Geneva.
2. Country progress report on the Declaration of Commitment on HIV/AIDS: 2010 report 2010, Republic of South Africa, Department of Health, Pretoria.
3. United Republic of Tanzania: UNGASS reporting for 2010 2010, Tanzania Commission for HIV and AIDS, TACAIDS, Dar es Salaam.
4. Desgrées-du-Loû A, Orne-Gliemann J Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa. Reproductive Health Matters 2008, 16(32):151-161.
5. Guthrie B, de Bruyn G, Farquhar C HIV-1-discordant couples in sub-Saharan Africa: explanations and implications for high rates of discordancy. Current HIV Research 2007, 5:416-429.
6. Carpenter L, Kamali A, Ruberantwari A, et al. Rates of HIV-1 transmission within marriage in rural Uganda in relation to the HIV sero-status of the partners. AIDS 1997, 13:1083-1089.
7. De Walque D HIV infection among couples in Burkina Faso, Cameroon, Ghana, Kenya and Tanzania 2006, World Bank, Washington.
8. Lurie M, Williams B, Zuma K, et al. Who infects whom? HIV-1 concordance and discordance among migrant and non-migrant couples in South Africa. AIDS 2003, 17:2245-2252.
9. N'Gbichi J, De Cock K, Batter V, et al. HIV status of female sex partners of men reactive to HIV-1, HIV-2 or both viruses in Abidjan, Côte d'Ivoire. AIDS 1995, 9:951-954.
10. Were W, Mermin J, Wamai N, et al. Undiagnosed HIV infection and couple HIV discordance among household members of HIV-infected people receiving antiretroviral therapy in Uganda. Journal of Acquired Immune Deficiency Syndrome 2006, 43:91-95.
11. White J, Melvin D, Moore C, et al. Parental HIV discordancy and its impact on the family. AIDS Care 1997, 9:609-615.
12. Lingappa J, Lambdin B, Bukusi E, et al. Regional differences in prevalence of HIV-1 discordance in Africa and enrolment of HIV-1 discordant couples into an HIV-1 prevention trial. PLoS One 2008, 3(1):e1141.
13. Thornton A, Romanelli F, Collins J Reproduction decision-making for couples affected by HIV: a review of the literature. Topical HIV Medicine 2004, 12(2):61-67.
14. Barreiro P, Duerr A, Beckerman K, et al. Reproductive options for HIV-discordant couples. AIDS Review 2006, 8(3):158-170.
15. Nosarka S, Hoogendijk CF, Siebert TI, et al. Assisted reproduction in the HIV-discordant couple. South African Medical Journal 2007, 97(1):24-26.
16. Sauer M Sperm washing techniques address the fertility needs of HIV-sero-positive men: a clinical review. Reproductive Biomed Online 2005, 10(1):135-140.
17. Sauer MV, Chang PL Posthumous reproduction in a human immunodeficiency virus-discordant couple. American Journal of Obstetrics and Gynecology 2001, 185(1):252-253.
18. Sunderam S, Hollander L, Macaluso M, et al. Safe conception for HIV discordant couples through sperm-washing: experience and perceptions of patients in Milan, Italy. Reproductive Health Matters 2008, 16(31):211-219.
19. Semprini AE, Augusto E, Levi-Setti P Insemination of HIV-negative women with processed semen of HIV-positive partners. Lancet 1992, 340:1317-1319.
20. Bell E, Mthembu P, O'Sullivan S, et al. Sexual and reproductive health services and HIV testing: perspectives and experiences of women and men living with HIV and AIDS. Reproductive Health Matters 2007, 15(29 Suppl):113-135.
21. Advancing the Sexual and Reproductive Health and Human Rights of People Living with HIV: A Guidance Package 2009, GNP+, ICWICW, Young Positives, et al.Young Positives, et al., GNP+, Amsterdam.
22. Gruskin S, Ferguson L, O'Malley J Ensuring sexual and reproductive health for people living with HIV: an overview of key human rights, policy and health systems issues. Reproductive Health Matters 2007, 15(29 Suppl):4-26.
23. Rispel L, Metcalf C, Moody K, et al. HIV- discordant couples: insights from South Africa, Tanzania, and Ukraine 2009, GNP+, Amsterdam.
24. Mostyn B The content analysis of qualitative research data: a dynamic approach. The Research Interview: Uses and Approaches 1985, 115-145. Academic Press, Orlando. M. Bressner, J. Brown, D. Conta (Eds.).
25. Freeman E, Glynn J Factors affecting HIV concordancy in married couples in four African cities. AIDS 2004, 18:1715-1721.
26. Gray R, Wawer M, Brookmeyer R, et al. Probability of HIV transmission per coital act in monogamous, heterosexual, HIV1-discordant couples in Rakai, Uganda. Lancet 2001, 357:1149-1153.
27. Kippax S, Holt M The state of social and political science research related to HIV: a report for the International AIDS Society 2009, International AIDS Society, Geneva.
28. Kort R XVII International AIDS Conference: From Evidence to Action. Introduction. Journal of International AIDS Society 2009, 12(Suppl 1):S1.
29. Cleland J, Ali MM, Shah I Trends in protective behaviour among single vs married young women in sub-Saharan Africa: the big picture. Reproductive Health Matters 2006, 14(28):17-22.
30. Allen S, Meinzen-Derr J, Kautzman M, et al. Sexual behavior of HIV-discordant couples after HIV counseling and testing. AIDS 2003, 17:733-740.
31. Allen S, Tice J, Van de Perre P, et al. Effect of sero-testing with counselling on condom use and sero-conversion among HIV-discordant couples in Africa. British Medical Journal 1992, 304:1605-1609.
32. Kamenga C, Ryder RW, Jingu M, et al. Evidence of marked sexual behavior change associated with low HIV-1 seroconversion in 149 married couples with discordant HIV-1 serostatus: experience at an HIV counselling center in Zaire. AIDS 1991, 5(1):61-67.
33. Cooper D, Harries J, Myer L, et al. "Life is still going on": reproductive intentions among HIV-positive woman and men in South Africa. Social Science and Medicine 2007, 65:274-283.
34. Cooper D, Morroni C, Orner P, et al. Ten years of democracy in South Africa: documenting transformation in reproductive health policy and status. Reproductive Health Matters 2004, 12:70-85.
35. GNP+, UNAIDS. Positive Health, Dignity and Prevention: Technical Consultation Report. Technical Consultation on "Positive Prevention"; 27-28 April 2009. Hammamet, Tunisia.
36. Gruskin S, Firestone R, MacCarthy S, et al. HIV and pregnancy intentions: do services adequately respond to women's needs?. American Journal of Public Health 2008, 98(10):1746-1750.
37. Beyeza-Kashesya J, Ekstrom AM, Kaharuza F, et al. My partner wants a child: a cross-sectional study of the determinants of the desire for children among mutually disclosed sero-discordant couples receiving care in Uganda. BMC Public Health 2010, 10:247.
38. Cooper D, Moodley J, Zweigenthal V, et al. Fertility intentions and reproductive health care needs of people living with HIV in Cape Town, South Africa: implications for integrating reproductive health and HIV care services. AIDS and Behaviour 2009, DOI 10.1007/s10461-009-9550-1.
39. Hoffman IF, Martinson FEA, Powers KA, et al. The year-long effect of HIV positive test results on pregnancy intentions, contraceptive use and pregnancy incidence among Malawian women. Journal of Acquired Immune Deficiency Syndrome 2008, 47:477-483.
40. Kaida A, Laher F, Strathdee SA, et al. Childbearing intentions of HIV-positive women of reproductive age in Soweto, South Africa: the influence of expanding access to HAART in an HIV hyper-endemic setting. American Journal of Public Health 2009, DOI 10.2015/AJPH 2009.177469.
41. Tamene W, Fantahun M Fertility desire and family-planning demand among HIV-positive women and men undergoing antiretroviral treatment in Addis Ababa, Ethiopia. African Journal of AIDS Research 2007, 6:223-227.
42. International HIV/AIDS Alliance. Positive prevention: HIV prevention with people living with HIV. London, 2007.
43. Myer L, Rabkin M, Abrams EJ, et al. Focus on women: linking HIV care and treatment with reproductive health services in the MTCT-Plus Initiative. Reproductive Health Matters 2005, 13(25):136-146.
44. Progress report on the Declaration of Commitment on HIV and AIDS: Reporting period January 2006-December 2007 2008, Republic of South Africa, Department of Health, Pretoria.
45. UNGASS Country Progress report: Tanzania Mainland: Reporting period January 2006-December 2007 2008, Tanzania Commission for AIDS, TACAIDS, Dar es Salaam.
46. De Bruyn G, Bandezi N, Dladla S, et al. HIV-discordant couples: an emerging issue in prevention and treatment. South African Journal of HIV Medicine 2006, 23:25-28.
47. Feldman R, Maposhere C Safer sex and reproductive choice: findings from "Positive Women: Voices and Choices" in Zimbabwe. Reproductive Health Matters 2003, 11(22):162-173.
48. Kanniappan S, Jeyapaul MJ, Kalyanwala S Desire for motherhood: exploring HIV positive women's desires, intentions and decision-making in attaining motherhood. AIDS Care 2008, 20(6):625-630.
49. Paiva V, Filipe EV, Santos N, et al. The right to love: the desire for parenthood among men living with HIV. Reproductive Health Matters 2003, 11(22):91-100.
50. Panozzo L, Battegay M, Friedl A, et al. The Swiss Cohort Study. High-risk behaviour and fertility desires among heterosexual HIV positive patients with a sero-discordant partner - two challenging issues. Swiss Medical Weekly 2002, 132(7):124.
51. Harries J, Cooper D, Myer L, et al. Policy maker and health care provider perspectives on reproductive decision-making amongst HIV-infected individuals in South Africa. BMC Public Health 2007, 7:282. DOI:10.1186/471-2458-7-282.