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.
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.
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DOI：
10.1186/1471-2458-10-247
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发表时间：
2010-05-13
影响因子：
4.5
通讯作者：
Kulane A
中科院分区：
文献类型：
--
作者：
Beyeza-Kashesya J;Ekstrom AM;Kaharuza F;Mirembe F;Neema S;Kulane A
在非洲各国，艾滋病病毒血清不一致关系的夫妻比例为 5% 至 31%。鉴于生育的重要性以及缺乏避免伴侣传播的辅助生殖手段，这些夫妇的成员即使在向配偶披露其艾滋病毒感染状况的挑战之后仍面临着严重的困境。确定血清不一致的夫妇决定生育孩子的决定因素将有助于在资源匮乏的国家确定生殖干预的优先事项。 2007 年 6 月至 12 月期间，我们对在大坎帕拉的四个中心接受艾滋病毒护理的 114 对相互披露的血清不一致的夫妇（228 人）进行了一项调查。我们收集的数据根据男性或女性是否艾滋病毒呈阳性进行分类。我们进行了多变量逻辑回归建模，以确定与想要孩子的愿望独立相关的因素（年龄、性别、亲属和卫生工作者的影响、ART 知识和披露）。大多数（59%）的参与者希望生孩子。无论 HIV 血清状态如何，相信伴侣想要孩子是想要孩子的主要决定因素（调整后的比值比 24.0 (95% CI 9.15, 105.4)）。在女性艾滋病毒呈阳性的夫妇中，年龄较小和亲属对孩子的期望与生育意愿的增加显着相关，而在男性艾滋病毒呈阳性的夫妇中；对 ART 有效性的了解与生育意愿的增加有关。避孕信息的可用性与生育意愿的降低有关。积极伴侣的性别影响与对孩子的渴望相关的因素。针对血清不一致夫妇的干预措施应探讨避孕选择、儿童的文化重要性以及伴侣沟通。
The percentages of couples in HIV sero-discordant relationships range from 5 to 31% in the various countries of Africa. Given the importance of procreation and the lack of assisted reproduction to avoid partner transmission, members of these couples are faced with a serious dilemma even after the challenge of disclosing their HIV status to their spouses. Identifying the determinants of the decision to have children among sero-discordant couples will help in setting reproductive intervention priorities in resource-poor countries. We conducted a survey among 114 mutually disclosed sero-discordant couples (228 individuals) receiving HIV care at four centres in Greater Kampala, between June and December 2007. The data we collected was classified according to whether the man or the woman was HIV-positive. We carried out multivariate logistic regression modelling to determine factors (age, gender, and the influences of relatives and of health workers, ART knowledge, and disclosure) that are independently associated with a desire for children. The majority, 59%, of the participants, desired to have children. The belief that their partner wanted children was a major determinant of the desire to have children, irrespective of the HIV sero-status (adjusted odds ratio 24.0 (95% CI 9.15, 105.4)). Among couples in which the woman was HIV-positive, young age and relatives' expectations for children were significantly associated with increased fertility desire, while among couples in which the man was positive; knowledge of ART effectiveness was associated with increased fertility desire. Availability of information on contraception was associated with decreased fertility desire. The gender of the positive partner affects the factors associated with a desire for children. Interventions targeting sero-discordant couples should explore contraceptive choices, the cultural importance of children, and partner communication.
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政策制定者和医疗保健提供者对南非艾滋病毒感染者生殖决策的观点。
影响因子：
4.5
作者：
Harries, Jane;Cooper, Diane;Myer, Landon;Bracken, Hillary;Zweigenthal, Virginia;Orner, Phyllis
通讯作者：
Orner, Phyllis
影响因子：
4.9
作者：
Nobrega, Aglaer A.;Oliveira, Fabiola A. S.;Kerr-Pontes, Ligia R. S.
通讯作者：
Kerr-Pontes, Ligia R. S.
DOI：
10.2471/blt.04.019448
发表时间：
2006-02-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Doherty, Tanya;Chopra, Mickey;Greiner, Ted
通讯作者：
Greiner, Ted
影响因子：
4.4
作者：
Nakayiwa, Sylvia;Abang, Betty;Bunnell, Rebecca
通讯作者：
Bunnell, Rebecca
影响因子：
4.4
作者：
Matthews, Lynn T.;Mukherjee, Joia S.
通讯作者：
Mukherjee, Joia S.