A Systematic Review of Factors Influencing Fertility Desires and Intentions Among People Living with HIV/AIDS: Implications for Policy and Service Delivery
A Systematic Review of Factors Influencing Fertility Desires and Intentions Among People Living with HIV/AIDS: Implications for Policy and Service Delivery
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DOI：
10.1007/s10461-009-9537-y
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发表时间：
2009-10-01
影响因子：
4.4
通讯作者：
Earnest, Jaya
中科院分区：
文献类型：
--
作者：
Nattabi, Barbara;Li, Jianghong;Earnest, Jaya
随着抗逆转录病毒治疗的出现，艾滋病毒作为一种慢性疾病越来越被人们认识到，人们与之生活了多年。本文对目前有关艾滋病毒/艾滋病患者生育意愿和生育意愿的文献进行了批判性的回顾，并对所使用的理论框架和方法进行了评析。利用ISI Web of Knowledge、Science Direct、ProQuest、JSTOR和CINAHL等电子数据库对1990至2008年间发表的文章进行了系统审查。使用的搜索词是生育意愿、怀孕、艾滋病毒、生殖决策、生育意图、母亲身份、父亲身份和父母身份。共对29篇研究进行综述。生育欲望受到众多人口、健康、耻辱和心理社会因素的影响。文化因素也很重要，特别是在撒哈拉以南非洲和亚洲。今后审查艾滋病毒携带者生育意愿的研究应在理论框架中纳入文化信仰和做法，以便提供全面的了解，并能够发展满足艾滋病毒携带者生殖需求的服务。
With availability of antiretroviral treatments, HIV is increasingly recognised as a chronic disease people live with for many years. This paper critically reviews the current literature on fertility desires and reproductive intentions among people living with HIV/AIDS (PLHIV) and critiques the theoretical frameworks and methodologies used. A systematic review was conducted using electronic databases: ISI Web of Knowledge, Science Direct, Proquest, Jstor and CINAHL for articles published between 1990 and 2008. The search terms used were fertility desire, pregnancy, HIV, reproductive decision making, reproductive intentions, motherhood, fatherhood and parenthood. Twenty-nine studies were reviewed. Fertility desires were influenced by a myriad of demographic, health, stigma-associated and psychosocial factors. Cultural factors were also important, particularly in Sub-Saharan Africa and Asia. Future research that examines fertility desires among PLHIV should include cultural beliefs and practices in the theoretical framework in order to provide a holistic understanding and to enable development of services that meet the reproductive needs of PLHIV.