Reproductive counseling by clinic healthcare workers in Durban, South Africa: perspectives from HIV-infected men and women reporting serodiscordant partners.
Reproductive counseling by clinic healthcare workers in Durban, South Africa: perspectives from HIV-infected men and women reporting serodiscordant partners.
复制标题
DOI：
10.1155/2012/146348
复制
发表时间：
2012-01-01
影响因子：
--
通讯作者：
Bangsberg, D R
中科院分区：
文献类型：
--
作者：
Matthews, L T;Crankshaw, T;Bangsberg, D R
背景：了解艾滋病患者在卫生保健环境下的生殖咨询经验和看法，对于设计有效的药物-行为干预措施，将围产期艾滋病毒风险降至最低，并支持感染艾滋病毒的夫妇实现他们的生育目标至关重要。方法：我们对南非德班的30名艾滋病毒感染妇女(前一年怀孕)和20名艾滋病毒感染男子进行了半结构化、深入的访谈，所有人都报告了血清不一致的伴侣和获得护理的情况。我们调查了患者报告的来自卫生保健工作者(HCW)的更安全的受孕咨询经验。结果：研究结果表明，HIV感染患者认为母婴传播是孕周相关信息的来源，并且在怀孕前接受与孕母交谈，但很少在临床环境中寻求或接受受孕建议。艾滋病毒未披露和意外怀孕是重要的干预因素。当建议被分享时，患者报告收到了一系列信息。男性参与者对获取更安全的受孕信息表现出特别的兴趣。结论：HIV感染的男性和女性与血清不一致的伴侣一起接受更安全的受孕咨询的想法。卫生工作者需要得到支持，以便定期为育龄艾滋病毒感染患者提供准确、安全的受孕咨询。
BACKGROUND: Understanding HIV-infected patient experiences and perceptions of reproductive counseling in the health care context is critical to inform design of effective pharmaco-behavioral interventions that minimize periconception HIV risk and support HIV-affected couples to realize their fertility goals.METHODS: We conducted semistructured, in-depth interviews with 30 HIV-infected women (with pregnancy in prior year) and 20 HIV-infected men, all reporting serodiscordant partners and accessing care in Durban, South Africa. We investigated patient-reported experiences with safer conception counseling from health care workers (HCWs). Interview transcripts were reviewed and coded using content analysis for conceptual categories and emergent themes.RESULTS: The study findings indicate that HIV-infected patients recognize HCWs as a resource for periconception-related information and are receptive to speaking to a HCW prior to becoming pregnant, but seldom seek or receive conception advice in the clinic setting. HIV nondisclosure and unplanned pregnancy are important intervening factors. When advice is shared, patients reported receiving a range of information. Male participants showed particular interest in accessing safer conception information.CONCLUSIONS: HIV-infected men and women with serodiscordant partners are receptive to the idea of safer conception counseling. HCWs need to be supported to routinely initiate accurate safer conception counseling with HIV-infected patients of reproductive age.