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
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
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DOI：
10.1007/s10461-009-9550-1
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发表时间：
2009-06-01
影响因子：
4.4
通讯作者：
Myer, Landon
中科院分区：
文献类型：
--
作者：
Cooper, Diane;Moodley, Jennifer;Myer, Landon
调整性健康和生殖健康服务，以满足人类免疫缺陷病毒（艾滋病毒）感染者的需要，这是一个日益令人关切的问题，但在艾滋病毒最流行的地方，对这些问题的了解很少。这项横断面研究调查了南非开普敦459名艾滋病毒感染者的生育意愿和相关的医疗保健需求，这些人不是作为彼此的亲密伴侣抽样。感染艾滋病毒的妇女（55%）和男子（43%）报告不打算生孩子的比例几乎相等，因为他们对生孩子的可能性持开放态度（分别为45%和57%）。总体而言，男性、子女较少、居住在非正规住区和使用抗逆转录病毒疗法的人更有生育意愿。未来生育意愿的决定因素存在重要的性别差异，HAART与女性的生育意愿密切相关。在参与者想要孩子的主要原因方面，性别差异也很明显。少数与会者与艾滋病毒保健提供者讨论了他们的生殖意图和相关问题。迫切需要采取干预模式，将艾滋病毒护理与性健康和生殖健康咨询和服务结合起来，以满足这些人群的各种生殖需求。
Tailoring sexual and reproductive health services to meet the needs of people living with the human immuno-deficiency virus (HIV) is a growing concern but there are few insights into these issues where HIV is most prevalent. This cross-sectional study investigated the fertility intentions and associated health care needs of 459 women and men, not sampled as intimate partners of each other, living with HIV in Cape Town, South Africa. An almost equal proportion of women (55%) and men (43%) living with HIV, reported not intending to have children as were open to the possibility of having children (45 and 57%, respectively). Overall, greater intentions to have children were associated with being male, having fewer children, living in an informal settlement and use of antiretroviral therapy. There were important gender differences in the determinants of future childbearing intentions, with being on HAART strongly associated with women's fertility intentions. Gender differences were also apparent in participants' key reasons for wanting children. A minority of participants had discussed their reproductive intentions and related issues with HIV health care providers. There is an urgent need for intervention models to integrate HIV care with sexual and reproduction health counseling and services that account for the diverse reproductive needs of these populations.