HIV+ men need reproductive counseling too: Assessing childbearing goals and provider communication among HIV+ male patients in Rio de Janeiro, Brazil.
HIV+ men need reproductive counseling too: Assessing childbearing goals and provider communication among HIV+ male patients in Rio de Janeiro, Brazil.
复制标题
艾滋病毒男性也需要生殖咨询：评估巴西里约热内卢艾滋病毒男性患者的生育目标和提供者沟通。
DOI：
10.1089/apc.2013.0354
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发表时间：
2014
影响因子：
4.9
通讯作者：
Kerrigan,Deanna
中科院分区：
文献类型：
--
作者：
FinoccharioKessler,Sarah;Bastos,FranciscoI;Malta,Monica;Bertoni,Neilane;Hanif,Homaira;Kerrigan,Deanna
We assessed reported communication with HIV providers about reproductive plans among HIV+ men in Rio de Janeiro, Brazil, and factors associated with having had such communication. A total ofN=311 HIV+ men (18–50 years) receiving HIV care at one of six public primary care clinics in Rio de Janeiro between 2008–2009 were surveyed. We used descriptive statistics, and multivariate logistic regression to identify factors associated with communication about childbearing with an HIV provider. HIV+ male patients (mean age=42.7 years, 57% mixed race; 23% bisexual, 51% married/committed partner, 61% with at least one biological child, 77% on ART) reported accepting attitudes of HIV and childbearing (51%), the desire (39%), and/or intention (19%) to have a future child, and reported communication with the HIV provider (14%) or their primary partner (28%) about having children. There were no significant differences between the responses of HIV+ heterosexual and bisexual men on the above outcomes. Men who discussed childbearing with their HIV provider were more likely to have accepting attitudes about HIV and childbearing [AOR 2.8, 95%CI (1.2–6.4),p=0.014], and intend to have a child [AOR 2.6, 95% CI (1.2–5.6),p=0.018], but less likely to have discussed this topic with their partner [AOR 0.32 (0.15–0.68),p=0.003]. Among men reporting communication, 40% (17/42) reported advice against having a child. An unmet need for collaborative, nonjudgmental, and provider-initiated communication about childbearing goals exists for HIV+ men in clinical care.
