A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples.
A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples.
复制标题
DOI：
10.1016/s0968-8080(12)39639-0
复制
发表时间：
2012-12-01
影响因子：
--
通讯作者：
Bangsberg, David R
中科院分区：
文献类型：
--
作者：
Crankshaw, Tamaryn L;Matthews, Lynn T;Bangsberg, David R
为艾滋病毒携带者提供的综合生殖健康服务必须满足他们的生育意愿。对于想要怀孕的HIV血清不一致的夫妇来说，未遂受孕会给未感染的伴侣带来很大的艾滋病毒传播风险。行为和药物策略可能会降低寻求怀孕的HIV血清不一致夫妇中的HIV传播风险。为了制定有效的药物行为计划，重要的是要了解和解决围绕生殖决策、感知的围产期艾滋病毒传播风险和围产期危险行为的背景。我们提出了一个概念性的框架来描述南非背景下围绝经期HIV危险行为所涉及的动态。我们采用艾滋病毒预防行为的信息-动机-行为技能模型来解决更安全的概念行为的结构性、个人和夫妇层面的决定因素。该框架旨在确定影响血清不一致夫妇围产期艾滋病毒风险行为的因素，从而指导设计和实施支持生殖决策的综合和有效的艾滋病毒、生殖健康和计划生育服务。
Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmission risk among HIV-serodiscordant couples who seek to conceive. In order to develop effective pharmaco-behavioral programs, it is important to understand and address the contexts surrounding reproductive decision-making; perceived periconception HIV transmission risk; and periconception risk behaviors. We present a conceptual framework to describe the dynamics involved in periconception HIV risk behaviors in a South African setting. We adapt the Information-Motivation-Behavioral Skill Model of HIV Preventative Behavior to address the structural, individual and couple-level determinants of safer conception behavior. The framework is intended to identify factors that influence periconception HIV risk behavior among serodiscordant couples, and therefore to guide design and implementation of integrated and effective HIV, reproductive health and family planning services that support reproductive decision-making.