REPRODUCTIVE DECISION MAKING AMONG HIV INFECTED WOMEN

艾滋病毒感染妇女的生育决策

• 批准号: 2890077
• 负责人: AMY W BENJAMIN
• 金额: $ 1.92万
• 依托单位: UNIVERSITY OF COLORADO DENVER/HSC DENVER
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-08-06 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/2890077
• 关键词: AIDS therapy; HIV infections; behavioral /social science research tag; clinical research; decision making; embryo /fetus therapy; family planning; female; health care policy; human population study; human subject; interview; reproduction; social behavior; vertical transmission

The growing HIV epidemic among women, parallel epidemic of pediatric AIDS, and increasing use of prenatal therapy to prevent vertical HIV transmission focuses critical attention on the outcomes of HIV-infected women's reproductive decisions. Yet the process and determinants of these reproductive decisions have been little studied or systematically evaluated. This study uses qualitative methods to a) develop an ethnographic profile of HIV-infected women's reproductive decision- making; and b) identify and link multiple levels of influence on their reproductive decisions. Specific Aims will generate in-depth understanding of HIV-infected women and 1) key individual and social factors that influence their reproductive decisions; 2) external conditions that impact their reproductive choices or ability to exercise those choices; and 3) the impact of existing policies intended to reduce vertical HIV transmission and of clinical advances (such as prenatal therapy) on their reproductive decisions. In-depth interviews are conducted with HIV-infected women and their care providers. Participant observation is conducted with a sub-sample of women chosen for case interest and theoretical relevance. Levels and pathways of influence on reproductive decisions are analyzed based on a Conditional Matrix. The synthesis of in-depth case study data and broad contextual understanding will generate grounded theoretical hypotheses to address the specific aims. The results of this research will fill information gaps on HIV-infected women's reproductive decision-making, inform existing policies and interventions targeting HIV-infected women, and identify areas for further qualitative and quantitative research.

艾滋病毒在妇女中的流行日益严重， 艾滋病，以及越来越多地使用产前治疗来预防垂直艾滋病毒 传播的重点是艾滋病毒感染者的后果 女性的生育决定。 然而， 这些生殖决定很少被系统地研究 评估。 本研究采用定性方法，a）开发一个 艾滋病毒感染妇女生育决定的人种学概况- B）识别并链接对他们的影响的多个层面 生殖决定。 具体目标将产生深入的 艾滋病毒感染妇女的认识和1）关键的个人和社会 影响其生殖决定的因素; 2）外部因素 影响其生殖选择或运动能力的条件 （3）现有政策的影响，旨在减少 艾滋病毒的垂直传播和临床进展（如产前检查） 治疗）对他们的生殖决定。 深度访谈是 与艾滋病毒感染妇女及其护理人员一起进行。 参与者 观察是与一个子样本的妇女选择的情况下， 兴趣和理论相关性。 影响的层次和途径 基于条件矩阵对生育决策进行了分析。 综合深入的案例研究数据和广泛的背景 理解将产生基础的理论假设，以解决 具体目标。 这项研究的结果将填补信息 艾滋病毒感染妇女生殖决策方面的差距， 针对感染艾滋病毒妇女的现有政策和干预措施， 确定进一步定性和定量研究的领域。