Young Adults' Strategies for Navigating Reproduction in an AIDS Epidemic

艾滋病流行期间年轻人的生育策略

• 批准号: 7478261
• 负责人: Jenny A Trinitapoli
• 金额: $ 59.51万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-15 至 2013-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7478261
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Africa; Africa South of the Sahara; Anti-Retroviral Agents; Area; Behavior; Biological Markers; Birth; Caring; Characteristics; Child Health Services; Child health care; Chronically Ill; Contraceptive Usage; Contraceptive methods; Counseling; Country; Data; Data Set; Decision Making; Divorce; Epidemic; Family; Family member; Fertility; Fertility Preferences; Future; Goals; HIV; Health; Health Status; Health care facility; High Prevalence; Human immunodeficiency virus test; Individual; International; Intervention; Interview; Knowledge; Learning; Life; Link; Longitudinal Surveys; Malawi; Marriage; Methods; Nature; Orphan; Patient Self-Report; Perception; Policy Maker; Pregnancy; Pregnancy Tests; Prevalence; Prevention strategy; Randomized; Religion and Spirituality; Reporting; Reproduction; Research; Risk; Role; Rural; Sampling; Severities; Sexual Partners; Shapes; Staging; Symptoms; Testing; Time; Woman; authority; base; behavior change; child bearing; condoms; contextual factors; desire; economic outcome; experience; innovation; male; member; men; multilevel analysis; reproductive; rural area; young adult

DESCRIPTION (provided by applicant): Despite the severity of the AIDS epidemic and the centrality of pregnancy and fertility to life in sub-Saharan Africa, little is known about how AIDS and its consequences alter reproductive goals and strategies. The Young Adult Families and AIDS Study (YAFAS) will collect timely and innovative data to investigate how young adults transitioning to parenthood amid a generalized epidemic simultaneously navigate the dual goals of avoiding HIV/AIDS and healthy childbearing. We situate the study in rural Malawi because counseling and testing for HIV, which are likely to influence reproduction, are just becoming available in the rural areas. An integrated longitudinal data set will include: Data from 2000 young women who will be tested for pregnancy and interviewed at quarterly intervals over a period of three years; linked data to their male sexual partners; biomarkers for HIV for both men and women, with the testing randomized in order to assess the causal influence of learning HIV serostatus; and from traditional cultural authorities to illuminate the role of local context in shaping reproductive desires. Using these new data, we address questions critical for individual, couple, national and international efforts to achieve health childbearing in a high-fertility and high HIV-prevalence setting.

描述（由申请人提供）：尽管艾滋病疫情严重，怀孕和生育对撒哈拉以南非洲的生活至关重要，但人们对艾滋病及其后果如何改变生殖目标和战略知之甚少。青年家庭和艾滋病研究（YAFAS）将收集及时和创新的数据，以调查年轻人如何在广泛流行的情况下过渡到为人父母，同时应对避免艾滋病毒/艾滋病和健康生育的双重目标。我们之所以在马拉维农村进行这项研究，是因为艾滋病毒的咨询和检测在农村地区刚刚开始提供，而这可能会影响生殖。综合纵向数据集将包括：2000名年轻妇女的数据，这些妇女将接受怀孕测试，并在三年内每季度进行一次访谈；与男性性伴侣的关联数据；男性和女性的艾滋病毒生物标志物，随机测试，以评估了解艾滋病毒血清状态的因果影响；并从传统文化权威中阐明当地环境在塑造生殖欲望中的作用。利用这些新数据，我们解决了对个人、夫妇、国家和国际努力在高生育率和艾滋病毒高流行环境中实现健康生育至关重要的问题。