RISK OF HIV INFECTION AND FERTILITY-RELATED BEHAVIORS

围产期传播艾滋病毒感染的风险很高 母亲和婴儿的情况，往往有悲惨的 后果 然而，到目前为止，还没有研究 感染艾滋病毒风险增加的妇女在多大程度上认识到 艾滋病和怀孕之间的关系，也没有 任何系统研究的影响，知道一个是在增加 艾滋病毒感染对近期和未来生育率的影响 行为。 本研究的目的是开始填补这一 差距，我们的理解通过调查：如何认识，或 艾滋病毒感染影响生育相关行为的风险 孕妇和产后妇女， 艾滋病毒感染风险（城市、经济弱势群体） 妇女）;以及在怀孕期间被告知 与生育有关的行为增加了感染艾滋病毒的风险 在这些女人中。 将对一组孕妇进行前瞻性研究， 在约翰霍普金斯医院接受产科护理的妇女 诊所 235名女性被认为 基于筛查问卷的艾滋病毒感染风险将 产前采访 其中113人将是拒绝 血液检测，101人检测血清阴性，21人检测 血清反应阳性 此外，231名风险较低的妇女也将被 产前采访 所有妇女将在12个月时接受采访 产后 访谈的框架借鉴了风险社会心理工作 在不确定的条件下进行决策。 研究结果将描述：什么是弱势少数群体 孕妇了解艾滋病、艾滋病毒感染、艾滋病毒 测试及其与怀孕和性行为的关系; 这些女性与生育有关的行为， 关注避孕措施、怀孕计划和计划 家庭规模;以及艾滋病和 了解一个人的风险状况会导致这些变化 与生育有关的行为

Perinatal transmission of HIV infection presents a high risk situation for both the mother and the baby, and often has tragic consequences. Yet, to date, there have been no studies of the extent to which women at increased risk of HIV infection are aware of the relationship between AIDS and pregnancy, nor have there been any systematic studies of the impact of knowing one is at increased risk of HIV infection on immediate and future fertility-related behaviors. The objective of this study is to begin to fill this gap in our understanding by investigating: how awareness of, or risk for, HIV infection affect fertility-related behavior among pregnant and postpartum women who demographically are at increased risk of HIV infection (urban, economically disadvantaged Black women); and the impact of being informed while pregnant that one is at increased risk of HIV infection on fertility-related behavior among these women. A prospective study will be undertaken with a panel of pregnant women receiving care at the Johns Hopkins Hospital obstetrical clinic. Two-hundred thirty-five women who are identified as higher risk for HIV infection based on screening questionnaires will be interviewed prenatally. Of these, 113 will be women who refuse blood testing, 101 who test seronegative, and 21 who test seropostive. In addition, 231 lower risk women will also be interviewed prenatally. All women will be interviewed at 12 months postpartum. The framework for the interviews draws on psychosocial work in risk perceptions and decision-making under conditions of uncertainty. Results of the study will describe: what disadvantaged minority women who are pregnant understand about AIDS, HIV infection, HIV testing and their relationships to pregnancy and sexual behavior; the fertility-related behaviors of these women, with a particular focus on contraceptive practices, plans for pregnancy, and plans for family size; and the extent to which perceptions of AIDS and knowledge of one's risk status results in changes in these fertility-related behaviors.