Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
AIDS Behav. 2012 Jan;16(1):99-107. doi: 10.1007/s10461-011-9906-1.
Despite long term access to highly active antiretroviral therapy in Brazil and the US, little is known about women's communication with their HIV provider regarding childbearing or the unmet need for reproductive counseling. We utilized identical survey questions to collect data from HIV-infected women of reproductive age in Rio de Janeiro (n = 180) and Baltimore (n = 181). We conducted univariate analyses to compare findings between samples of women and multivariate logistic regression to determine factors associated with childbearing desires, childbearing intentions, and provider communication among the combined sample of women (n = 361). Over one-third of women in Rio de Janeiro and nearly one-half of women in Baltimore reported the desire for future childbearing. Nevertheless, the majority of women in clinical care had not discussed future childbearing with their HIV provider. Even in countries with an advanced approach to HIV care, we found low and inadequate communication between providers and female patients about childbearing.
尽管巴西和美国长期以来都可以获得高效抗逆转录病毒治疗，但对于女性与 HIV 提供者就生育问题进行沟通的情况，以及生殖咨询的未满足需求，人们知之甚少。我们使用相同的调查问卷，从里约热内卢（n=180）和巴尔的摩（n=181）的育龄期 HIV 感染女性中收集数据。我们进行了单变量分析，以比较两组女性的发现，然后进行多变量逻辑回归，以确定与生育愿望、生育意愿以及 361 名女性综合样本中与提供者沟通相关的因素。里约热内卢的三分之一以上的女性和巴尔的摩近一半的女性报告有未来生育的愿望。然而，大多数在临床护理中的女性还没有与她们的 HIV 提供者讨论未来生育问题。即使在 HIV 护理方法先进的国家，我们也发现提供者和女性患者之间在生育问题上的沟通很少且不充分。
