Haddad Lisa B, Hoagland Alexandra B, Andes Karen L, Samala Bernadette, Feldacker Caryl, Chikaphupha Kingsley, Tweya Hannock, Chiwoko Jane, Kachale Fannie, Jamieson Denise J, Phiri Sam
Assistant Professor, Department of Gynecology and Obstetrics, Emory University School of Medicine, Emory University, Atlanta, GA, USA.
Graduate Student, Hubert Department of Global Health, Emory University, Atlanta, GA, USA.
J Fam Plann Reprod Health Care. 2017 Jul;43(3):210-215. doi: 10.1136/jfprhc-2015-101395. Epub 2016 Jun 16.
The motivation to have a child may be complex with numerous influencing factors, particularly among individuals living with HIV. This study sought to understand factors influencing fertility decision-making for HIV-infected men and women in Lilongwe, Malawi.
Thirteen focus groups were conducted among HIV-infected individuals enrolled in antiretroviral treatment services.
Participants identified a hierarchy of influences in fertility decisions including the importance of childbearing, patriarchal influence, family influences and concern regarding HIV transmission.
Addressing fertility conversations beyond the confines of a relationship may be important, as family plays a significant role in fertility choices. Childbearing remains a fundamental desire among many individuals with HIV; however, concerns regarding transmission risk need to be addressed with efforts made to overcome misconception and assist individuals in balancing what may be competing influences.
生育动机可能很复杂，有众多影响因素，尤其是在感染艾滋病毒的人群中。本研究旨在了解影响马拉维利隆圭艾滋病毒感染男性和女性生育决策的因素。
对参加抗逆转录病毒治疗服务的艾滋病毒感染者进行了13次焦点小组讨论。
参与者确定了生育决策中的一系列影响因素，包括生育的重要性、父权影响、家庭影响以及对艾滋病毒传播的担忧。
在关系范围之外进行生育相关的对话可能很重要，因为家庭在生育选择中起着重要作用。生育仍然是许多艾滋病毒感染者的基本愿望；然而，需要通过努力克服误解并帮助个人平衡可能相互冲突的影响因素来解决对传播风险的担忧。
