Weber Shannon, Zakaras Jennifer M, Hilliard Starr, Cohan Deborah, Dworkin Shari L
J Assoc Nurses AIDS Care. 2017 Jan-Feb;28(1):118-129. doi: 10.1016/j.jana.2016.10.004. Epub 2016 Oct 28.
To our knowledge, no study in the United States has qualitatively examined fertility desires, experiences communicating with health care providers about sexual and reproductive health, and attitudes toward reproductive counseling and services in men living with HIV (MLWH) who have sex with women. We conducted focus groups and interviews with MLWH (N = 17) who have sex with women seeking HIV care in San Francisco. The men conveyed limited awareness of safer conception strategies. While many men expressed the desire to have a child, most reported that their providers had not discussed reproduction with them. Participants highlighted the lack of HIV services for men who have sex with women and the need for improved reproductive counseling. We make recommendations for providers who work with MLWH who have sex with women and for patient-centered materials on safer conception, sexual HIV transmission risk reduction, and family planning strategies.
据我们所知，美国尚无研究对与女性发生性行为的感染艾滋病毒男性（MLWH）的生育愿望、就性与生殖健康问题与医疗服务提供者沟通的经历以及对生殖咨询和服务的态度进行定性研究。我们对在旧金山寻求艾滋病毒治疗且与女性发生性行为的MLWH（N = 17）进行了焦点小组访谈。这些男性对更安全的受孕策略了解有限。虽然许多男性表示希望生育子女，但大多数人称他们的医疗服务提供者未与他们讨论过生育问题。参与者强调了针对与女性发生性行为男性的艾滋病毒服务不足，以及改善生殖咨询的必要性。我们为与与女性发生性行为的MLWH合作的医疗服务提供者以及关于更安全受孕、降低艾滋病毒性传播风险和计划生育策略的以患者为中心的材料提出了建议。
