Saleem Haneefa T, Surkan Pamela J, Kerrigan Deanna, Kennedy Caitlin E
a Department of International Health , Johns Hopkins University , Baltimore , USA.
b Department of Sociology , American University , Washington , USA.
AIDS Care. 2019 Jul;31(7):908-911. doi: 10.1080/09540121.2019.1576844. Epub 2019 Feb 3.
As safer conception services are expanded and integrated into HIV care systems, these services will need to address cultural, social, economic and medical concerns of women and men living with HIV. We conducted interviews with 30 HIV-positive women, 30 HIV-positive men, and 30 healthcare providers that examined factors specific to the experience of living with HIV that influence fertility desires in Iringa, Tanzania. HIV-related factors fell under five themes: knowing one could prevent mother-to-child transmission; reaching an ideal family size in the context of HIV-related infant mortality; concealing one's HIV status; being able to provide for children; and managing HIV disease progression. Integration of safer conception counseling that includes locally-tailored messaging around desired family size, health risks, stigma and financial considerations into safer conception services will help people living with HIV reach their reproductive goals, while reducing the risks of HIV transmission.
随着更安全的受孕服务得到扩展并融入艾滋病病毒护理体系，这些服务将需要解决感染艾滋病病毒的女性和男性在文化、社会、经济和医疗方面的问题。我们对30名艾滋病病毒呈阳性的女性、30名艾滋病病毒呈阳性的男性以及30名医疗服务提供者进行了访谈，调查了坦桑尼亚伊林加地区感染艾滋病病毒经历中影响生育意愿的特定因素。与艾滋病病毒相关的因素分为五个主题：知道自己可以预防母婴传播；在艾滋病病毒相关婴儿死亡率的背景下达到理想的家庭规模；隐瞒自己的艾滋病病毒感染状况；有能力抚养孩子；以及控制艾滋病病情进展。将更安全的受孕咨询（包括围绕理想家庭规模、健康风险、耻辱感和经济考虑等进行本地定制的信息）融入更安全的受孕服务，将有助于感染艾滋病病毒的人实现其生殖目标，同时降低艾滋病病毒传播的风险。
