Department of Psychiatry and Behavioral Sciences, 5452University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Psychology, University of Georgia, Athens, GA, USA.
Int J STD AIDS. 2021 Jul;32(8):740-750. doi: 10.1177/0956462420987447. Epub 2021 Mar 26.
Understanding the fertility intentions of people living with HIV can guide safer conception planning and prevention of mother-to-child transmission (PMTCT). Most research has addressed fertility intentions among women, rather than couples, at a single time point. This clinical trial of a PMTCT intervention in rural Mpumalanga province, South Africa, examined longitudinal fertility intentions among perinatal women living with HIV and their male partners. Study assessments and intervention and control sessions were conducted prenatally and postpartum. Longitudinal predictors of participants' ( = 360 men, = 917 women) fertility intentions were similar between sexes. Younger age and male involvement in perinatal care were associated with reporting fertility intentions at both baseline and 12 months postpartum. Having an HIV-positive infant and discussing pregnancy plans with a healthcare provider by 12 months postpartum were associated with incident fertility intentions after reporting no plans for further children at baseline. Results highlight the important role of healthcare providers to educate men and women on issues surrounding conception, as well as the potential for incorporating PMTCT and safer conception education into HIV clinical services.
了解 HIV 感染者的生育意愿可以指导更安全的受孕计划和预防母婴传播 (PMTCT)。大多数研究都针对女性在单一时间点的生育意愿，而不是针对夫妇。这项在南非姆普马兰加省农村地区开展的 PMTCT 干预措施的临床试验，调查了 HIV 阳性围产期妇女及其男性伴侣的纵向生育意愿。研究评估和干预以及对照组会议在产前和产后进行。男性和女性参与者的纵向生育意愿预测因素相似。年龄较小和男性参与围产期护理与在基线和产后 12 个月时报告生育意愿相关。在报告没有进一步生育计划的情况下，在产后 12 个月时婴儿 HIV 阳性和与医疗保健提供者讨论怀孕计划与报告生育意愿有关。结果强调了医疗保健提供者在教育男性和女性有关受孕问题方面的重要作用，以及将 PMTCT 和更安全受孕教育纳入 HIV 临床服务的潜力。
