MRU (MatCH Research Unit), Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Durban, South Africa.
Harvard Medical School, Boston, MA, USA.
AIDS Behav. 2022 Jan;26(1):1-12. doi: 10.1007/s10461-021-03278-w. Epub 2021 Jun 7.
Men living with HIV (MLWH) often have reproductive goals that can increase HIV-transmission risks to their pregnancy partners. We developed a safer conception intervention for MLWH in South Africa employing cognitive behavioral skills to promote serostatus disclosure, ART uptake, and viral suppression. MLWH were recruited from an HIV clinic near Durban, South Africa, and encouraged to include partners in follow-up visits. Exit in-depth interviews were conducted with eleven men and one female partner. The emerging over-arching theme is that safer conception care mitigates internalized and community-level HIV-stigma among MLWH. Additional related sub-themes include: (1) safer conception care acceptability is high but structural barriers challenge participation; (2) communication skills trainings helped overcome barriers to disclose serostatus; (3) feasibility and perceived effectiveness of strategies informed safer conception method selection. Our findings suggest that offering safer conception care to MLWH is a novel stigma-reducing strategy for motivating HIV prevention and treatment and serostatus disclosure to partners.
与 HIV 共存的男性（MLWH）通常有生育目标，这可能会增加他们的怀孕伴侣感染 HIV 的风险。我们在南非为 MLWH 开发了一种更安全的受孕干预措施，采用认知行为技能来促进 HIV 检测结果披露、ART 治疗的采用和病毒抑制。MLWH 是从南非德班附近的一家 HIV 诊所招募的，并鼓励他们让伴侣参加后续就诊。对 11 名男性和 1 名女性伴侣进行了深入的退出访谈。出现的首要主题是，更安全的受孕护理减轻了 MLWH 内化和社区层面的 HIV 耻辱感。其他相关的子主题包括：（1）更安全的受孕护理的可接受性很高，但结构性障碍挑战了参与；（2）沟通技巧培训有助于克服披露 HIV 状况的障碍；（3）告知更安全的受孕方法选择的策略的可行性和感知效果。我们的研究结果表明，为 MLWH 提供更安全的受孕护理是一种新颖的减少耻辱感的策略，可用于激励 HIV 预防和治疗以及伴侣的 HIV 检测结果披露。
