Fertility Desire and Associations with Condomless Sex, Antiretroviral Adherence, and Transmission Potential in a Cohort of Kenyan Women Living with HIV in Sero-discordant Relationships: A Mixed Methods Study
| العنوان: | Fertility Desire and Associations with Condomless Sex, Antiretroviral Adherence, and Transmission Potential in a Cohort of Kenyan Women Living with HIV in Sero-discordant Relationships: A Mixed Methods Study |
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| المؤلفون: | McKenna C. Eastment, John Kinuthia, Kenneth Tapia, George Wanje, Katherine Wilson, Anne Kaggiah, Jane M. Simoni, Kishorchandra Mandaliya, Danielle N. Poole, Barbra A. Richardson, Walter Jaoko, Grace John-Stewart, R. Scott McClelland |
| المصدر: | AIDS and Behavior. |
| بيانات النشر: | Springer Science and Business Media LLC, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Infectious Diseases, Social Psychology, Public Health, Environmental and Occupational Health |
| الوصف: | For women living with HIV (WLH) in serodiscordant partnerships, decisions about childbearing can challenge condom use and antiretroviral adherence. In a prospective cohort of 148 WLH in serodiscordant partnerships, 58 (39%) wanted more children in the future but were not currently trying to conceive (fertility desire), and 32 (22%) were currently trying to become pregnant (fertility intent). Detection of prostate specific antigen (PSA) in vaginal secretions, a marker for recent condomless sex, was lowest in women with fertility desire and highest in women with fertility intent. Detectable viral load followed a similar pattern. Risk of HIV transmission, when condomless sex and PSA detection occurred concurrently, was three to fourfold higher at visits with fertility intent compared to visits with fertility desire. Qualitative interviews underscored the importance women place on childbearing and suggested that they had limited information about the role of antiretroviral therapy in reducing sexual HIV transmission. |
| تدمد: | 1573-3254 1090-7165 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::52006d2a51717a7b1109c45f83a6ac75 https://doi.org/10.1007/s10461-023-04004-4 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........52006d2a51717a7b1109c45f83a6ac75 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 15733254 10907165 |
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