• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of jnmaLink to Publisher's site
J Natl Med Assoc. Dec 2005; 97(12): 1672–1681.
PMCID: PMC2640756

Fertility desires and intentions of HIV-positive patients at a suburban specialist center.

Abstract

OBJECTIVES: To determine the extent of fertility desires and intentions of HIV-positive patients receiving care at a suburban specialist clinic and assess how these may vary by their sociodemographic and health-related factors. METHODS: Questionnaire-based interview of a consecutive sample of HIV-positive men (18-55 years) and HIV-positive women (18-45 years) who presented at the HIV clinic of the Center for Special Studies, Sagamu, Nigeria, between November and December 2004. RESULTS: 63.3% of the 147 studied participants expressed the desire for childbearing, even though 50.4% of them already had > or = 2 children. Respectively, 71.5% and 93.8% of men and women who desired children intended to have > or = 2 in the near future. Only 4.3% of those who desired children did not intend to have any. All 30 individuals who had no children intended to bear children in the future, and they constituted 32.3% of those who expressed the desire for childbearing. Multivariate logistic regression analyses of associated factors indicated that decreasing age, shorter time since diagnosis of HIV infection and nondisclosure of serostatus to current partner significantly increase the odds of desire for childbearing, while having no children and a poor most-recent CD4 count significantly increase the odds of intention to have > or = 3 children instead of 1-2. CONCLUSION: The extent of the fertility desires and intentions of these patients poses a threat to the preventive strategies against vertical and heterosexual transmission of HIV in this region. In view of their compelling desire for parenthood, it may be wise for caregivers to desist from the conventional systematic advice against pregnancy but, in addition to laying emphasis on the risks, provide adequate information on practicable reproductive options for HIV-positive individuals.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (2.5M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Englert Y, Van Vooren JP, Place I, Liesnard C, Laruelle C, Delbaere A. ART in HIV-infected couples: has the time come for a change of attitude? Hum Reprod. 2001 Jul;16(7):1309–1315. [PubMed]
  • Chen JL, Philips KA, Kanouse DE, Collins RL, Miu A. Fertility desires and intentions of HIV-positive men and women. Fam Plann Perspect. 2001 Jul-Aug;33(4):144–165. [PubMed]
  • Panozzo Laura, Battegay Manuel, Friedl Andree, Vernazza Pietro L. High risk behaviour and fertility desires among heterosexual HIV-positive patients with a serodiscordant partner--two challenging issues. Swiss Med Wkly. 2003 Feb 22;133(7-8):124–127. [PubMed]
  • Ryder RW, Batter VL, Nsuami M, Badi N, Mundele L, Matela B, Utshudi M, Heyward WL. Fertility rates in 238 HIV-1-seropositive women in Zaire followed for 3 years post-partum. AIDS. 1991 Dec;5(12):1521–1527. [PubMed]
  • Allen S, Serufilira A, Gruber V, Kegeles S, Van de Perre P, Carael M, Coates TJ. Pregnancy and contraception use among urban Rwandan women after HIV testing and counseling. Am J Public Health. 1993 May;83(5):705–710. [PMC free article] [PubMed]
  • Miller WB. Childbearing motivations, desires, and intentions: a theoretical framework. Genet Soc Gen Psychol Monogr. 1994 May;120(2):223–258. [PubMed]
  • Akinsete I, Akanmu AS, Okany CC. Spectrum of clinical diseases in HIV-infected adults at the Lagos University Teaching Hospital: a five-year experience [1992-1996]. Afr J Med Med Sci. 1998 Sep-Dec;27(3-4):147–151. [PubMed]
  • Stein MD, Freedberg KA, Sullivan LM, Savetsky J, Levenson SM, Hingson R, Samet JH. Sexual ethics. Disclosure of HIV-positive status to partners. Arch Intern Med. 1998 Feb 9;158(3):253–257. [PubMed]
  • De Cock KM, Fowler MG, Mercier E, de Vincenzi I, Saba J, Hoff E, Alnwick DJ, Rogers M, Shaffer N. Prevention of mother-to-child HIV transmission in resource-poor countries: translating research into policy and practice. JAMA. 2000 Mar 1;283(9):1175–1182. [PubMed]
  • Fiscus Susan A, Adimora Adaora A, Funk Michele L, Schoenbach Victor J, Tristram Deborah, Lim Wilma, McKinney Ross, Rupar David, Woods Charles, Wilfert Catherine. Trends in interventions to reduce perinatal human immunodeficiency virus type 1 transmission in North Carolina. Pediatr Infect Dis J. 2002 Jul;21(7):664–668. [PubMed]
  • Guay LA, Musoke P, Fleming T, Bagenda D, Allen M, Nakabiito C, Sherman J, Bakaki P, Ducar C, Deseyve M, et al. Intrapartum and neonatal single-dose nevirapine compared with zidovudine for prevention of mother-to-child transmission of HIV-1 in Kampala, Uganda: HIVNET 012 randomised trial. Lancet. 1999 Sep 4;354(9181):795–802. [PubMed]
  • Jackson J Brooks, Musoke Philippa, Fleming Thomas, Guay Laura A, Bagenda Danstan, Allen Melissa, Nakabiito Clemensia, Sherman Joseph, Bakaki Paul, Owor Maxensia, et al. Intrapartum and neonatal single-dose nevirapine compared with zidovudine for prevention of mother-to-child transmission of HIV-1 in Kampala, Uganda: 18-month follow-up of the HIVNET 012 randomised trial. Lancet. 2003 Sep 13;362(9387):859–868. [PubMed]
  • Morris L, Pillay C, Gray G, McIntyre J. HIV-1 drug resistance and mother-to-child transmission. SADJ. 2001 Dec;56(12):614–616. [PubMed]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...