Correlates of Use of Timed Unprotected Intercourse to Reduce Horizontal Transmission Among Ugandan HIV Clients with Fertility Intentions.
Document Type
Article
Publication Date
6-2015
Identifier
DOI: 10.1007/s10461-014-0906-9; PMCID: PMC4385507
Abstract
We examined the correlates of use of safer conception methods (SCM) in a sample of 400 Ugandan HIV clients (75 % female; 61 % on antiretroviral therapy; 61 % with HIV-negative or unknown status partners) in heterosexual relationships with fertility intentions. SCM assessed included timed unprotected intercourse, manual self-insemination, sperm washing, and pre-exposure prophylaxis (PrEP). In the 6 months prior to baseline, 47 (12 %) reported using timed unprotected intercourse to reduce risk of HIV infection (or re-infection), none had used manual self-insemination or sperm washing, and two had used PrEP. In multiple regression analysis, correlates of use of timed unprotected intercourse included greater perceptions of partner's willingness to use SCM and providers' stigma of childbearing among people living with HIV, higher SCM knowledge, and desire for a child within the next 6 months. These findings highlight the need for policy and provider training regarding integration of couples' safer conception counselling into HIV care.
Journal Title
AIDS and behavior
Volume
19
Issue
6
First Page
1078
Last Page
1088
MeSH Keywords
African Continental Ancestry Group; Anti-HIV Agents; Disease Transmission, Infectious; Family Characteristics; Female; Fertility; Fertilization; HIV Infections; Health Knowledge, Attitudes, Practice; Humans; Intention; Male; Pre-Exposure Prophylaxis; Pregnancy; Pregnancy Complications, Infectious; Self Efficacy; Sexual Partners; Uganda; Unsafe Sex
Keywords
African Continental Ancestry Group; Anti-HIV Agents; Disease Transmission, Infectious; Family Characteristics; Female; Fertility; Fertilization; HIV Infections; Health Knowledge, Attitudes, Practice; Humans; Intention; Male; Pre-Exposure Prophylaxis; Pregnancy; Pregnancy Complications, Infectious; Self Efficacy; Sexual Partners; Uganda; Unsafe Sex
Recommended Citation
Wagner, G. J., Goggin, K., Mindry, D., Beyeza-Kashesya, J., Finocchario-Kessler, S., Woldetsadik, M., Khanakwa, S., Wanyenze, R. K. Correlates of Use of Timed Unprotected Intercourse to Reduce Horizontal Transmission Among Ugandan HIV Clients with Fertility Intentions. AIDS and behavior 19, 1078-1088 (2015).
COinS
Comments
Grant support