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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.

Authors :
Eastment, McKenna C.
Kinuthia, John
Tapia, Kenneth
Wanje, George
Wilson, Katherine
Kaggiah, Anne
Simoni, Jane M.
Mandaliya, Kishorchandra
Poole, Danielle N.
Richardson, Barbra A.
Jaoko, Walter
John-Stewart, Grace
McClelland, R. Scott
Source :
AIDS & Behavior; Aug2023, Vol. 27 Issue 8, p2803-2814, 12p, 1 Black and White Photograph, 2 Charts
Publication Year :
2023

Abstract

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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10907165
Volume :
27
Issue :
8
Database :
Complementary Index
Journal :
AIDS & Behavior
Publication Type :
Academic Journal
Accession number :
164874405
Full Text :
https://doi.org/10.1007/s10461-023-04004-4