title: Future desire for children among women living with HIV in Atlanta, Georgia.
abstract: Little is known regarding family planning desires among women living with HIV in the United States. This study aimed to identify factors influencing desire for children in the future among HIV-infected women in Atlanta, Georgia. HIV-infected women ages 18-45 completed an ACASI (audio computer-assisted self-interview) questionnaire. Chi-square, t-tests, and multivariate logistic regression evaluated factors associated with desire for future children. Of 181 participants, 62 (34.3%) expressed desire for children in the future, with increased desire among younger women (age <26) and those with seronegative partners. Concerns for horizontal and vertical HIV transmission were deterrents to future childbearing. Condom use and overall knowledge of transmission risk was low. Over a third of women desiring a child never discussed their desire with a physician. Misinformation regarding HIV transmission risks persists and is a notable concern influencing desire for children. Providers should reassess family planning desires regularly through integrated HIV care.
authors.affiliation: a Department of Gynecology and Obstetrics , Emory University School of Medicine , Atlanta , GA , USA.
authors.forename: Lisa B
authors.initials: LB
authors.lastname: Haddad
authors.affiliation: b Emory School of Medicine , Atlanta , GA , USA.
authors.forename: Leah Kathleen
authors.initials: LK
authors.lastname: Machen
authors.affiliation: a Department of Gynecology and Obstetrics , Emory University School of Medicine , Atlanta , GA , USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Cordes
authors.affiliation: c Department of Epidemiology, Rollins School of Public Health , Emory University , Atlanta , GA , USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Huylebroeck
authors.affiliation: d Emory University School of Nursing , Atlanta , GA , USA.
authors.forename: Augustina
authors.initials: A
authors.lastname: Delaney
authors.affiliation: e Department of Medicine, Infectious Disease Division and Grady Health Care System , Emory University School of Medicine , Atlanta , GA , USA.
authors.forename: Igho
authors.initials: I
authors.lastname: Ofotokun
authors.affiliation: e Department of Medicine, Infectious Disease Division and Grady Health Care System , Emory University School of Medicine , Atlanta , GA , USA.
authors.forename: Minh Ly
authors.initials: ML
authors.lastname: Nguyen
authors.affiliation: a Department of Gynecology and Obstetrics , Emory University School of Medicine , Atlanta , GA , USA.
authors.forename: Denise J
authors.initials: DJ
authors.lastname: Jamieson
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005193:Family Planning Services; D005260:Female; D005298:Fertility; D005845:Georgia; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D033182:Intention; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012098:Reproduction; D012747:Sexual Partners / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: AIDS; Atlanta; HIV; contraception; family planning; fertility desire; reproduction