The Intersection Between Women’s Reproductive Desires and HIV Care Providers’ Reproductive Health Practices

A Mixed Methods Analysis

Amanda E. Tanner, Brittany D. Chambers, Morgan M. Philbin, Samuella Ware, Nneze Eluka, Alice Ma, Elizabeth N. Kinnard, J. Fortenberry

Research output: Contribution to journalArticle

Abstract

Background HIV-positive women in the United States can have healthy pregnancies and avoid transmitting HIV to their children. Yet, little is known about the extent to which HIV care providers’ reproductive health practices match women’s pregnancy desires. Accordingly, we explored young HIV-positive women’s pregnancy desires and reproductive health behaviors and examined reproductive health information offered by HIV care clinics. Methods A mixed-method analysis was conducted using data from a 14-site Adolescent Medicine Trials Network (ATN) study. We conducted descriptive statistics on data from 25 HIV-positive women (e.g., demographics, pregnancy desires, and sexual- and health-related behaviors). Qualitative interviews with 58 adolescent and adult clinic providers were analyzed using the constant comparative method. Results About half of the women reported using reproductive health care services (i.e., contraception and pregnancy tests) (n = 12) and wanted a future pregnancy (n = 13). Among women who did not desire a future pregnancy (n = 5), three used dual methods and two used condoms at last sexual encounter. Qualitative themes related to clinics’ approaches to reproductive health (e.g., “the emphasis…is to encourage use of contraceptives”) and the complexity of merging HIV and reproductive care (e.g., “We [adolescent clinic] transition pregnant moms from our care back and forth to adult care”). Discussion Despite regular HIV-related medical appointments, HIV-positive women may have unaddressed reproductive health needs (e.g., pregnancy desire with providers focused on contraceptive use). Findings from this study suggest that increased support for young HIV-positive women’s reproductive health is needed, including supporting pregnancy desires (to choose when, how, and if, to have children).

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalMaternal and Child Health Journal
DOIs
StateAccepted/In press - Jul 14 2018

Fingerprint

Reproductive Health
HIV
Pregnancy
Contraceptive Agents
Reproductive Health Services
Adolescent Medicine
Pregnancy Tests
Reproductive Behavior
Health Behavior
Condoms
Women's Health
Contraception
Appointments and Schedules
Demography
Interviews
Delivery of Health Care

Keywords

  • HIV
  • Pregnancy
  • Reproductive health
  • Young women

ASJC Scopus subject areas

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health

Cite this

The Intersection Between Women’s Reproductive Desires and HIV Care Providers’ Reproductive Health Practices : A Mixed Methods Analysis. / Tanner, Amanda E.; Chambers, Brittany D.; Philbin, Morgan M.; Ware, Samuella; Eluka, Nneze; Ma, Alice; Kinnard, Elizabeth N.; Fortenberry, J.

In: Maternal and Child Health Journal, 14.07.2018, p. 1-7.

Research output: Contribution to journalArticle

Tanner, Amanda E. ; Chambers, Brittany D. ; Philbin, Morgan M. ; Ware, Samuella ; Eluka, Nneze ; Ma, Alice ; Kinnard, Elizabeth N. ; Fortenberry, J. / The Intersection Between Women’s Reproductive Desires and HIV Care Providers’ Reproductive Health Practices : A Mixed Methods Analysis. In: Maternal and Child Health Journal. 2018 ; pp. 1-7.
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abstract = "Background HIV-positive women in the United States can have healthy pregnancies and avoid transmitting HIV to their children. Yet, little is known about the extent to which HIV care providers’ reproductive health practices match women’s pregnancy desires. Accordingly, we explored young HIV-positive women’s pregnancy desires and reproductive health behaviors and examined reproductive health information offered by HIV care clinics. Methods A mixed-method analysis was conducted using data from a 14-site Adolescent Medicine Trials Network (ATN) study. We conducted descriptive statistics on data from 25 HIV-positive women (e.g., demographics, pregnancy desires, and sexual- and health-related behaviors). Qualitative interviews with 58 adolescent and adult clinic providers were analyzed using the constant comparative method. Results About half of the women reported using reproductive health care services (i.e., contraception and pregnancy tests) (n = 12) and wanted a future pregnancy (n = 13). Among women who did not desire a future pregnancy (n = 5), three used dual methods and two used condoms at last sexual encounter. Qualitative themes related to clinics’ approaches to reproductive health (e.g., “the emphasis…is to encourage use of contraceptives”) and the complexity of merging HIV and reproductive care (e.g., “We [adolescent clinic] transition pregnant moms from our care back and forth to adult care”). Discussion Despite regular HIV-related medical appointments, HIV-positive women may have unaddressed reproductive health needs (e.g., pregnancy desire with providers focused on contraceptive use). Findings from this study suggest that increased support for young HIV-positive women’s reproductive health is needed, including supporting pregnancy desires (to choose when, how, and if, to have children).",
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