A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples.

Abstract:

:Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmission risk among HIV-serodiscordant couples who seek to conceive. In order to develop effective pharmaco-behavioral programs, it is important to understand and address the contexts surrounding reproductive decision-making; perceived periconception HIV transmission risk; and periconception risk behaviors. We present a conceptual framework to describe the dynamics involved in periconception HIV risk behaviors in a South African setting. We adapt the Information-Motivation-Behavioral Skill Model of HIV Preventative Behavior to address the structural, individual and couple-level determinants of safer conception behavior. The framework is intended to identify factors that influence periconception HIV risk behavior among serodiscordant couples, and therefore to guide design and implementation of integrated and effective HIV, reproductive health and family planning services that support reproductive decision-making.

journal_name

Reprod Health Matters

authors

Crankshaw TL,Matthews LT,Giddy J,Kaida A,Ware NC,Smit JA,Bangsberg DR

doi

10.1016/S0968-8080(12)39639-0

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

50-60

issue

39 Suppl

eissn

0968-8080

issn

1460-9576

pii

S0968-8080(12)39639-0

journal_volume

20

pub_type

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