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 Mattersjournal_title
Reproductive health mattersauthors
Crankshaw TL,Matthews LT,Giddy J,Kaida A,Ware NC,Smit JA,Bangsberg DRdoi
10.1016/S0968-8080(12)39639-0subject
Has Abstractpub_date
2012-12-01 00:00:00pages
50-60issue
39 Suppleissn
0968-8080issn
1460-9576pii
S0968-8080(12)39639-0journal_volume
20pub_type
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