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

杂志文章
  • A project to improve the quality of abortion services in Moldova.

    abstract::Abortion has been available legally in Moldova since 1955, and since then the abortion rate has gradually declined. The quality of abortion care remains low, however, and there is a high level of maternal mortality related to unsafe abortion. The goals of the 2005-2015 National Reproductive Health Strategy are to redu...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(05)26206-7

    authors: Comendant R

    更新日期:2005-11-01 00:00:00

  • Increasing access to safe menstrual regulation services in Bangladesh by offering medical menstrual regulation.

    abstract::In spite of wide availability of menstrual regulation services, women often resort to a variety of medicines for inducing abortion. The Bangladeshi Government is now supporting attempts to investigate the introduction of medical menstrual regulation in the public sector. This study examined the acceptability of medica...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(14)43795-9

    authors: Yasmin R,Rob U,Hena IA,Das TR,Ahmed FU

    更新日期:2015-02-01 00:00:00

  • HIV treatment and reproductive health in the health system in Burkina Faso: resource allocation and the need for integration.

    abstract::Organizational changes, increased funding and the demands of HIV antiretroviral (ARV) treatment create particular challenges for governance in the health sector. We assess resource allocation, policy making and integration of the national responses to ARV provision and reproductive health in Burkina Faso, using nation...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(11)38587-4

    authors: Windisch R,de Savigny D,Onadja G,Somda A,Wyss K,Sié A,Kouyaté B

    更新日期:2011-11-01 00:00:00

  • Abortion in democratic Spain: the parliamentary political agenda 1979-2004.

    abstract::Since Spain's transition to democracy, abortion has been a public policy issue both inside and outside parliament. This paper describes the history of abortion law reform in Spain from 1979 to 2004 and analyses the discourse on abortion of members of the Spanish parliament by sex and political allegiance. The analysis...

    journal_title:Reproductive health matters

    pub_type: 历史文章,杂志文章

    doi:10.1016/S0968-8080(07)29295-X

    authors: Cambronero-Saiz B,Ruiz Cantero MT,Vives-Cases C,Carrasco Portiño M

    更新日期:2007-05-01 00:00:00

  • Reasons for second trimester abortions in England and Wales.

    abstract::This paper summarises the findings of a study on second trimester abortion in England and Wales in 2005. Second trimester abortions constitute a relatively small proportion of the total number of legal abortions performed in these countries yet attract quite substantial public, and particularly media, attention. Discu...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)31375-5

    authors: Ingham R,Lee E,Clements SJ,Stone N

    更新日期:2008-05-01 00:00:00

  • Implications of the Federal Abortion Ban for Women's Health in the United States.

    abstract::In 2007, the US Supreme Court upheld the Partial Birth Abortion Ban Act of 2003, also known as the Federal Abortion Ban or "the Ban." The decision undermines decades of established US abortion law that had recognised the preservation of the health of women as a paramount consideration. The Ban asserts that the state's...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)31374-3

    authors: Weitz TA,Yanow S

    更新日期:2008-05-01 00:00:00

  • From unwanted pregnancy to safe abortion: Sharing information about abortion in Asia through animation.

    abstract::Although unsafe abortion continues to be a leading cause of maternal mortality in many countries in Asia, the right to safe abortion remains highly stigmatized across the region. The Asia Safe Abortion Partnership, a regional network advocating for safe abortion, produced an animated short film entitled From Unwanted ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2015.06.013

    authors: Krishnan S,Dalvie S

    更新日期:2015-05-01 00:00:00

  • Sex workers in Kenya, numbers of clients and associated risks: an exploratory survey.

    abstract::In Kenya in 1999, an estimated 6.9% of women nationally said they had exchanged sex for money, gifts or favours in the previous year. In 2000 and 2001, in collaboration with sex workers who had formed a network of self-help groups, we conducted an exploratory survey among 475 sex workers in four rural towns and three ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)23125-1

    authors: Elmore-Meegan M,Conroy RM,Agala CB

    更新日期:2004-05-01 00:00:00

  • Stakeholder perceptions of a total market approach to family planning in Viet Nam.

    abstract::Viet Nam has high modern contraceptive prevalence (68%), with most services received through the public sector. As the country transitions to middle-income status, Viet Nam's donors have ceased donations of contraceptive supplies, causing a large projected shortfall in the family planning budget. In response, the Mini...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(10)36529-3

    authors: Drake JK,Thi Thanh LH,Suraratdecha C,Thi Thu HP,Vail JG

    更新日期:2010-11-01 00:00:00

  • Ten reasons to oppose the criminalization of HIV exposure or transmission.

    abstract::Recent years have seen a push to apply criminal law to HIV exposure and transmission, often driven by the wish to respond to concerns about the ongoing rapid spread of HIV in many countries. Particularly in Africa, some groups have begun to advocate for criminalization in response to the serious phenomenon of women be...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(09)34462-6

    authors: Jürgens R,Cohen J,Cameron E,Burris S,Clayton M,Elliott R,Pearshouse R,Gathumbi A,Cupido D

    更新日期:2009-11-01 00:00:00

  • Meeting the sexual and reproductive health needs of people living with HIV: challenges for health care providers.

    abstract::A trained health service workforce is critical to ensuring good quality service delivery to people with HIV. There is only limited documented information on the challenges and constraints facing health care providers in meeting the sexual and reproductive health needs of HIV positive women and men. This paper reviews ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章,评审

    doi:10.1016/S0968-8080(07)29030-5

    authors: Bharat S,Mahendra VS

    更新日期:2007-05-01 00:00:00

  • "Sexuality? A million things come to mind": reflections on gender and sexuality by Chilean adolescents.

    abstract::Although Chile is a traditionally conservative country, considerable legal advances in sexual and reproductive rights over the past decade have brought discourses on sexuality into mainstream political, social and media agendas. In light of these changes it is important to explore how adolescents conceptualize sexuali...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2015.11.003

    authors: Macintyre AK,Montero Vega AR,Sagbakken M

    更新日期:2015-11-01 00:00:00

  • Misoprostol preferable to ethacridine lactate for abortions at 13-20 weeks of pregnancy: Cuban experience.

    abstract::Outdated second trimester abortion methods are still being used in some countries, and very few studies have compared them to currently recommended methods. To this end, we studied the efficacy and safety of vaginal misoprostol used alone for abortions in 189 women at 13-20 weeks gestation, in 2004-2006. We also retro...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)31392-5

    authors: Boza AV,de León RG,Castillo LS,Mariño DR,Mitchell EM

    更新日期:2008-05-01 00:00:00

  • Community-based survey on female genital excision in Faranah District, Guinea.

    abstract::This paper reports on a community-based study in 1999 of the beliefs and practices of people in Faranah District, Guinea regarding female genital excision (FGE). Semi-structured individual interviews and focus group discussions were carried out with women of reproductive age, older women, married men, community and re...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(01)90100-4

    authors: Keita D,Blankhart D

    更新日期:2001-11-01 00:00:00

  • Implementation of emergency obstetric care training in Bangladesh: lessons learned.

    abstract::The Women's Right to Life and Health project aimed to reduce maternal morbidity and mortality in Bangladesh through provision of comprehensive emergency obstetric care (EmOC) in the country's district and sub-district hospitals. Human resources development was one of the project's major activities. This paper describe...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(06)27229-X

    authors: Islam MT,Haque YA,Waxman R,Bhuiyan AB

    更新日期:2006-05-01 00:00:00

  • Sexual and reproductive health and rights in the United Kingdom at ICPD+10.

    abstract::At the mid-point of the Programme of Action of the 1994 International Conference on Population and Development, we reviewed the situation in the UK in key areas. In recent years, greater attention has been paid to sexual health at a national policy level, including strategies on teenage pregnancy and sexual health, bu...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(05)25182-0

    authors: Davey C

    更新日期:2005-05-01 00:00:00

  • Obstetric violence: a new framework for identifying challenges to maternal healthcare in Argentina.

    abstract::Argentina has recognized women's right to not be subjected to obstetric violence, the violence exercised by health personnel on the body and reproductive processes of pregnant women, as expressed through dehumanizing treatment, medicalization abuse, and the conversion of natural processes of reproduction into patholog...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/j.rhm.2016.05.001

    authors: Vacaflor CH

    更新日期:2016-05-01 00:00:00

  • A, B and C in Uganda: the roles of abstinence, monogamy and condom use in HIV decline.

    abstract::Uganda is often cited as a role model in the fight against HIV/AIDS because of its success in reducing both prevalence and incidence of HIV infection since the late 1980s. Although an increase in sexual abstinence has been highlighted as a primary cause of the declines, large increases have also been recorded in monog...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(04)23118-4

    authors: Singh S,Darroch JE,Bankole A

    更新日期:2004-05-01 00:00:00

  • Between intent and achievement in sector-wide approaches: staking a claim for reproductive health.

    abstract::Since 1995, sector-wide approaches (SWAps) to health development have significantly influenced health aid to developing countries. SWAps offer guidelines for new partnerships with international donors led by government, new relationships between donors and shared financing, development and implementation of agreed pac...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(02)00082-4

    authors: Hill PS

    更新日期:2002-11-01 00:00:00

  • Unsafe abortion and abortion care in Khartoum, Sudan.

    abstract::Unsafe abortion in Sudan results in significant morbidity and mortality. This study of treatment for complications of unsafe abortion in five hospitals in Khartoum, Sudan, included a review of hospital records and a survey of 726 patients seeking abortion-related care from 27 October 2007 to 31 January 2008, an interv...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(09)34476-6

    authors: Kinaro J,Ali TE,Schlangen R,Mack J

    更新日期:2009-11-01 00:00:00

  • Sex, life and the female condom: some views of HIV positive women.

    abstract::This article offers some insights into the experiences of HIV positive women with the female condom, drawing on my own personal experience and responses of 18 members of the International Community of Women Living with HIV/AIDS to an e-mail survey conducted in 2005. Major barriers reported to female condom use were co...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(06)28267-3

    authors: Welbourn A

    更新日期:2006-11-01 00:00:00

  • Conflict and development: challenges in responding to sexual and reproductive health needs in Timor-Leste.

    abstract::In April and May 2006, internal conflict in Timor-Leste led to the displacement of approximately 150,000 people, around 15% of the population. The violence was most intense in Dili, the capital, where many residents were displaced into camps in the city or to the districts. Research utilising in-depth qualitative inte...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(08)31355-X

    authors: Wayte K,Zwi AB,Belton S,Martins J,Martins N,Whelan A,Kelly PM

    更新日期:2008-05-01 00:00:00

  • Targeting access to reproductive health: giving contraception more prominence and using indicators to monitor progress.

    abstract::Unmet need for contraception represents a major failure in the provision of reproductive health services and reflects the extent of access to services for spacing and limiting births, which are also affected by personal, partner, community and health system factors. In the context of the Millennium Development Goals, ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(07)29284-5

    authors: Bernstein S,Edouard L

    更新日期:2007-05-01 00:00:00

  • The Global Commission on HIV and the Law: recommendations for legal reform to promote sexual and reproductive health and rights.

    abstract::The Global Commission on HIV and the Law was established in 2010 to identify and analyse the complex framework of international, national, religious and customary law shaping national responses to HIV and the well-being of people living with HIV and key populations. Two years of deliberation, based on an exhaustive re...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(14)44807-9

    authors: El Feki S,Avafia T,Fidalgo TM,Divan V,Chauvel C,Dhaliwal M,Cortez C

    更新日期:2014-11-01 00:00:00

  • Clear and compelling evidence: the Polish tribunal on abortion rights.

    abstract::On 25 July 2001 the Polish Federation for Women and Family Planning organised a Tribunal on Abortion Rights in Warsaw, to publicize the negative consequences of the criminalization of abortion in Poland. A panel of Polish and foreign experts heard the testimonials of seven Polish women's experiences under the 1993 "An...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(02)00023-x

    authors: Girard F,Nowicka W

    更新日期:2002-05-01 00:00:00

  • Providing family planning services to remote communities in areas of high biodiversity through a Population-Health-Environment programme in Madagascar.

    abstract::Population-Health-Environment (PHE) is an interdisciplinary model of programme design which recognises the complex interconnections between people, their health and their environment. PHE responds holistically to the challenges faced by ecosystems and the communities dependent on them, with thematically distinct but i...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(14)43766-2

    authors: Mohan V,Shellard T

    更新日期:2014-05-01 00:00:00

  • Misclassified maternal deaths among East African immigrants in Sweden.

    abstract::Western countries have reported an increased risk of maternal mortality among African immigrants. This study aimed to identify cases of maternal mortality among immigrants from the Horn of Africa living in Sweden using snowball sampling, and verify whether they had been classified as maternal deaths in the Cause of De...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/S0968-8080(07)30322-4

    authors: Elebro K,Rööst M,Moussa K,Johnsdotter S,Essén B

    更新日期:2007-11-01 00:00:00

  • Let's talk about sex work in humanitarian settings: piloting a rights-based approach to working with refugee women selling sex in Kampala.

    abstract::Although it is well known that refugees engage in sex work as a form of livelihood, stigma and silence around this issue persist within humanitarian circles. As a result, these refugees' sexual and reproductive health and rights, and related vulnerabilities, remain overlooked. Their protection and health needs, which ...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1405674

    authors: Rosenberg JS,Bakomeza D

    更新日期:2017-11-01 00:00:00

  • Female genital mutilation as sexual disability: perceptions of women and their spouses in Akure, Ondo State, Nigeria.

    abstract::Disability encompasses the limitations on an individual's basic physical activities, and the consequent social oppressions such individual faces in society. In this regard, the limitation on the use of some parts of the genitals in a patriarchal system is considered a form of disability. This paper describes the perce...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1080/09688080.2017.1331685

    authors: Owojuyigbe M,Bolorunduro ME,Busari D

    更新日期:2017-05-01 00:00:00

  • Why withdrawal? Why not withdrawal? Men's perspectives.

    abstract::Withdrawal is an ancient and prevalent form of male contraception which has largely been ignored by family planning programme managers all over the world. The objective of this study was to understand men's perspectives on withdrawal use, both users and non-users. In-depth interviews with 62 male factory workers in we...

    journal_title:Reproductive health matters

    pub_type: 杂志文章

    doi:10.1016/s0968-8080(05)25175-3

    authors: Ortayli N,Bulut A,Ozugurlu M,Cokar M

    更新日期:2005-05-01 00:00:00