Abstract：
:Safer conception strategies to reduce the HIV transmission risk include antiretroviral therapy for HIV-positive partners, pre-exposure prophylaxis for HIV-negative partners, condomless sex limited to fertile periods, and home-based self-insemination. Resistance to taking treatment or cultural concerns may limit uptake of strategies and intervention success. Understanding the acceptability and preferences between different approaches is important to optimise service delivery. Between February and July 2013, 42 adults (21 HIV-positive and 21 HIV-negative) receiving primary care at Witkoppen Health and Welfare Centre in Johannesburg, South Africa, participated in focus group discussions or in-depth interviews. Themes were analysed using a grounded theory approach. Acceptability of antiretroviral-based strategies varied. Concerns over side effects, antiretroviral treatment duration and beliefs that treatment is only for the sick were common barriers; however, desperation for a child was noted as a facilitator for uptake. HIV-negative men and HIV-positive women had favourable attitudes towards self-insemination, though paternity and safety concerns were raised. Self-insemination was generally preferred over pre-exposure prophylaxis by HIV-negative men, and antiretroviral-based strategies were preferred by couples with HIV-negative female partners, despite concerns raised about condomless sex while virally suppressed. Knowledge about the fertile window was low. A strong counselling component will be required for effective uptake and adherence to safer conception services.
journal_name
Int J STD AIDSjournal_title
International journal of STD & AIDSauthors
Schwartz SR,West N,Phofa R,Yende N,Sanne I,Bassett J,Van Rie Adoi
10.1177/0956462415604091subject
Has Abstractpub_date
2016-10-01 00:00:00pages
984-92issue
11eissn
0956-4624issn
1758-1052pii
0956462415604091journal_volume
27pub_type
杂志文章abstract：:Progression of lipodystrophy syndrome is a big challenge in HIV treatment. Nowadays, fat loss at the lower part of buttocks has become another problem as patients have started to complain that it is painful to be seated for a long time and/or on hard surfaces. We developed a method for buttock lipoatrophy treatment wi...
journal_title：International journal of STD & AIDS
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journal_title：International journal of STD & AIDS
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journal_title：International journal of STD & AIDS
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journal_title：International journal of STD & AIDS
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journal_title：International journal of STD & AIDS
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