AIDS and Behavior

, Volume 14, Issue 5, pp 1106–1114

Understanding High Fertility Desires and Intentions Among a Sample of Urban Women Living with HIV in the United States

  • Sarah Finocchario-Kessler
  • Michael D. Sweat
  • Jacinda K. Dariotis
  • Maria E. Trent
  • Deanna L. Kerrigan
  • Jean M. Keller
  • Jean R. Anderson
Original Paper

DOI: 10.1007/s10461-009-9637-8

Cite this article as:
Finocchario-Kessler, S., Sweat, M.D., Dariotis, J.K. et al. AIDS Behav (2010) 14: 1106. doi:10.1007/s10461-009-9637-8

Abstract

To assess childbearing motivations, fertility desires and intentions, and their relationship with key factors, we conducted a cross-sectional survey among 181 HIV-infected women of reproductive age (15–44 years) receiving clinical care at two urban health clinics. Fertility desires (59%) and intentions (66% of those who desired a child) were high among this predominately African American sample of women, while the proportion with accurate knowledge of mother-to-child transmission (MTCT) was low (15%). Multivariate regression analyses identified factors significantly associated with the intention to have a child. Notably, age and parity did not remain significant in the adjusted model. The discrepancies between expressed desires and intentions for future childbearing, and the strong role of perceived partner desire for childbearing emphasize the need for universal reproductive counseling to help women living with HIV navigate their reproductive decisions and facilitate safe pregnancies and healthy children.

Keywords

Childbearing motivations Fertility desires and intentions HIV-infected women Pregnancy Male partners 

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Sarah Finocchario-Kessler
    • 1
    • 5
  • Michael D. Sweat
    • 1
  • Jacinda K. Dariotis
    • 2
  • Maria E. Trent
    • 3
  • Deanna L. Kerrigan
    • 1
  • Jean M. Keller
    • 4
  • Jean R. Anderson
    • 4
  1. 1.Department of International HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Population, Family and Reproductive HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.Department of PediatricsJohns Hopkins School of MedicineBaltimoreUSA
  4. 4.Department of Gynecology & ObstetricsJohns Hopkins School of MedicineBaltimoreUSA
  5. 5.ShawneeUSA