Prevalence and factors associated with fertility desires/intentions among individuals in HIV-serodiscordant relationships: a systematic review of empirical studies.
HIV/AIDS
factors
fertility desires/intentions
prevalence
serodiscordancy
systematic review
Journal
Journal of the International AIDS Society
ISSN: 1758-2652
Titre abrégé: J Int AIDS Soc
Pays: Switzerland
ID NLM: 101478566
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
06
07
2018
accepted:
16
01
2019
entrez:
18
5
2019
pubmed:
18
5
2019
medline:
9
4
2020
Statut:
ppublish
Résumé
Better knowledge about fertility desires/intentions among HIV-serodiscordant partners who face unique challenges when considering childbearing may be helpful in the development of targeted reproductive interventions. The aim of this systematic review was to synthesize the published literature regarding the prevalence of fertility desires/intentions and its associated factors among individuals in HIV-serodiscordant relationships while distinguishing low- and middle-income countries (LMIC) from high-income countries (HIC). A systematic search of all papers published prior to February 2017 was conducted in four electronic databases (PubMed/MEDLINE, PsycINFO, Web of Science and Cochrane Library). Empirical studies published in peer-reviewed journals with individuals in HIV-serodiscordant relationships assessing the prevalence of fertility desires/intentions and/or the associated factors were included in this systematic review. This review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. After screening 1852 references, 29 studies were included, of which 21 were conducted in LMIC and eight in HIC. A great variability in the prevalence of fertility desires/intentions was observed in LMIC (8% to 84% (one member of the dyad included)). In HIC, the results showed a smaller discrepancy between in the prevalence (32% to 58% (one member of the dyad included)); the prevalence was higher when the couple was the unit of analysis (64% to 73%), which may be related to the fact that all these studies were conducted in the context of assisted reproduction. Few studies examined the factors associated with fertility desires/intentions, and all except one were conducted in LMIC. Individuals (e.g. number of children), couple-level (e.g. belief that the partner wanted children) and structural factors (e.g. discussions with health workers) were found to be associated. The results of this systematic review suggest that many individuals in HIV-serodiscordant relationships have fertility desires/intentions, although the prevalence is particularly heterogeneous in LMIC in comparison to HIC. Well-known factors such as younger age and a fewer number of living children were consistently associated with increased fertility desires/intentions. Different couple-level factors emerged, reflecting the importance of considering both the individual and the couple. However, further studies that specifically focus on the dyad as the unit of analysis are warranted.
Identifiants
pubmed: 31099170
doi: 10.1002/jia2.25241
pmc: PMC6523008
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e25241Informations de copyright
© 2019 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society.
Références
AIDS Care. 2009 Nov;21(11):1343-56
pubmed: 20024710
J Assoc Nurses AIDS Care. 2017 Jan - Feb;28(1):118-129
pubmed: 28010827
AIDS Behav. 2010 Oct;14(5):1066-71
pubmed: 20544384
N Engl J Med. 2016 Sep 1;375(9):830-9
pubmed: 27424812
J Acquir Immune Defic Syndr. 2013 May 1;63(1):e33-5
pubmed: 23574927
J Clin Diagn Res. 2016 Jun;10(6):OC19-22
pubmed: 27504328
AIDS Behav. 2011 Feb;15(2):469-78
pubmed: 20960049
BMC Womens Health. 2014 Oct 11;14:126
pubmed: 25306546
N Engl J Med. 2011 Aug 11;365(6):493-505
pubmed: 21767103
AIDS Care. 2015;27(1):25-30
pubmed: 25202986
AIDS Patient Care STDS. 2007 Apr;21(4):278-85
pubmed: 17461723
Soc Sci Med. 2007 Jul;65(2):274-83
pubmed: 17451852
PLoS One. 2016 Sep 09;11(9):e0160190
pubmed: 27610626
Genet Soc Gen Psychol Monogr. 1994 May;120(2):223-58
pubmed: 8045374
AIDS Behav. 2018 Jun;22(6):1713-1724
pubmed: 28501964
Curr Opin HIV AIDS. 2012 Nov;7(6):569-78
pubmed: 23032734
Lancet HIV. 2018 Aug;5(8):e438-e447
pubmed: 30025681
J Clin Nurs. 2017 Dec;26(23-24):3800-3810
pubmed: 28102939
AIDS. 2008 Sep;22 Suppl 3:S7-12
pubmed: 18845925
BMJ. 2009 Jul 21;339:b2700
pubmed: 19622552
BMC Pregnancy Childbirth. 2014 Nov 20;14:382
pubmed: 25410125
BMC Public Health. 2015 Mar 13;15:241
pubmed: 25885027
Can Commun Dis Rep. 2018 Feb 01;44(2):68-70
pubmed: 29770102
Reprod Health Matters. 2012 Dec;20(39 Suppl):50-60
pubmed: 23177680
Open AIDS J. 2015 Jan 23;9:1-8
pubmed: 25646139
AIDS Behav. 2007 Nov;11(6):927-35
pubmed: 17323122
BMC Public Health. 2010 May 13;10:247
pubmed: 20465794
Haemophilia. 2003 May;9(3):309-16
pubmed: 12694523
BJOG. 2006 Aug;113(8):869-78
pubmed: 16753050
AIDS Patient Care STDS. 2015 Sep;29(9):510-6
pubmed: 26301703
Afr J Reprod Health. 2015 Jun;19(2):125-33
pubmed: 26506665
Afr J Reprod Health. 2014 Sep;18(3):67-77
pubmed: 25438511
Afr J Reprod Health. 2009 Sep;13(3):71-83
pubmed: 20690263
BMC Public Health. 2013 Apr 30;13:409
pubmed: 23627965
BJOG. 2014 Oct;121 Suppl 5:79-86
pubmed: 25335844
PLoS One. 2013;8(2):e57215
pubmed: 23459196
Obstet Gynecol. 2003 May;101(5 Pt 1):987-94
pubmed: 12738162
J Int AIDS Soc. 2019 May;22(5):e25241
pubmed: 31099170
Int J Epidemiol. 2007 Jun;36(3):666-76
pubmed: 17470488
AIDS Patient Care STDS. 2007 Apr;21(4):268-77
pubmed: 17461722
Cult Health Sex. 2014;16(7):741-51
pubmed: 24815904
Popul Stud (Camb). 2004;58(2):193-205
pubmed: 15204253
AIDS Behav. 2010 Oct;14(5):1106-14
pubmed: 19908135
Reprod Health Matters. 2007 May;15(29 Suppl):27-45
pubmed: 17531747
PLoS One. 2015 Jul 14;10(7):e0132182
pubmed: 26171777
AIDS Patient Care STDS. 2007 Apr;21(4):261-7
pubmed: 17461721
PLoS One. 2017 Sep 7;12(9):e0183131
pubmed: 28880892
J Fam Plann Reprod Health Care. 2015 Jan;41(1):e1
pubmed: 25512359
Reprod Health Matters. 2011 May;19(37):184-93
pubmed: 21555099
AIDS Behav. 2015 Dec;19(12):2291-303
pubmed: 26080688
J Int AIDS Soc. 2015 Dec 01;18(Suppl 5):20272
pubmed: 26643454
J Int AIDS Soc. 2017 Mar 8;20(Suppl 1):21331
pubmed: 28361502
SAHARA J. 2009 Sep;6(2):58-68
pubmed: 19936407
J Fam Plann Reprod Health Care. 2017 Apr;43(2):142-146
pubmed: 27030697
Matern Child Health J. 2013 May;17(4):593-600
pubmed: 22562286
PLoS One. 2008 Jan 09;3(1):e1411
pubmed: 18183292
AIDS Care. 2016;28(2):197-204
pubmed: 26288153
Patient Prefer Adherence. 2016 Oct 03;10:1967-1977
pubmed: 27757019
Afr Health Sci. 2009 Mar;9(1):2-12
pubmed: 20842236
Pain. 2008 Jun;136(3):388-396
pubmed: 18395982
Swiss Med Wkly. 2003 Feb 22;133(7-8):124-7
pubmed: 12644959
JAMA. 2016 Jul 12;316(2):171-81
pubmed: 27404185
Infect Dis Obstet Gynecol. 2016;2016:8048457
pubmed: 27313441
AIDS Care. 2011 Jun;23(6):722-33
pubmed: 21293990
BMC Womens Health. 2014 Nov 19;14:137
pubmed: 25407330
AIDS Care. 2016;28(4):455-9
pubmed: 26702869
AIDS Behav. 2018 Jun;22(6):1758-1765
pubmed: 28894986
Afr J Reprod Health. 2013 Dec;17(4 Spec No):99-106
pubmed: 24689321
AIDS Behav. 2009 Oct;13(5):949-68
pubmed: 19330443
Biometrics. 1977 Mar;33(1):159-74
pubmed: 843571
AIDS Behav. 2009 Jun;13 Suppl 1:38-46
pubmed: 19343492
Sex Med. 2016 Jun;4(2):e95-e103
pubmed: 27006318
HIV AIDS (Auckl). 2012;4:117-24
pubmed: 22893751
PLoS One. 2011;6(10):e25828
pubmed: 21998703
Reprod Biomed Online. 2015 Mar;30(3):211-9
pubmed: 25530032
Afr J Reprod Health. 2014 Dec;18(4):54-60
pubmed: 25854093
AIDS Behav. 2013 Feb;17(2):461-70
pubmed: 22038045