Desire for fertility among HIV-seroconcordant and -discordant couples in Lusaka, Zambia

Ryan Cook, Robert Hayden, Stephen M Weiss, Deborah Jones

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Pregnancy rates and the desire to conceive are increasing among women living with HIV in Africa. However, attempts to conceive may increase the risk of HIV transmission or reinfection. A better understanding of factors influencing fertility desires would significantly contribute to programmes to meet the reproductive needs of women living with HIV. Using a couples-based approach, this paper explored fertility desires among HIV-seroconcordant and -discordant couples in Lusaka, Zambia. Participants were 208 heterosexual couples recruited from community health clinics and their respective catchment areas. Couples completed assessments on demographics, condom use, relationship quality and communication. Desire for children was often shared among couple members, and the strongest predictor of participants' desire for children was having a partner who wanted children. Additionally, the number of children participants had, their own reports of positive communication, and their partner's HIV serostatus influenced reproductive desires. Results support the involvement of both couple members in pre-conception counselling and pregnancy planning interventions. The inclusion of both partners may be a more effective strategy to respond to the reproductive needs of couples affected by HIV, enabling them to safeguard the health of both partners and infants.

Original languageEnglish
Pages (from-to)741-751
Number of pages11
JournalCulture, Health and Sexuality
Volume16
Issue number7
DOIs
StatePublished - Jan 1 2014

Fingerprint

Zambia
desire for children
Fertility
fertility
HIV
pregnancy
communication
number of children
health
counseling
infant
inclusion
planning
Heterosexuality
Health
Condoms
Pregnancy Rate
community
Interpersonal Relations
Counseling

Keywords

  • couples counselling
  • HIV
  • intervention
  • pregnancy planning
  • Zambia

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Desire for fertility among HIV-seroconcordant and -discordant couples in Lusaka, Zambia. / Cook, Ryan; Hayden, Robert; Weiss, Stephen M; Jones, Deborah.

In: Culture, Health and Sexuality, Vol. 16, No. 7, 01.01.2014, p. 741-751.

Research output: Contribution to journalArticle

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