Fertility intentions of women living with HIV and their male partners during the perinatal period in rural South Africa

Lissa N. Mandell, Violeta J. Rodriguez, Karl Peltzer, Stephen M. Weiss, Deborah L. Jones

Research output: Contribution to journalArticlepeer-review

Abstract

Understanding the fertility intentions of people living with HIV can guide safer conception planning and prevention of mother-to-child transmission (PMTCT). Most research has addressed fertility intentions among women, rather than couples, at a single time point. This clinical trial of a PMTCT intervention in rural Mpumalanga province, South Africa, examined longitudinal fertility intentions among perinatal women living with HIV and their male partners. Study assessments and intervention and control sessions were conducted prenatally and postpartum. Longitudinal predictors of participants’ (n = 360 men, n = 917 women) fertility intentions were similar between sexes. Younger age and male involvement in perinatal care were associated with reporting fertility intentions at both baseline and 12 months postpartum. Having an HIV-positive infant and discussing pregnancy plans with a healthcare provider by 12 months postpartum were associated with incident fertility intentions after reporting no plans for further children at baseline. Results highlight the important role of healthcare providers to educate men and women on issues surrounding conception, as well as the potential for incorporating PMTCT and safer conception education into HIV clinical services.

Original languageEnglish (US)
Pages (from-to)740-750
Number of pages11
JournalInternational Journal of STD and AIDS
Volume32
Issue number8
DOIs
StatePublished - Jul 2021
Externally publishedYes

Keywords

  • HIV
  • South Africa
  • family planning
  • fertility intentions
  • male involvement

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Pharmacology (medical)

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