Desire for pregnancy and risk behavior in young HIV-positive women.

TitleDesire for pregnancy and risk behavior in young HIV-positive women.
Publication TypePublication
Year of Publication2012
AuthorsFinger JL, Clum GA, Trent ME, Ellen JM
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalAIDS Patient Care STDS
Date Published2012 Mar
KeywordsAdolescent, Analysis of Variance, Cross-Sectional Studies, Female, HIV Infections, HIV Seropositivity, Humans, Logistic Models, Psychiatric Status Rating Scales, Reproductive Behavior, Risk-Taking, Sexual Behavior, Unsafe Sex, Young Adult

<p>This cross-sectional study utilized data from 130 young women with behaviorally acquired HIV to examine the association between desire for pregnancy (DFP) and both sociodemographic variables and sexual risk behaviors. A single item was utilized to assess DFP. Bivariate and multivariate regression analyses were conducted. At the bivariate level, DFP was associated with increased rates of intercourse, decreased condom use, increased partner concurrency, increased rates of unprotected sex with a nonconcordant partner, and a higher number of previous sexually transmitted infections (STIs). Multivariate analyses suggested that DFP was associated with increased likelihood of recent intercourse, condom-unprotected sex, and oral sex. DFP was related to few sociodemographic variables but was associated with having fewer children currently, a history of victimization, and decreased rates of disclosure of HIV status. The few sociodemographic variables that were associated with DFP suggest that social relationships may play a role in DFP. DFP was associated with sexual behaviors that may place young women at risk for STI acquisition and secondary HIV transmission to partners. Health care providers should assess DFP in routine HIV care, providing education about fertility options, interventions for vertical transmission, family planning, and risk reduction counseling.</p>

Alternate JournalAIDS Patient Care STDS
PubMed ID22482121
PubMed Central IDPMC3286807
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
K01MH070278 / MH / NIMH NIH HHS / United States
5U01 HD 40533 / HD / NICHD NIH HHS / United States
U01 HD040470 / HD / NICHD NIH HHS / United States
5 U01 HD 40474 / HD / NICHD NIH HHS / United States