| Title |
Realizing Women Living with HIV’s Reproductive Rights in the Era of ART: The Negative Impact of Non-consensual HIV Disclosure on Pregnancy Decisions Amongst Women Living with HIV in a Canadian Setting
|
|---|---|
| Published in |
AIDS and Behavior, April 2018
|
| DOI | 10.1007/s10461-018-2111-8 |
| Pubmed ID | |
| Authors |
Putu Duff, Mary Kestler, Patience Chamboko, Melissa Braschel, Gina Ogilvie, Andrea Krüsi, Julio Montaner, Deborah Money, Kate Shannon, the SHAWNA Project |
| Abstract |
To better understand the structural drivers of women living with HIV's (WLWH's) reproductive rights and choices, this study examined the structural correlates, including non-consensual HIV disclosure, on WLWH's pregnancy decisions and describes access to preconception care. Analyses drew on data (2014-present) from SHAWNA, a longitudinal community-based cohort with WLWH across Metro-Vancouver, Canada. Multivariable logistic regression was used to model the effect of non-consensual HIV disclosure on WLWH's pregnancy decisions. Of the 218 WLWH included in our analysis, 24.8% had ever felt discouraged from becoming pregnant and 11.5% reported accessing preconception counseling. In multivariable analyses, non-consensual HIV disclosure was positively associated with feeling discouraged from wanting to become pregnant (AOR 3.76; 95% CI 1.82-7.80). Non-consensual HIV disclosure adversely affects WLWH's pregnancy decisions. Supporting the reproductive rights of WLWH will require further training among general practitioners on the reproductive health of WLWH and improved access to women-centred, trauma-informed care, including non-judgmental preconception counseling. |
X Demographics
The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Kazakhstan | 2 | 50% |
| United States | 2 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 4 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 105 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 105 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 14 | 13% |
| Student > Bachelor | 14 | 13% |
| Student > Master | 13 | 12% |
| Researcher | 8 | 8% |
| Other | 5 | 5% |
| Other | 14 | 13% |
| Unknown | 37 | 35% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 17 | 16% |
| Social Sciences | 14 | 13% |
| Medicine and Dentistry | 13 | 12% |
| Psychology | 7 | 7% |
| Agricultural and Biological Sciences | 4 | 4% |
| Other | 7 | 7% |
| Unknown | 43 | 41% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 May 2018.
All research outputs
#14,615,513
of 23,849,058 outputs
Outputs from AIDS and Behavior
#2,102
of 3,566 outputs
Outputs of similar age
#182,627
of 330,915 outputs
Outputs of similar age from AIDS and Behavior
#48
of 95 outputs
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We're also able to compare this research output to 95 others from the same source and published within six weeks on either side of this one. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.