A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples

Tamaryn L. Crankshaw, Lynn T. Matthews, Janet Giddy, Angela Kaida, Norma C. Ware, Jennifer A. Smit, David Bangsberg

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmission risk among HIV-serodiscordant couples who seek to conceive. In order to develop effective pharmaco-behavioral programs, it is important to understand and address the contexts surrounding reproductive decision-making; perceived periconception HIV transmission risk; and periconception risk behaviors. We present a conceptual framework to describe the dynamics involved in periconception HIV risk behaviors in a South African setting. We adapt the Information-Motivation-Behavioral Skill Model of HIV Preventative Behavior to address the structural, individual and couple-level determinants of safer conception behavior. The framework is intended to identify factors that influence periconception HIV risk behavior among serodiscordant couples, and therefore to guide design and implementation of integrated and effective HIV, reproductive health and family planning services that support reproductive decision-making.

Original languageEnglish (US)
Pages (from-to)50-60
Number of pages11
JournalReproductive Health Matters
Volume20
Issue numberSUPPL. 39
DOIs
StatePublished - Dec 2012
Externally publishedYes

Fingerprint

Risk-Taking
Fertility
HIV
Decision Making
Reproductive Health Services
Health Planning
Reproductive Health
Family Planning Services
Motivation

Keywords

  • Conceptual framework
  • HIV
  • Pregnancy
  • Safer conception
  • Serodiscordant couples

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples. / Crankshaw, Tamaryn L.; Matthews, Lynn T.; Giddy, Janet; Kaida, Angela; Ware, Norma C.; Smit, Jennifer A.; Bangsberg, David.

In: Reproductive Health Matters, Vol. 20, No. SUPPL. 39, 12.2012, p. 50-60.

Research output: Contribution to journalArticle

Crankshaw, Tamaryn L. ; Matthews, Lynn T. ; Giddy, Janet ; Kaida, Angela ; Ware, Norma C. ; Smit, Jennifer A. ; Bangsberg, David. / A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples. In: Reproductive Health Matters. 2012 ; Vol. 20, No. SUPPL. 39. pp. 50-60.
@article{2161d03d0de14cb7b8d48b456fd91897,
title = "A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples",
abstract = "Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmission risk among HIV-serodiscordant couples who seek to conceive. In order to develop effective pharmaco-behavioral programs, it is important to understand and address the contexts surrounding reproductive decision-making; perceived periconception HIV transmission risk; and periconception risk behaviors. We present a conceptual framework to describe the dynamics involved in periconception HIV risk behaviors in a South African setting. We adapt the Information-Motivation-Behavioral Skill Model of HIV Preventative Behavior to address the structural, individual and couple-level determinants of safer conception behavior. The framework is intended to identify factors that influence periconception HIV risk behavior among serodiscordant couples, and therefore to guide design and implementation of integrated and effective HIV, reproductive health and family planning services that support reproductive decision-making.",
keywords = "Conceptual framework, HIV, Pregnancy, Safer conception, Serodiscordant couples",
author = "Crankshaw, {Tamaryn L.} and Matthews, {Lynn T.} and Janet Giddy and Angela Kaida and Ware, {Norma C.} and Smit, {Jennifer A.} and David Bangsberg",
year = "2012",
month = "12",
doi = "10.1016/S0968-8080(12)39639-0",
language = "English (US)",
volume = "20",
pages = "50--60",
journal = "Sexual and Reproductive Health Matters",
issn = "0968-8080",
publisher = "Taylor and Francis Ltd.",
number = "SUPPL. 39",

}

TY - JOUR

T1 - A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples

AU - Crankshaw, Tamaryn L.

AU - Matthews, Lynn T.

AU - Giddy, Janet

AU - Kaida, Angela

AU - Ware, Norma C.

AU - Smit, Jennifer A.

AU - Bangsberg, David

PY - 2012/12

Y1 - 2012/12

N2 - Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmission risk among HIV-serodiscordant couples who seek to conceive. In order to develop effective pharmaco-behavioral programs, it is important to understand and address the contexts surrounding reproductive decision-making; perceived periconception HIV transmission risk; and periconception risk behaviors. We present a conceptual framework to describe the dynamics involved in periconception HIV risk behaviors in a South African setting. We adapt the Information-Motivation-Behavioral Skill Model of HIV Preventative Behavior to address the structural, individual and couple-level determinants of safer conception behavior. The framework is intended to identify factors that influence periconception HIV risk behavior among serodiscordant couples, and therefore to guide design and implementation of integrated and effective HIV, reproductive health and family planning services that support reproductive decision-making.

AB - Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmission risk among HIV-serodiscordant couples who seek to conceive. In order to develop effective pharmaco-behavioral programs, it is important to understand and address the contexts surrounding reproductive decision-making; perceived periconception HIV transmission risk; and periconception risk behaviors. We present a conceptual framework to describe the dynamics involved in periconception HIV risk behaviors in a South African setting. We adapt the Information-Motivation-Behavioral Skill Model of HIV Preventative Behavior to address the structural, individual and couple-level determinants of safer conception behavior. The framework is intended to identify factors that influence periconception HIV risk behavior among serodiscordant couples, and therefore to guide design and implementation of integrated and effective HIV, reproductive health and family planning services that support reproductive decision-making.

KW - Conceptual framework

KW - HIV

KW - Pregnancy

KW - Safer conception

KW - Serodiscordant couples

UR - http://www.scopus.com/inward/record.url?scp=84870285277&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84870285277&partnerID=8YFLogxK

U2 - 10.1016/S0968-8080(12)39639-0

DO - 10.1016/S0968-8080(12)39639-0

M3 - Article

C2 - 23177680

AN - SCOPUS:84870285277

VL - 20

SP - 50

EP - 60

JO - Sexual and Reproductive Health Matters

JF - Sexual and Reproductive Health Matters

SN - 0968-8080

IS - SUPPL. 39

ER -