Future Desire for Children among Women Living with HIV in Atlanta, Georgia

Little is known regarding family planning desires among women living with HIV in the United States. This study aimed to identify factors influencing desire for children in the future among HIV-infected women in Atlanta, Georgia. HIV-infected women ages 18-45 completed an ACASI (audio computer-assisted self-interview) questionnaire. 

Chi-square, t-tests, and multivariate logistic regression evaluated factors associated with desire for future children. Of 181 participants, 62 (34.3%) expressed desire for children in the future, with increased desire among younger women (age <26) and those with seronegative partners. Concerns for horizontal and vertical HIV transmission were deterrents to future childbearing. Condom use and overall knowledge of transmission risk was low. Over a third of women desiring a child never discussed their desire with a physician. 

Misinformation regarding HIV transmission risks persists and is a notable concern influencing desire for children. Providers should reassess family planning desires regularly through integrated HIV care.

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By:   Haddad LB1, Machen LK2, Cordes S1, Huylebroeck B3, Delaney A4, Ofotokun I5, Nguyen ML5, Jamieson DJ1

• 1 Department of Gynecology and Obstetrics , Emory University School of Medicine , Atlanta , GA , USA.
• 2 Emory School of Medicine , Atlanta , GA , USA.
• 3 Department of Epidemiology, Rollins School of Public Health , Emory University , Atlanta , GA , USA.
• 4 Emory University School of Nursing , Atlanta , GA , USA.
• 5 Department of Medicine, Infectious Disease Division and Grady Health Care System , Emory University School of Medicine , Atlanta , GA , USA 
• AIDS Care. 2015 Dec 24:1-5. 

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