Research Article

Pregnancy Desire, Partner Serodiscordance, and Partner HIV Disclosure among Reproductive Age HIV-Infected Women in an Urban Clinic

Table 2

Sexual history, fertility desires, and provider communication for women with HIV of reproductive age.

No reproductive desire, Desire for future children, value

Sexual activitySexually active36 (64%)32 (74%)0.38
Not sexually active 20 (36%)11 (26%)

Partner’s HIV statusKnown: HIV negative34 (71%)27 (69%)0.77
Known: HIV positive10 (21%)10 (26%)
Unknown4 (8%)2 (5%)

Shared HIV status with partner in the last year All28 (57%)26 (67%)0.53
Some7 (14%)6 (15%)
None14 (29%)7 (18%)

Condom use100%33 (59%)20 (48%)0.11
75–99%6 (11%)5 (12%)
50–74%3 (9%)0
25–49%2 (4%)3 (7%)
<25%10 (18%)14 (33%)

Birth control method(s) Barrier 32 (57%) 20 (45%)0.31
Permanent15 (27%)6 (14%)0.14
None/abstinence/natural18 (32%)21 (48%)0.15
Hormonal contraceptive/long acting reversible contraception10 (18%)10 (23%)0.62

Fertility desireDo you desire to have children in the future?044 (100%)<0.0001
Do you think you will have children in the future?2 (4%)37 (84%)<0.0001
Does your partner desire to have more children? 6 (13%)29 (83%)<0.001
Are you currently having unprotected sex with the goal of becoming pregnant?010 (23%)<0.0001
Has your HIV diagnosis impacted your plans regarding pursuing pregnancy?25 (45%)20 (45%)1
Have improvements in treatment and intervention made you desire more children?6 (11%)21 (48%)<0.0001
Does your viral load or CD4 count affect your plans to pursue pregnancy?7 (13%)8 (18%)0.39
Does your concern of infecting your (HIV negative) partner with HIV affect your plans to pursue pregnancy?16 (33%)19 (51%)0.12
Have you considered or used alternative options (not unprotected sex) to pursue pregnancy?4 (7%)8 (20%)0.11

MTCT rate<130 (55%)29 (66%)0.71
5–10%11 (20%)7 (16%)
10–20%3 (5%)1 (2%)
>25%11 (20%)7 (16%)

Healthcare provider communicationHas your medical provider talked to you about whether you were interested in becoming pregnant?20 (36%)18 (41%)0.68
Have you expressed an interest in becoming pregnant to your medical provider?3 (5%)19 (43%)<0.0001
Has your medical provider talked to you about birth control or contraception?43 (77%)28 (64%)0.19
Has your medical provider talked to you about condoms to prevent STDs and HIV transmission?52 (93%)42 (96%)0.69
Has your medical provider referred you to a reproductive specialist to discuss methods to pursue pregnancy?4 (7%)9 (20%)0.07

due to omission by one respondent.
excluding patients with no sexual partner in the prior year.
excluding patients with no sexual partner in the prior year and 2 omissions.