Table of Contents
ISRN Obstetrics and Gynecology
Volume 2012, Article ID 853503, 11 pages
http://dx.doi.org/10.5402/2012/853503
Research Article

Desires, Need, Perceptions, and Knowledge of Assisted Reproductive Technologies of HIV-Positive Women of Reproductive Age in Ontario, Canada

1Women and HIV Research Program, Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada M5G 1N6
2Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5S 3K1
3Department of Obstetrics and Gynecology, St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada M5B 1W8
4Clinical Decision Making and Health Care, University Health Network, Toronto, ON, Canada M5G 2C4
5Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada M5S 1A1
6Department of Psychology, Ryerson University, Toronto, ON, Canada M5B 2K3
7Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada M5G 1X5
8Department of Obstetrics and Gynaecology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada M4N 3M5
9Department of Obstetrics and Gynecology, Credit Valley Hospital, Mississauga, ON, Canada L5M 2N1

Received 12 April 2012; Accepted 3 June 2012

Academic Editors: D. Chen, M. Kühnert, and D. Schust

Copyright © 2012 Yimeng Zhang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of this cross-sectional study is to assess the desire, need, perceptions, and knowledge of assisted reproductive technologies (ARTs) for women living with HIV (WLWHIV) and determine correlates of ART knowledge desire. WLWHIV of reproductive age were surveyed using the survey instrument “The HIV Pregnancy Planning Questionnaire” at HIV/AIDS service organizations across Ontario, Canada. Of our cohort of 500 WLWHIV, median age was 38, 88% were previously pregnant, 78% desired more information regarding ART, 59% were open to the idea of receiving ART, 39% felt they could access a sperm bank, and 17% had difficulties conceiving (self-reported). Age, African ethnicity, and residence in an urban center were correlated with desire for more ART information. Of participants, 50% wanted to speak to an obstetrician/gynecologist regarding pregnancy planning, and 74% regarded physicians as a main source of fertility service information. While the majority of participants in our cohort desire access to ART information, most do not perceive these services as readily accessible. Healthcare practitioners were viewed as main sources of information regarding fertility services and need to provide accurate information regarding access. Fertility service professionals need to be aware of the increasing demand for ART among WLWHIV.