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Childbearing motivations, pregnancy desires, and perceived partner response to a pregnancy among urban female youth: does HIV-infection status make a difference?

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Abstract:

Despite a growing literature assessing pregnancy desires among HIV-infected women enrolled in clinical care, little attention has been paid to HIV-infected youth for whom pregnancy is a very relevant issue. In urban areas with high rates of teen pregnancy and HIV infection, further understanding of childbearing motivations and relationship dynamics influencing pregnancy desires among female youth is needed. This study compares the childbearing motivations, pregnancy desires, and perceived partner desire for a pregnancy among predominately African-American HIV-infected (n=46) and HIV-uninfected (n=355) female youth (15–24 years). An HIV-infected status was not significantly associated with childbearing motivations or the desire for a future pregnancy, p>0.10. HIV-infection was, however, associated with an increased likelihood to perceive that one's partner would have a positive response to a pregnancy (adjusted odds ratio [aOR] 3.5, 95% confidence interval [CI] 1.2–10.4, p=0.02) compared to uninfected peers. While race was not associated with participants’ own desire for a child, white youth were significantly less likely to perceive a positive partner response to becoming pregnant than their African-American peers (aOR 0.23, 95% CI 0.09–0.56, p=0.001). These data suggest that the desire for childbearing is not diminished by HIV infection among urban female youth, highlighting the need for routine, provider-initiated discussions about childbearing with urban youth to minimized unintended pregnancies and HIV transmission.

Keywords: African-American; HIV; HIV-infected female adolescents and youth; childbearing desires and intentions; childbearing motivations; perceived partner desire; preconception counseling; pregnancy desires; pregnancy intentions; urban adolescents and youth

Document Type: Research Article

DOI: http://dx.doi.org/10.1080/09540121.2011.596514

Affiliations: 1: Department of International Health,Johns Hopkins Bloomberg School of Public Health, Baltimore,MD, USA 2: Department of Population, Family & Reproductive Health,Johns Hopkins Bloomberg School of Public Health, Baltimore,MD, USA 3: Department of Gynecology & Obstetrics,Johns Hopkins School of Medicine, Baltimore,MD, USA 4: Department of Pediatrics,Johns Hopkins School of Medicine, Baltimore,MD, USA 5: Department of Prevention and Community Health,George Washington University School of Public Health, Washington,DC, USA

Publication date: January 1, 2012

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