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

Content Provider	Scilit
Author	Finocchario-Kessler, Sarah Sweat, Michael D. Dariotis, Jacinda K. Anderson, Jean R. Jennings, Jacky Keller, Jean M. Vyas, Amita A. Trent, Maria E.
Copyright Year	2011
Description	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.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4451594/pdf
ISSN	09540121
e-ISSN	13600451
DOI	10.1080/09540121.2011.596514
Journal	AIDS Care
Issue Number	1
Volume Number	24
Language	English
Publisher	Informa UK Limited
Publisher Date	2011-07-19
Access Restriction	Open
Subject Keyword	Ethnic Studies Biomedical Social Sciences Childbearing Motivations Pregnancy Desires Pregnancy Intentions Perceived Partner Desire Urban Adolescents and Youth African-american Hiv-infected Female Adolescents and Youth Preconception Counseling Childbearing Desires and Intentions
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Health (social science) Social Psychology