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Future desire for children among women living with HIV in Atlanta, Georgia

机译：佐治亚州亚特兰大市的艾滋病毒携带妇女对儿童的未来渴望

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摘要

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.
机译：在美国，关于感染艾滋病毒的妇女对计划生育的渴望知之甚少。这项研究旨在确定影响佐治亚州亚特兰大市受HIV感染的妇女未来对儿童的渴望的因素。 18-45岁的受HIV感染的妇女完成了ACASI（音频计算机辅助自我访谈）问卷。卡方检验，t检验和多元逻辑回归评估了与对未来孩子的渴望相关的因素。在181名参与者中，有62名（34.3％）表示对孩子的未来渴望，而年轻妇女（年龄在26岁以下）和有血清阴性伴侣的妇女的愿望有所增加。对水平和垂直艾滋病毒传播的担忧阻碍了未来的生育。安全套的使用和传播风险的总体知识很低。三分之一以上渴望生育孩子的妇女从未与医生讨论过她们的愿望。关于艾滋病毒传播风险的错误信息仍然存在，并且是影响儿童愿望的一个值得注意的问题。提供者应通过综合的艾滋病毒护理定期重新评估计划生育的愿望。

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