Examining the Contraceptive Decisions of Young, HIV-Infected Women: A Qualitative Study

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• Alternative Title:
  Women Health
• Personal Author:
  Brown, Jennifer L. ; Haddad, Lisa B. ; Gause, Nicole K. ; Cordes, Sarah ; Bess, Cecilia ; King, Caroline C. ; Hatfield-Timajchy, Kendra ; Chakraborty, Rana ; Kourtis, Athena
• Description:
  This study qualitatively examined factors that influenced contraceptive choices in a sample of young, HIV-infected women. Individual qualitative interviews were conducted among 30 vertically and horizontally HIV-infected women (n = 26 African American) from the ages of 14 to 24 years (Mean age = 20.9 years). We recruited sample groups with the following characteristics: (a) current contraceptive/condom use with ≥1 child (n = 11); (b) current contraceptive/condom use with no children (n = 12); and (c) no current contraceptive/condom use with no children (n = 7). A semi-structured interview guide was used to ask participants about factors influencing past and current contraceptive choices. Individual interviews were digitally recorded and transcribed verbatim; analyses to identify core themes were informed by the Grounded Theoretical approach. Young, HIV-infected women did not identify their HIV serostatus or disease-related concerns as influential in their contraceptive decisions. However, they reported that recommendations from health-care providers and input from family and friends influenced their contraceptive choices. They also considered a particular method's advantages (e.g., menstrual cycle improvements) and disadvantages (e.g., increased pill burden) when selecting a method. Findings suggested that HIV-infected young women's contraceptive decisions were influenced by factors other than those related to their infection.
• Subjects:
  Adolescent Article Choice Behavior Contraception Contraceptive Decision Making Decision Making Female Grounded Theory Health Knowledge, Attitudes, Practice HIV HIV Infections Humans Interviews As Topic Qualitative Research United States Young Adult Young Women

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• Source:
  Women Health. 59(3):305-317
• Pubmed ID:
  29624125
• Pubmed Central ID:
  PMC6173984
• Document Type:
  Journal Article
• Funding:
  K23 HD078153/HD/NICHD NIH HHS/United States ; P30 AI050409/AI/NIAID NIH HHS/United States ; U48 DP001909/DP/NCCDPHP CDC HHS/United States
• Volume:
  59
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5e721050eee8b74fb348956c00e43da646ccd09bd966f970c11e243cb29787d3
• Download URL:
  https://stacks.cdc.gov/view/cdc/59599/cdc_59599_DS1.pdf
• File Type:
  [PDF - 72.45 KB ]