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. 2012 Dec;20(39 Suppl):50-60.
doi: 10.1016/S0968-8080(12)39639-0.

A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples

Tamaryn L Crankshaw  1 , Lynn T Matthews, Janet Giddy, Angela Kaida, Norma C Ware, Jennifer A Smit, David R Bangsberg
Affiliations

A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples

Tamaryn L Crankshaw et al. Reprod Health Matters. 2012 Dec.

Abstract

Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmission risk among HIV-serodiscordant couples who seek to conceive. In order to develop effective pharmaco-behavioral programs, it is important to understand and address the contexts surrounding reproductive decision-making; perceived periconception HIV transmission risk; and periconception risk behaviors. We present a conceptual framework to describe the dynamics involved in periconception HIV risk behaviors in a South African setting. We adapt the Information-Motivation-Behavioral Skill Model of HIV Preventative Behavior to address the structural, individual and couple-level determinants of safer conception behavior. The framework is intended to identify factors that influence periconception HIV risk behavior among serodiscordant couples, and therefore to guide design and implementation of integrated and effective HIV, reproductive health and family planning services that support reproductive decision-making.

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Figures

Figure 1
Figure 1
Conceptual framework of the processes involved in periconception decision-making and behavior among heterosexual HIV-serodiscordant couples
See this image and copyright information in PMC

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