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. 2022 Jul:111:48-60.
doi: 10.1016/j.contraception.2021.10.014. Epub 2021 Nov 5.

Contraception values and preferences of people living with HIV: A systematic review

Haneefa T Saleem  1 , Joseph G Rosen  2 , Caitlin Quinn  2 , Avani Duggaraju  2 , Caitlin E Kennedy  2
Affiliations

Contraception values and preferences of people living with HIV: A systematic review

Haneefa T Saleem et al. Contraception. 2022 Jul.

Abstract

Objective: Attention to the contraception values and preferences of those living with HIV is essential to meeting their reproductive rights and health needs. We systematically reviewed the literature on contraception values and preferences among women and men living with HIV.

Study design: We searched ten electronic databases for articles from 1 January 2005 through 27 July 2020 for qualitative and quantitative studies of the values and preferences for contraceptive methods among individuals living with HIV.

Results: Twenty-one studies, primarily from sub-Saharan Africa, met the inclusion criteria. Contraception values and preferences were shaped by several factors: availability, accessibility, and convenience; perceived effectiveness; safety and tolerability; dual protection; fertility desires; partnership dynamics; and provider recommendations. Male condoms were a frequently preferred contraceptive method, offering an affordable and accessible form of dual protection against HIV and unwanted pregnancy. Fears of infertility and side effects decreased interest in hormonal contraceptive methods. Financial burdens incurred by HIV management and a desire to reduce dual reproductive health and HIV care burdens influenced preferences. Healthcare providers contributed to contraceptive preferences of women living with HIV, informing perceptions of safety, tolerability, and effectiveness.

Conclusion: Contraception values and preferences among women living with HIV are complex and influenced by factors related and unrelated to their HIV status. Considering contraception values and preferences of people living with HIV will ensure that their autonomy and right to make decisions about the contraceptive methods best for them are upheld.

Keywords: Contraception; HIV; Preferences; Systematic review.

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Conflict of interest statement

Declaration of interests

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Figure 1.
Figure 1.
PRISMA flow diagram of screening and selection of studies on contraception values and preferences of people living with HIV.
See this image and copyright information in PMC

References

    1. Trust S Building a safe house on firm ground: key findings from a global values and preferences survey regarding sexual and reproductive health and human rights of women living with HIV Geneva: World Health Organization; 2014.
    1. Leyva-Moral JM, Palmieri PA, Feijoo-Cid M, et al. Reproductive decision-making in women living with human immunodeficiency virus: A systematic review. Int J Nurs Stud 2018;77:207–21. - PubMed
    1. Saleem HT, Surkan PJ, Kerrigan D, Kennedy CE. “If I don’t have children, they will know that I’m sick”: fertility desires of women and men living with HIV in Iringa, Tanzania. AIDS Care 2019;31:908–11. - PubMed
    1. Pollard R, Saleem H. Reproductive identities following an HIV diagnosis: strategies in the face of biographical disruption. Cult Health Sex 2020;22:385–97. - PubMed
    1. Sherr L, Barry N. Fatherhood and HIV-positive heterosexual men. HIV Med 2004;5:258–63. - PubMed

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