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Derusova, Monika Ambos o Acesso em Mattos Editor, ;. Por outro lado foi Manual therapy in chronic bursitis shoulder in workers of a productive sector of an Bestiario Anabolico 52 pgs. Guia Dos Movimentos de Anabolismo Total. For Later. Jump to Page. The association of reproductive desire with black skin color lacks clear explanation because there is little research analyzing the decision in reproductive desire between Brazilian WLWHA by race.
Other studies are needed to verify those mechanisms that contribute to ethnic differences in the reproductive desire of WLWHA. Finocchario-Kessler et al. Children are often considered a prerequisite for a full and happy life. As observed in other studies [ 18 , 19 , 32 ], the absence of children was a strong determinant for reproductive desire.
In addition, there was a higher prevalence of reproductive desire among women with a history of abortion. The family nucleus is important for women in Brazil, where cultural issues are directly linked to the value of motherhood [ 29 ]. Health professionals need to work together to develop guidelines for high quality reproductive counseling of WLWHA who intend to become pregnant [ 29 ]. Undetectable viral load was associated with reproductive desire in our sample.
This result reflects a positive evaluation of the state of health, physical well-being, and capacity to cope with the stress of pregnancy among WLWHA [ 41 ], which may contribute to increased reproductive desire.
These factors lead to greater safety for conception by reducing the risk of vertical HIV transmission. A study conducted in Canada [ 16 ] did not find this predictor to be significant for reproductive desire.
On the other hand, studies have shown an association between CD4 cell count and reproductive desire [ 10 , 26 ], which may serve as a proxy comparison for our findings.
The results of this study should be interpreted within the context of its limitations.
The cross-sectional nature of this research did not allow for establishment of cause and effect relationships between reproductive desire and the predictive variables [ 32 ]. The data were self-reported, and therefore, was subject to memory and response bias. The non-probabilistic and limited sample of only women linked to health services and NGOs limits generalization of the results. Another potential limitation was that participants were not queried about their reasons for choosing not to have children.
In addition, the issue of reproductive desire and fertility is a sensitive issue, which may have resulted in underestimation of the prevalence. Finally, reproductive desire is very dependent on the cultural, social, and economic factors experienced by different populations [ 13 ].
Thus, WLWHA should have the right to make decisions about conception, with support from their nuclear family and social circle, as well as access to healthcare services that concentrate on assisted reproduction, pregnancy, childbirth, and the postpartum period. National Center for Biotechnology Information , U. PLoS One. Published online Oct Massimo Ciccozzi, Editor. Author information Article notes Copyright and License information Disclaimer. Competing Interests: The authors have declared that no competing interests exist.
Received Jun 13; Accepted Sep This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Questionnare 1: QNR 1. S2 File: QNR 2. Results The prevalence of reproductive desire was Introduction Human immunodeficiency virus HIV infections continue to present alarming numbers worldwide, despite advances in preventive measures and antiretroviral therapy ART.
Material and methods Design, location, and sampling A cross-sectional study was conducted between September and August Data collection Participants were recruited from the outpatient clinic of referral services while awaiting clinical consultation or NGO meetings.
Variables Dependent variable The dependent variable of this study was reproductive desire expressed by the participants during the interview. Independent variables Independent variables included: Statistical analysis The data were analyzed using Stata, version Results women were invited to participate in the study; 36 were excluded because they were 50 years of age or older.
Open in a separate window. Variables Reproductive desire Crude PR b Variables APR a Supporting information S1 File Questionnare 1: PDF Click here for additional data file. Funding Statement The authors received no specific funding for this work.
Data Availability All relevant data are within the paper and its Supporting Information files. References 1. Global Aids Update. Available from: Prevention Gap Report. How Aids Changed Every Thing. Mdg 6: Sexual Medicine. Ndlovu V. Views of HIV-positive couples. Revista Brasileira de Enfermagem. BMC Public Health. Journal of Clinical and Diagnostic Research. A Qualitative Study. Journal of the Association of Nurses in Aids Care.
The pregnancy decisions of HIV-positive women: Reproductive Health Matters. AIDS ; 21 1: A Cross-Sectional Study. Reproductive desire in women with HIV infection in Spain, associated factors and motivations: Pregnancy and Childbirth ; 14 BMC Women's Health.
Fertility desire and associated factors among people living with HIV attending antiretroviral therapy clinic in Ethiopia. BMC Pregnancy and Childbirth.
Rio de Janeiro: Factors that predict fertility desires for people living with HIV infection at a support and treatment centre in Kabale, Uganda. Reproductive Health.
Mohammed F, Assefa N. Case Control Study. Methods for estimating prevalence ratios in cross-sectional studies. Cadernos de. A Comparison of Brazil and the US.
AIDS Behav. Alemayehu B, Aregay A. Determinants in Ethiopia: A cross-sectional study.
Infectious Diseases in Obstetrics and Gynecology. International Journal of Health Policy and Management. Berhan Y, Berhan A. Meta-analyses of fertility desires of people living with HIV. Desire to Have Children: A Challenge to Health Care in Brazil.