IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v26y2017i23-24p3800-3810.html
   My bibliography  Save this article

What is the relationship between increased access to HAART, relationship status and fertility decisions amongst HIV‐positive women? A literature review and meta‐analysis

Author

Listed:
  • Abigail Burgess
  • Edward Purssell

Abstract

Aims and objectives To investigate the relationship between fertility decisions, to have already had a child or to desire to have one in the future, and the prognostic factors; access to antiretrovirals, the time since these became widely available (year of the study); and relationship status. Background There have been significant advances in the treatment of human immunodeficiency virus with the advent of antiretroviral therapy which has been used to successfully reduce the rate of mother to child transmission; leading researchers to hypothesise that human immunodeficiency virus‐positive women may desire to have children more so now than in the past. However, this topic is often not discussed in healthcare consultations. Design & Methods A systematic search was conducted on Cumulative Index of Nursing and Allied Health Literature and Medline, using the key terms ‘fertility decisions’ and ‘human immunodeficiency virus positive’. A meta‐analysis of proportions and a meta‐regression were conducted using a random‐effects model and a logit transformation to normalise the data. Heterogeneity was assessed using Q, I2 and R2 values, and p‐values were produced for each regressed variable. Results There was no statistically significant relationship between a desire to have children in the future and any of the prognostic variables. However, there were statistically significant relationships between already having had at least one child; being on antiretroviral therapy; wanting a child in the future; and being in a cohabiting partnership or marriage. Conclusion There are no reliable prognostic variables which can be used to predict fertility intentions in human immunodeficiency virus‐positive women. There is, however, a significant proportion of women who wish to have children or who have already had children and are in need of reproductive counselling from their healthcare providers. Relevance to clinical practice A greater knowledge of factors which may influence reproductive decisions amongst human immunodeficiency virus‐positive position will allow healthcare professionals to individualise the care they provide.

Suggested Citation

  • Abigail Burgess & Edward Purssell, 2017. "What is the relationship between increased access to HAART, relationship status and fertility decisions amongst HIV‐positive women? A literature review and meta‐analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 3800-3810, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:3800-3810
    DOI: 10.1111/jocn.13731
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.13731
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.13731?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Anthony S. Fauci, 2008. "25 years of HIV," Nature, Nature, vol. 453(7193), pages 289-290, May.
    2. World Bank, 2016. "World Development Indicators 2016," World Bank Publications - Books, The World Bank Group, number 23969, December.
    3. Steiner, R.J. & Sarah, F.-K. & Dariotis, J.K., 2013. "Engaging HIV care providers in conversations with their reproductive-age patients about fertility desires and intentions: A historical review of the HIV epidemic in the United States," American Journal of Public Health, American Public Health Association, vol. 103(8), pages 1357-1366.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jan Fagerberg & Bengt-Åke Lundvall & Martin Srholec, 2018. "Global Value Chains, National Innovation Systems and Economic Development," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 30(3), pages 533-556, July.
    2. Keller, Wolfgang & Utar, Hale, 2023. "International trade and job polarization: Evidence at the worker level," Journal of International Economics, Elsevier, vol. 145(C).
    3. Almeida, Alexandre N. & Bravo-Ureta, Boris E., 2019. "Agricultural productivity, shadow wages and off-farm labor decisions in Nicaragua," Economic Systems, Elsevier, vol. 43(1), pages 99-110.
    4. Dreher, Axel & Fuchs, Andreas & Langlotz, Sarah, 2019. "The effects of foreign aid on refugee flows," European Economic Review, Elsevier, vol. 112(C), pages 127-147.
    5. Iseghohi Judith Omon, 2021. "Migrant Remittances and Health Outcomes in the West Africa Monetary Zones (WAMZ)," Romanian Economic Journal, Department of International Business and Economics from the Academy of Economic Studies Bucharest, vol. 24(81), pages 15-32, September.
    6. Markus Brueckner & Ngo Van Long & Joaquin L. Vespignani, 2020. "Non-Gravity Trade," Globalization Institute Working Papers 388, Federal Reserve Bank of Dallas.
    7. Tanu M Goyal & Arpita Mukherjee, 2017. "Trade Agreements and Services Value Chain: The Case of India and Thailand," Applied Finance and Accounting, Redfame publishing, vol. 3(1), pages 11-23, February.
    8. Malerba, Daniele, 2020. "Poverty alleviation and local environmental degradation: An empirical analysis in Colombia," World Development, Elsevier, vol. 127(C).
    9. Dorsch, Michael T. & Maarek, Paul, 2020. "Economic downturns, inequality, and democratic improvements," European Journal of Political Economy, Elsevier, vol. 62(C).
    10. Elert, Niklas & Henrekson, Magnus, 2017. "Entrepreneurship and Institutions: A Bidirectional Relationship," Working Paper Series 1153, Research Institute of Industrial Economics, revised 05 May 2017.
    11. Bachewe, Fantu Nisrane & Koru, Bethlehem & Taffesse, Alemayehu Seyoum, 2018. "Productivity and efficiency in high-potential areas," IFPRI book chapters, in: The economics of teff: Exploring Ethiopia’s biggest cash crop, chapter 7, pages 149-180, International Food Policy Research Institute (IFPRI).
    12. Mavisakalyan, Astghik & Tarverdi, Yashar, 2019. "Gender and climate change: Do female parliamentarians make difference?," European Journal of Political Economy, Elsevier, vol. 56(C), pages 151-164.
    13. Oludele Emmanuel Folarin, 2019. "Financial reforms and industrialisation: evidence from Nigeria," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 21(1), pages 166-189, June.
    14. Annarita BALDANZI & Alberto BUCCI & Klaus PRETTNER, 2016. "The Effects of Health Investments on Human Capital and R&D-Driven Economic Growth," Departmental Working Papers 2016-17, Department of Economics, Management and Quantitative Methods at Università degli Studi di Milano.
    15. G. Yoganandan & Abdul Aziz Abdul Rahman & M. Vasan & Abdelrhman Meero, 2022. "Evaluating agripreneurs’ satisfaction: exploring the effect of demographics and emporographics," Journal of Innovation and Entrepreneurship, Springer, vol. 11(1), pages 1-22, December.
    16. Van Houtven, George L. & Pattanayak, Subhrendu K. & Usmani, Faraz & Yang, Jui-Chen, 2017. "What are Households Willing to Pay for Improved Water Access? Results from a Meta-Analysis," Ecological Economics, Elsevier, vol. 136(C), pages 126-135.
    17. Martinico-Perez, Marianne Faith G. & Schandl, Heinz & Fishman, Tomer & Tanikawa, Hiroki, 2018. "The Socio-Economic Metabolism of an Emerging Economy: Monitoring Progress of Decoupling of Economic Growth and Environmental Pressures in the Philippines," Ecological Economics, Elsevier, vol. 147(C), pages 155-166.
    18. Del Prete, Davide & Ghins, Léopold & Magrini, Emiliano & Pauw, Karl, 2019. "Land consolidation, specialization and household diets: Evidence from Rwanda," Food Policy, Elsevier, vol. 83(C), pages 139-149.
    19. Magombeyi, Mercy Tsitsi & Odhiambo, Nicholas Mbaya, 2017. "Dynamic impact of FDI inflows on poverty reduction:Empirical evidence from South Africa," Working Papers 22006, University of South Africa, Department of Economics.
    20. Wagner, Prof. Dr. Helmut, 2016. "The Building Up of New Imbalances in China: The Dilemma with ‘Rebalancing’," MPRA Paper 71494, University Library of Munich, Germany.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:3800-3810. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.