Reproductive Decision Making of Spanish Women Living With HIV: A Constructivist Grounded Theory Study.
Ariadna Huertas-ZurriagaSergio Alonso-FernandezJuan Manuel Leyva-MoralPublished in: The Journal of the Association of Nurses in AIDS Care : JANAC (2024)
The process of reproductive decision making among women living with HIV is intricate and multifaceted, influenced by health considerations, societal factors, and personal values. In this study, we employed Charmaz's Constructivist Grounded Theory to understand how Spanish women living with HIV make decisions regarding reproduction. We conducted 26 face-to-face interviews until data saturation was achieved. Findings suggested that social constructs such as femininity and motherhood play a significant role in the reproductive decision-making process for women living with HIV. The women's beliefs about HIV, doubts, marginalizing situations, and health barriers create challenges to making reproductive decisions. These findings provide valuable implications for designing care plans that meet the unique sexual and reproductive health needs of women with HIV. An integrated and comprehensive multidisciplinary counseling approach is necessary to improve the quality of care.
Keyphrases
- decision making
- polycystic ovary syndrome
- healthcare
- pregnancy outcomes
- mental health
- quality improvement
- cervical cancer screening
- public health
- hiv positive
- hiv infected
- human immunodeficiency virus
- palliative care
- hiv testing
- hepatitis c virus
- hiv aids
- pregnant women
- health information
- adipose tissue
- pain management
- human health
- skeletal muscle
- big data
- smoking cessation
- chronic pain
- deep learning
- climate change