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Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis

The increased access to effective antiretroviral treatment (ART) has made HIV comparable to a chronic disease in terms of life expectancy. Needs related to sexuality and reproduction are central to overall health and well-being. An interpretative meta-synthesis was performed to synthesize and assess...

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Autores principales: Carlsson-Lalloo, Ewa, Rusner, Marie, Mellgren, Åsa, Berg, Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753620/
https://www.ncbi.nlm.nih.gov/pubmed/26741804
http://dx.doi.org/10.1089/apc.2015.0260
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author Carlsson-Lalloo, Ewa
Rusner, Marie
Mellgren, Åsa
Berg, Marie
author_facet Carlsson-Lalloo, Ewa
Rusner, Marie
Mellgren, Åsa
Berg, Marie
author_sort Carlsson-Lalloo, Ewa
collection PubMed
description The increased access to effective antiretroviral treatment (ART) has made HIV comparable to a chronic disease in terms of life expectancy. Needs related to sexuality and reproduction are central to overall health and well-being. An interpretative meta-synthesis was performed to synthesize and assess how HIV-positive women's experiences of sexuality and reproduction have been described in qualitative studies. A total of 18 peer-reviewed qualitative studies were included, which comprised a total of 588 HIV-positive interviewed women. The studies originated from resource-rich countries outside the Asian and African continents. The analysis, resulting in a lines-of-argument synthesis, shows that HIV infection was a burden in relation to sexuality and reproduction. The weight of the burden could be heavier or lighter. Conditions making the HIV burden heavier were: HIV as a barrier, feelings of fear and loss, whereas motherhood, spiritual beliefs, and supportive relationships made the HIV burden lighter. The findings are important in developing optimal health care by addressing conditions making the burden of HIV infection lighter to bear. In future research there is a need to focus not only on examining how HIV-positive women's sexual and relationships manifest themselves, but also on how health care professionals should provide adequate support to the women in relation to sexuality and reproduction.
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spelling pubmed-47536202016-02-23 Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis Carlsson-Lalloo, Ewa Rusner, Marie Mellgren, Åsa Berg, Marie AIDS Patient Care STDS Clinical and Epidemiologic Research The increased access to effective antiretroviral treatment (ART) has made HIV comparable to a chronic disease in terms of life expectancy. Needs related to sexuality and reproduction are central to overall health and well-being. An interpretative meta-synthesis was performed to synthesize and assess how HIV-positive women's experiences of sexuality and reproduction have been described in qualitative studies. A total of 18 peer-reviewed qualitative studies were included, which comprised a total of 588 HIV-positive interviewed women. The studies originated from resource-rich countries outside the Asian and African continents. The analysis, resulting in a lines-of-argument synthesis, shows that HIV infection was a burden in relation to sexuality and reproduction. The weight of the burden could be heavier or lighter. Conditions making the HIV burden heavier were: HIV as a barrier, feelings of fear and loss, whereas motherhood, spiritual beliefs, and supportive relationships made the HIV burden lighter. The findings are important in developing optimal health care by addressing conditions making the burden of HIV infection lighter to bear. In future research there is a need to focus not only on examining how HIV-positive women's sexual and relationships manifest themselves, but also on how health care professionals should provide adequate support to the women in relation to sexuality and reproduction. Mary Ann Liebert, Inc. 2016-02-01 /pmc/articles/PMC4753620/ /pubmed/26741804 http://dx.doi.org/10.1089/apc.2015.0260 Text en © Ewa Carlsson-Lalloo, et al., 2015; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons Attribution Noncommercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Clinical and Epidemiologic Research
Carlsson-Lalloo, Ewa
Rusner, Marie
Mellgren, Åsa
Berg, Marie
Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis
title Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis
title_full Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis
title_fullStr Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis
title_full_unstemmed Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis
title_short Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis
title_sort sexuality and reproduction in hiv-positive women: a meta-synthesis
topic Clinical and Epidemiologic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753620/
https://www.ncbi.nlm.nih.gov/pubmed/26741804
http://dx.doi.org/10.1089/apc.2015.0260
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