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Can HIV‐positive gay men become parents? How men living with HIV and HIV clinicians talk about the possibility of having children
It is now established that people living with HIV who have an undetectable viral load and adhere to antiretroviral treatment cannot transmit HIV to their sexual partners. Previous research has shown that ‘being undetectable’ changes how HIV‐positive gay men experience their sex lives. But how does i...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170559/ https://www.ncbi.nlm.nih.gov/pubmed/33222191 http://dx.doi.org/10.1111/1467-9566.13218 |
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author | Pralat, Robert Burns, Fiona Anderson, Jane Barber, Tristan J. |
author_facet | Pralat, Robert Burns, Fiona Anderson, Jane Barber, Tristan J. |
author_sort | Pralat, Robert |
collection | PubMed |
description | It is now established that people living with HIV who have an undetectable viral load and adhere to antiretroviral treatment cannot transmit HIV to their sexual partners. Previous research has shown that ‘being undetectable’ changes how HIV‐positive gay men experience their sex lives. But how does it affect gay men’s reproductive behaviours? And what influence does it have on views about parenthood at a time when gay fatherhood has become more socially accepted and publicly visible? Drawing on qualitative interviews with patients and clinicians at four HIV clinics in London, we identify differences in how interviewees talked about the possibility of having children for HIV‐positive men. Both groups, unprompted, frequently referred to sperm washing as a method enabling safe conception. However, whereas clinicians talked about sperm washing as an historical technique, which is no longer necessary, patients spoke of it as a current tool. The men rarely mentioned being undetectable as relevant to parenthood and, when prompted, some said that they did not fully understand the mechanics of HIV transmission. Our findings offer new insights into how biomedical knowledge is incorporated into people’s understandings of living with HIV, raising important questions about how the meanings of being undetectable are communicated. |
format | Online Article Text |
id | pubmed-8170559 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-81705592021-06-11 Can HIV‐positive gay men become parents? How men living with HIV and HIV clinicians talk about the possibility of having children Pralat, Robert Burns, Fiona Anderson, Jane Barber, Tristan J. Sociol Health Illn Original Articles It is now established that people living with HIV who have an undetectable viral load and adhere to antiretroviral treatment cannot transmit HIV to their sexual partners. Previous research has shown that ‘being undetectable’ changes how HIV‐positive gay men experience their sex lives. But how does it affect gay men’s reproductive behaviours? And what influence does it have on views about parenthood at a time when gay fatherhood has become more socially accepted and publicly visible? Drawing on qualitative interviews with patients and clinicians at four HIV clinics in London, we identify differences in how interviewees talked about the possibility of having children for HIV‐positive men. Both groups, unprompted, frequently referred to sperm washing as a method enabling safe conception. However, whereas clinicians talked about sperm washing as an historical technique, which is no longer necessary, patients spoke of it as a current tool. The men rarely mentioned being undetectable as relevant to parenthood and, when prompted, some said that they did not fully understand the mechanics of HIV transmission. Our findings offer new insights into how biomedical knowledge is incorporated into people’s understandings of living with HIV, raising important questions about how the meanings of being undetectable are communicated. John Wiley and Sons Inc. 2020-11-22 2021-02 /pmc/articles/PMC8170559/ /pubmed/33222191 http://dx.doi.org/10.1111/1467-9566.13218 Text en © 2020 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL (SHIL) https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Pralat, Robert Burns, Fiona Anderson, Jane Barber, Tristan J. Can HIV‐positive gay men become parents? How men living with HIV and HIV clinicians talk about the possibility of having children |
title | Can HIV‐positive gay men become parents? How men living with HIV and HIV clinicians talk about the possibility of having children |
title_full | Can HIV‐positive gay men become parents? How men living with HIV and HIV clinicians talk about the possibility of having children |
title_fullStr | Can HIV‐positive gay men become parents? How men living with HIV and HIV clinicians talk about the possibility of having children |
title_full_unstemmed | Can HIV‐positive gay men become parents? How men living with HIV and HIV clinicians talk about the possibility of having children |
title_short | Can HIV‐positive gay men become parents? How men living with HIV and HIV clinicians talk about the possibility of having children |
title_sort | can hiv‐positive gay men become parents? how men living with hiv and hiv clinicians talk about the possibility of having children |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170559/ https://www.ncbi.nlm.nih.gov/pubmed/33222191 http://dx.doi.org/10.1111/1467-9566.13218 |
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