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1996-02-26
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Document 0980
DOCN M9620980
TI Unconventional conceptions and HIV.
DT 9602
AU Macaulay L; Kitzinger J; Green G; Wight D; Medical Research Council
Medical Sociology Unit, Glasgow, UK.
SO AIDS Care. 1995;7(3):261-76. Unique Identifier : AIDSLINE MED/96067996
AB The condom is widely recommended as the principal method for preventing
HIV transmission, but such advice obviously does not apply to women who
are seeking to become pregnant. In this sense, 'safer sex' is
incompatible with reproduction. Existing research into HIV transmission
has examined the choices made by those wishing to conceive within a
sexual relationship; such research shows that HIV is not a highly
significant factor in their decision-making processes. This study aims
to extend the debate by exploring the decision-making processes of women
seeking to become pregnant with donated sperm. In particular, we focus
on women outside the fertility clinic system who do not have access to
sperm screened for HIV to see whether HIV is a significant factor in
these women's decisions. The study involved in-depth interviews with 20
women (14 lesbians, one bisexual and five heterosexuals) recruited
through informal networking and snowball sampling. HIV was a salient
concern for our sample, largely because of their contacts with gay men,
but nonetheless most of these women took some risks. On the one hand,
the conscious deliberations necessary to conceive through
self-insemination facilitated risk reduction, as did factors such as
'stranger-danger'. On the other hand, factors such as the scarcity of
suitable sperm donors and the women's own feelings of gratitude and
loyalty to their donors mitigated against their requesting that their
donor take an HIV test. This study highlights the need to provide
information for women seeking self-insemination, and to remove
restrictions on access to fertility clinics, in order to reduce their
risk of HIV infection and subsequent vertical transmission.
DE Adult AIDS Serodiagnosis/PSYCHOLOGY *Bisexuality/PSYCHOLOGY Female
Health Policy *Homosexuality, Female Homosexuality, Male Human HIV
Infections/PREVENTION & CONTROL/PSYCHOLOGY/*TRANSMISSION Infant,
Newborn Insemination, Artificial, Heterologous/PSYCHOLOGY *Knowledge,
Attitudes, Practice Male Pregnancy Pregnancy Complications,
Infectious/*PREVENTION & CONTROL/ PSYCHOLOGY Risk Factors Support,
Non-U.S. Gov't *Tissue Donors/PSYCHOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).