Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis

Background: Women living with HIV (WLH) lack evidence-based information about reproductive options while man‑ aging pressures from family, clinicians, and communities to give up the idea of having children. As the reproduction intentions of WLH are not well understood, stigmatizing behaviors force t...

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Autores: Huertas Zurriaga, Ariadna, Palmieri, Patrick A., Edwards, Joan E., Cesario, Sandra K., Alonso Fernández, Sergio, Pardell Dominguez, Lidia, Dominguez-Cancino, Karen A., Leyva Moral, Juan Manuel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/183061
Acceso en línea:https://hdl.handle.net/2445/183061
Access Level:acceso abierto
Palabra clave:Embaràs
VIH (Virus)
Països desenvolupats
Investigació qualitativa
Pregnancy
HIV (Viruses)
Developing countries
Qualitative research
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repository_id_str
spelling Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesisHuertas Zurriaga, AriadnaPalmieri, Patrick A.Edwards, Joan E.Cesario, Sandra K.Alonso Fernández, SergioPardell Dominguez, LidiaDominguez-Cancino, Karen A.Leyva Moral, Juan ManuelEmbaràsVIH (Virus)Països desenvolupatsInvestigació qualitativaPregnancyHIV (Viruses)Developing countriesQualitative researchBackground: Women living with HIV (WLH) lack evidence-based information about reproductive options while man‑ aging pressures from family, clinicians, and communities to give up the idea of having children. As the reproduction intentions of WLH are not well understood, stigmatizing behaviors force them to hide their disease to avoid rejection by their family, partner, and social networks. Compliance with social norms, fear of stigma, and discrimination infu‑ ence their experience. Current research is individual qualitative studies lacking the synthesis perspective necessary to guide intervention development. The purpose of this study was to synthesize the evidence to explain the reproduc‑ tive decision-making process for WLH in developed countries. Methods: A systematic review with qualitative research synthesis was conducted through searches in 10 elec‑ tronic databases (CINAHL, EMBASE, MEDLINE, Scopus, Social Science Citation Index, Web of Science, Google Scholar, Cuidatge, Cuiden Enfspo, and SciELO). Studies published in journals from 1995 to 2019 with qualitative data about reproductive decision-making among WLH in developed countries were eligible for inclusion. Developed country wasoperationalized by membership in the OECD for comparative conditions of social wellbeing and economic stability. The CASP and JBI checklists for qualitative research were used to assess study quality and methodological integrity. Thematic analysis and qualitative meta-summary techniques were used for the synthesis. Results: Twenty studies from 12 developed countries were included in the synthesis. Findings were organized into 3 meta-themes from 15 themes and 45 subthemes, including: (1) Shattered identity, (2) Barriers, inequities, and misinfor‑ mation, (3) Coping, resiliency, and support. Reproductive decision-making was perceived as a complex process infu‑ enced by facilitators and barriers. The facilitators helped WLH cope with their new situation to become more resilient, while the barriers made their situation more difcult to manage. Conclusion: WLH encounter reproductive decision-making with knowledge defcits and limited social support. An integrated approach to holistic care with comprehensive multidisciplinary counseling is needed to support WLH. Clinicians could beneft from professional development to learn how to be authentically present for WLH, including engaging in conversations, demonstrating compassion, and understanding situations. Evidence-based clinical prac‑ tice guidelines need to be tailored for the family planning and sexual health needs of WLH. Keywords: AIDS, HIV, Decision-making, Pregnancy, Reproductive health, WomenBioMed Central2022202220212022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion21 p.application/pdfhttps://hdl.handle.net/2445/183061Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1186/s12978-021-01197-6Reproductive Health, 2021, vol 18, num 1, p. 1-21https://doi.org/10.1186/s12978-021-01197-6cc-by (c) Huertas Zurriaga, Ariadna et al., 2021https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1830612026-05-29T05:05:01Z
dc.title.none.fl_str_mv Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis
title Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis
spellingShingle Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis
Huertas Zurriaga, Ariadna
Embaràs
VIH (Virus)
Països desenvolupats
Investigació qualitativa
Pregnancy
HIV (Viruses)
Developing countries
Qualitative research
title_short Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis
title_full Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis
title_fullStr Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis
title_full_unstemmed Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis
title_sort Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis
dc.creator.none.fl_str_mv Huertas Zurriaga, Ariadna
Palmieri, Patrick A.
Edwards, Joan E.
Cesario, Sandra K.
Alonso Fernández, Sergio
Pardell Dominguez, Lidia
Dominguez-Cancino, Karen A.
Leyva Moral, Juan Manuel
author Huertas Zurriaga, Ariadna
author_facet Huertas Zurriaga, Ariadna
Palmieri, Patrick A.
Edwards, Joan E.
Cesario, Sandra K.
Alonso Fernández, Sergio
Pardell Dominguez, Lidia
Dominguez-Cancino, Karen A.
Leyva Moral, Juan Manuel
author_role author
author2 Palmieri, Patrick A.
Edwards, Joan E.
Cesario, Sandra K.
Alonso Fernández, Sergio
Pardell Dominguez, Lidia
Dominguez-Cancino, Karen A.
Leyva Moral, Juan Manuel
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Embaràs
VIH (Virus)
Països desenvolupats
Investigació qualitativa
Pregnancy
HIV (Viruses)
Developing countries
Qualitative research
topic Embaràs
VIH (Virus)
Països desenvolupats
Investigació qualitativa
Pregnancy
HIV (Viruses)
Developing countries
Qualitative research
description Background: Women living with HIV (WLH) lack evidence-based information about reproductive options while man‑ aging pressures from family, clinicians, and communities to give up the idea of having children. As the reproduction intentions of WLH are not well understood, stigmatizing behaviors force them to hide their disease to avoid rejection by their family, partner, and social networks. Compliance with social norms, fear of stigma, and discrimination infu‑ ence their experience. Current research is individual qualitative studies lacking the synthesis perspective necessary to guide intervention development. The purpose of this study was to synthesize the evidence to explain the reproduc‑ tive decision-making process for WLH in developed countries. Methods: A systematic review with qualitative research synthesis was conducted through searches in 10 elec‑ tronic databases (CINAHL, EMBASE, MEDLINE, Scopus, Social Science Citation Index, Web of Science, Google Scholar, Cuidatge, Cuiden Enfspo, and SciELO). Studies published in journals from 1995 to 2019 with qualitative data about reproductive decision-making among WLH in developed countries were eligible for inclusion. Developed country wasoperationalized by membership in the OECD for comparative conditions of social wellbeing and economic stability. The CASP and JBI checklists for qualitative research were used to assess study quality and methodological integrity. Thematic analysis and qualitative meta-summary techniques were used for the synthesis. Results: Twenty studies from 12 developed countries were included in the synthesis. Findings were organized into 3 meta-themes from 15 themes and 45 subthemes, including: (1) Shattered identity, (2) Barriers, inequities, and misinfor‑ mation, (3) Coping, resiliency, and support. Reproductive decision-making was perceived as a complex process infu‑ enced by facilitators and barriers. The facilitators helped WLH cope with their new situation to become more resilient, while the barriers made their situation more difcult to manage. Conclusion: WLH encounter reproductive decision-making with knowledge defcits and limited social support. An integrated approach to holistic care with comprehensive multidisciplinary counseling is needed to support WLH. Clinicians could beneft from professional development to learn how to be authentically present for WLH, including engaging in conversations, demonstrating compassion, and understanding situations. Evidence-based clinical prac‑ tice guidelines need to be tailored for the family planning and sexual health needs of WLH. Keywords: AIDS, HIV, Decision-making, Pregnancy, Reproductive health, Women
publishDate 2021
dc.date.none.fl_str_mv 2021
2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/183061
url https://hdl.handle.net/2445/183061
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/s12978-021-01197-6
Reproductive Health, 2021, vol 18, num 1, p. 1-21
https://doi.org/10.1186/s12978-021-01197-6
dc.rights.none.fl_str_mv cc-by (c) Huertas Zurriaga, Ariadna et al., 2021
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Huertas Zurriaga, Ariadna et al., 2021
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 21 p.
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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repository.mail.fl_str_mv
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