Reproductive decision-making of Black women living with HIV : A systematic review
Huertas-Zurriaga, Ariadna (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Palmieri, Patrick A. (Center for Global Nursing, Texas Woman's University, Houston, TX, USA)
Aguayo-Gonzalez, Mariela (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Dominguez-Cancino, Karen A. (Universidad de Chile. Escuela de Salud Pública)
Casanovas-Cuellar, Cristina (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Linden, Kara L. Vander (Glaser Center for Grounded Theory, Institute for Research and Theory Methodologies, Poway, CA, USA)
Cesario, Sandra K. (Nelda C. Stark College of Nursing, Texas Woman's University, Houston, TX, USA)
Edwards, Joan E. (Nelda C. Stark College of Nursing, Texas Woman's University, Houston, TX, USA)
Leyva-Moral, Juan M. (Universitat Autònoma de Barcelona. Departament d'Infermeria)

Fecha:	2022
Resumen:	Black women living with HIV account for a higher proportion of new HIV diagnoses than other groups. These women experience restricted access to reproductive services and inadequate support from healthcare providers because their position in society is based on their sexual health and social identity in the context of this stigmatizing chronic disease. By recognizing the analytical relevance of intersectionality, the reproductive decision-making of Black women can be explored as a social phenomenon of society with varied positionality. The purpose of this review was to synthesize the evidence about the reproductive decision-making of Black women living with HIV in high-income countries from the beginning of the HIV epidemic to the present. This systematic review was guided by the JBI evidence synthesis recommendations. Searches were completed in seven databases from 1985 to 2021, and the review protocol was registered with PROSPERO (CRD420180919). Of 3503 records, 22 studies were chosen for synthesis, including 19 observational and three qualitative designs. Nearly, all studies originated from the United States; the earliest was reported in 1995. Few studies provided detailed sociodemographic data or subgroup analysis focused on race or ethnicity. Influencing factors for reproductive decision-making were organized into the following seven categories: ethnicity, race, and pregnancy; religion and spirituality; attitudes and beliefs about antiretroviral therapy; supportive people; motherhood and fulfillment; reproductive planning; and health and wellness. No major differences were identified in the reproductive decision-making of Black women living with HIV. Even though Black women were the largest group of women living with HIV, no studies reported a subgroup analysis, and few studies detailed sociodemographic information specific to Black women. In the future, institutional review boards should require a subgroup analysis for Black women when they are included as participants in larger studies of women living with HIV.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Blacks ; Contraception ; Decision-making ; Developed countries ; High-income countries ; HIV ; Organization for economic co-operation and development ; Racial groups ; Reproduction ; Reproductive behavior ; Systematic review ; Women's health
Publicado en:	Women's Health, Vol. 18 (april 2022) , ISSN 1745-5065

DOI: 10.1177/17455057221090827
PMID: 35404192

15 p, 1.4 MB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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