Survey of HIV care providers on management of HIV serodiscordant couples-assessment of attitudes, knowledge, and practices

Matthew L. Scherer, Nataki C. Douglas, Bethlehem H. Churnet, Lisa C. Grossman, Melissa Kline, Michael T. Yin, Mark V. Sauer, Susan A. Olender

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Human immunodeficiency virus (HIV) serodiscordant couples are at risk of sexual transmission of HIV between the infected and uninfected partner. We assessed New York area care providers for people living with HIV regarding attitudes, knowledge, and practice patterns toward fertility and conception in serodiscordant couples. Data were collected via a survey distributed in October 2013. Seventeen percent of respondents reported prescribing antiretroviral preexposure prophylaxis (PrEP) for a woman in a serodiscordant couple, and 38% percent of respondents reported having counseled serodiscordant couples on timed, unprotected intercourse without PrEP. Respondents who reported being "very" familiar with the data on HIV transmission in serodiscordant couples were more likely to report counseling their patients in timed, unprotected intercourse compared with those who reported less familiarity with the data (41% vs. 8%, p = 0.001). Although only 20% reported being "very" or "somewhat" familiar with the data on the safety of sperm washing with intrauterine insemination, those who did were more likely to have reported referring a patient for assisted reproductive technology (61% vs. 32%, p = 0.006). Effective patient counseling and referral for appropriate reproductive options were associated with knowledge of the literature pertaining to these options. This emphasizes the need for further provider education on reproductive options and appropriate counseling for serodiscordant couples.

Original languageEnglish (US)
Pages (from-to)1435-1439
Number of pages5
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume26
Issue number11
DOIs
StatePublished - Nov 2 2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Social Psychology

Keywords

  • assisted reproduction technology
  • preexposure prophylaxis
  • prevention of sexual transmission
  • survey

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