Factors affecting reproductive decisions of African American women living with HIV.

Purpose: This exploratory study used focus groups to examine attitudes and beliefs of HIV-infected African American women of child-bearing age about pregnancy and antiretroviral therapy.

Methods: A convenience sample of thirty-three African American women of child-bearing age participated in five focus groups. Attitudes and beliefs about pregnancy decisions and the use of antiretroviral therapy during pregnancy were examined.

Results: Many of the women in this study living with HIV remained committed to having children and expressed confusion about their chances of transmitting the virus to their children.

Conclusions: Health care providers must be aware of these concerns and convey clear and accurate information through the most readily accepted channels. Participants suggested that messages about these issues be conveyed by other women living with HIV who have faced these same decisions.