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Accessibility and availability of assistant reproductive technology for people living with HIV in Europe : a thematic literature review

Bell, Mallory ; Edelstein, Megan ; Hurwitz, Sadie and Irwin, Rachel LU (2020) In AIDS Care 32(8). p.949-953
Abstract
As antiretroviral therapies have transformed HIV into a manageable chronic disease, many individuals have or will choose to have children, and the use of assisted reproductive technology can serve as an effective risk-reducing strategy. In this thematic literature review, we examine the state of research on access to and availability of assisted reproductive health technologies for people living with HIV in Europe, with the aim of identifying gaps for further research. We find that the existing literature is focused on serodiscordant couples consisting of an HIV-positive man and an HIV-negative women. This is in part because more treatment options are available for men living with HIV than women, reflecting underlying gender discrimination... (More)
As antiretroviral therapies have transformed HIV into a manageable chronic disease, many individuals have or will choose to have children, and the use of assisted reproductive technology can serve as an effective risk-reducing strategy. In this thematic literature review, we examine the state of research on access to and availability of assisted reproductive health technologies for people living with HIV in Europe, with the aim of identifying gaps for further research. We find that the existing literature is focused on serodiscordant couples consisting of an HIV-positive man and an HIV-negative women. This is in part because more treatment options are available for men living with HIV than women, reflecting underlying gender discrimination in treatment. The existing scholarship largely ignores reproductive options for seroconcordant couples or single individuals, or for men and women with underlying infertility. Finally, very little research addresses the question of financial affordability, which is a known barrier to infertility treatment.As antiretroviral therapies have transformed HIV into a manageable chronic disease, many individuals have or will choose to have children, and the use of assisted reproductive technology can serve as an effective risk-reducing strategy. In this thematic literature review, we examine the state of research on access to and availability of assisted reproductive health technologies for people living with HIV in Europe, with the aim of identifying gaps for further research. We find that the existing literature is focused on serodiscordant couples consisting of an HIV-positive man and an HIV-negative women. This is in part because more treatment options are available for men living with HIV than women, reflecting underlying gender discrimination in treatment. The existing scholarship largely ignores reproductive options for seroconcordant couples or single individuals, or for men and women with underlying infertility. Finally, very little research addresses the question of financial affordability, which is a known barrier to infertility treatment. (Less)
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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anti-Retroviral Agents/therapeutic use, Child, Europe, Female, HIV Infections/diagnosis, Health Services Accessibility, Humans, Male, Reproductive Health Services/statistics & numerical data, Reproductive Techniques, Assisted
in
AIDS Care
volume
32
issue
8
pages
5 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85077170925
  • pmid:31875688
ISSN
0954-0121
DOI
10.1080/09540121.2019.1707471
language
English
LU publication?
no
id
ad1c2fdb-d8ec-4230-b092-af4c3b998a13
date added to LUP
2021-12-12 12:15:26
date last changed
2024-04-06 15:09:18
@article{ad1c2fdb-d8ec-4230-b092-af4c3b998a13,
  abstract     = {{As antiretroviral therapies have transformed HIV into a manageable chronic disease, many individuals have or will choose to have children, and the use of assisted reproductive technology can serve as an effective risk-reducing strategy. In this thematic literature review, we examine the state of research on access to and availability of assisted reproductive health technologies for people living with HIV in Europe, with the aim of identifying gaps for further research. We find that the existing literature is focused on serodiscordant couples consisting of an HIV-positive man and an HIV-negative women. This is in part because more treatment options are available for men living with HIV than women, reflecting underlying gender discrimination in treatment. The existing scholarship largely ignores reproductive options for seroconcordant couples or single individuals, or for men and women with underlying infertility. Finally, very little research addresses the question of financial affordability, which is a known barrier to infertility treatment.As antiretroviral therapies have transformed HIV into a manageable chronic disease, many individuals have or will choose to have children, and the use of assisted reproductive technology can serve as an effective risk-reducing strategy. In this thematic literature review, we examine the state of research on access to and availability of assisted reproductive health technologies for people living with HIV in Europe, with the aim of identifying gaps for further research. We find that the existing literature is focused on serodiscordant couples consisting of an HIV-positive man and an HIV-negative women. This is in part because more treatment options are available for men living with HIV than women, reflecting underlying gender discrimination in treatment. The existing scholarship largely ignores reproductive options for seroconcordant couples or single individuals, or for men and women with underlying infertility. Finally, very little research addresses the question of financial affordability, which is a known barrier to infertility treatment.}},
  author       = {{Bell, Mallory and Edelstein, Megan and Hurwitz, Sadie and Irwin, Rachel}},
  issn         = {{0954-0121}},
  keywords     = {{Anti-Retroviral Agents/therapeutic use; Child; Europe; Female; HIV Infections/diagnosis; Health Services Accessibility; Humans; Male; Reproductive Health Services/statistics & numerical data; Reproductive Techniques, Assisted}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{949--953}},
  publisher    = {{Taylor & Francis}},
  series       = {{AIDS Care}},
  title        = {{Accessibility and availability of assistant reproductive technology for people living with HIV in Europe : a thematic literature review}},
  url          = {{http://dx.doi.org/10.1080/09540121.2019.1707471}},
  doi          = {{10.1080/09540121.2019.1707471}},
  volume       = {{32}},
  year         = {{2020}},
}