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dc.contributor.authorHuertas-Zurriaga, Ariadnaes_ES
dc.contributor.authorPalmieri , A Palmieries_ES
dc.contributor.authorAguayo-Gonzalez , Mariela P.es_ES
dc.contributor.authorDominguez-Cancino, Karen A.es_ES
dc.contributor.authorCasanovas-Cuellar Cristinaes_ES
dc.contributor.authorLinden Vander, Kara L.es_ES
dc.contributor.authorCesario, S andra K.es_ES
dc.contributor.authorEdwards, Joan Ees_ES
dc.contributor.authorLeyva-Moral, Juan Mes_ES
dc.date.accessioned2022-11-17T17:04:57Z
dc.date.available2022-11-17T17:04:57Z
dc.date.issued2022-05-18
dc.identifier.urihttps://hdl.handle.net/20.500.13053/7139
dc.description.abstract“Background: 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. Objective: 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. Methods: 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). Results: 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. Conclusion: 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.“es_ES
dc.formatapplication/pdfes_ES
dc.language.isoenges_ES
dc.publisherELSEVIER SCIENCE INCes_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/es_ES
dc.subjectBlacks; HIV; contraception; decision-making; developed countries; high-income countries; organization for economic co-operation and development; racial groups; reproduction; reproductive behavior; systematic review; women’s health.es_ES
dc.titleReproductive decision-making of Black women living with HIV: A systematic reviewes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.identifier.doihttps://doi.org/10.1177/17455057221090827es_ES
dc.type.versioninfo:eu-repo/semantics/publishedVersiones_ES
dc.publisher.countryGBes_ES
dc.subject.ocdehttp://purl.org/pe-repo/ocde/ford#3.03.00es_ES


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