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This qualitative study of a sample of 94 HIV-positive men in New York City who were in a relationship with a woman of reproductive age examined their reasons for wanting a child as well as the conditions under which they would feel ready to attempt conception. Participants felt a child would make them feel normal, give meaning to their lives, or make others in their life happy.

Although they reported HIV-related concerns i. With access to care and early treatment, the life expectancy of people living with HIV is approaching that of their uninfected peers [ 1 — 4 ]. HIV treatment and prophylaxis as well as assisted reproductive technologies have become very effective in preventing horizontal transmission to an uninfected partner when conceiving [ 5 , 6 ] and antiretroviral regimens have been available since to prevent vertical transmission from an infected mother to a child during pregnancy [ 7 ].

As a result, HIV-positive men and women may increasingly desire a child, and feel confident both that it can be born uninfected and that they will survive long enough to raise that child. Greater knowledge about the reasons why HIV-positive adults may want children can help tailor information about safer conception to those who need it.

The few surveys that have included HIV-positive men found that they, like HIV-positive women, were not deterred from wanting to conceive children because of their illness [for a review, see 10 , 11 ]. Internationally, surveys have found that HIV-positive men of younger age [ 12 — 18 ], with no prior children [ 14 , 15 , 17 — 19 ], and in a heterosexual relationship [ 15 , 19 ] were more likely to desire children. In qualitative studies, HIV-positive men have often conveyed that concerns for horizontal and vertical transmission do not deter them from desiring a biological child [ 20 — 24 ].

Many appear to perceive a cultural imperative to father children and to do so through procreation [ 20 , 21 , 25 ]. In a small qualitative study in Ireland of six female and four male HIV-positive participants, men expressed that procreating was an essential part of their societal role as adult males that HIV prevented them to fulfill [ 26 ].

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Source: CDC. Accessed January 7, These deaths may be due to any cause. In addition to stigma and other risk factors affecting all gay and bisexual men , several factors are particularly important for African American gay and bisexual men. These include the following:. Delay in linkage to HIV medical care. Early linkage to HIV medical care is essential to achieving viral suppression. Low percentages of viral suppression. Socioeconomic factors. The poverty rate among African Americans is high.

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