AIDS and Behavior

, Volume 22, Issue 6, pp 1736–1749 | Cite as

Reproductive Desires and Considerations of HIV-Positive Men in Heterosexual Relationships in New York City

  • Karolynn Siegel
  • Étienne Meunier
  • Jack Ume Tocco
  • Helen-Maria Lekas
Original Paper


The reproductive desires of HIV-positive men have been investigated far less than those of HIV-positive women, especially in the US. 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.e., horizontal or vertical transmission, reinfection, or shortened life expectancy), participants mostly discussed factors unrelated to HIV (e.g., finances, housing, incarceration, substance abuse, or relationships) as deterrents to acting on their desire to having a child. When providing information on safer conception, healthcare providers should be aware of the broad desires and factors informing HIV-positive men’s reproductive goals.


HIV-positive men Reproductive desires Heterosexual/bisexual men United States 



This work was supported in part by a Grant from the National Institute of Child Health and Human Development from the National Institutes of Health [HD058338].

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in this study involving human subjects were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its latter amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Karolynn Siegel
    • 1
  • Étienne Meunier
    • 1
  • Jack Ume Tocco
    • 2
  • Helen-Maria Lekas
    • 1
    • 3
  1. 1.Department of Sociomedical Sciences, Mailman School of Public HealthColumbia University Medical CenterNew YorkUSA
  2. 2.HIV Center for Clinical and Behavioral StudiesNew York State Psychiatric Institute and Columbia UniversityNew YorkUSA
  3. 3.Nathan Kline Institute for Psychiatric ResearchOrangeburgUSA

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