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"My body my baby": a qualitative study examining drivers of infant-feeding choices among women living with HIV in Philadelphia, United States.

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Title: "My body my baby": a qualitative study examining drivers of infant-feeding choices among women living with HIV in Philadelphia, United States.
Authors: Zapata Vaca, Martina, Tsosie, Chermiqua Rachelle, Logue-Chamberlain, Erin, Coutifaris, Paulina, Christensen, Theresa, Mabry, Alexandria Bea, Mohamed, Ola, Tedaldi, Ellen, Oliver, Emily A., Short, William R., Lowenthal, Elizabeth D.
Source: AIDS Care. Jun2025, Vol. 37 Issue 6, p942-954. 13p.
Subjects: Medical protocols, Breastfeeding, Health literacy, Qualitative research, Health attitudes, Research funding, Culture, Interviewing, Psychology of women, Infant nutrition, Psychology of HIV-positive persons, Motivation (Psychology), Religion, Intention
Geographic Terms: Pennsylvania
Abstract: Before national guidelines related to infant feeding among people living with HIV (PLHIV) in the United States were changed in 2023, PLHIV were discouraged from breastfeeding due to the potential risk of perinatal HIV transmission. Potential health benefits to both mother and child coupled with the ability to mitigate HIV transmission risk with modern treatments now make feeding decisions more complex for PLHIV. This study examined personal and social determinants of feeding choice among PLHIV in the Philadelphia area just prior to the change in national guidelines. In 2022 and 2023, we conducted in-depth interviews with 28 PLHIV between the ages of 18–50 years old that had previously given birth, 22 while living with HIV. Participants who gave birth while living with HIV expressed that they had not been given the choice to breastfeed. When probed about how they would consider choice in a hypothetical future pregnancy in the new guidelines era, participants' own knowledge and beliefs about what was best for their babies and themselves were consistently raised as the most influential factors. They relied strongly on their health providers for up-to-date knowledge. Advice from partners, family, and community was considered less influential for most. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: "My body my baby": a qualitative study examining drivers of infant-feeding choices among women living with HIV in Philadelphia, United States.
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  Data: <searchLink fieldCode="AR" term="%22Zapata+Vaca%2C+Martina%22">Zapata Vaca, Martina</searchLink><br /><searchLink fieldCode="AR" term="%22Tsosie%2C+Chermiqua+Rachelle%22">Tsosie, Chermiqua Rachelle</searchLink><br /><searchLink fieldCode="AR" term="%22Logue-Chamberlain%2C+Erin%22">Logue-Chamberlain, Erin</searchLink><br /><searchLink fieldCode="AR" term="%22Coutifaris%2C+Paulina%22">Coutifaris, Paulina</searchLink><br /><searchLink fieldCode="AR" term="%22Christensen%2C+Theresa%22">Christensen, Theresa</searchLink><br /><searchLink fieldCode="AR" term="%22Mabry%2C+Alexandria+Bea%22">Mabry, Alexandria Bea</searchLink><br /><searchLink fieldCode="AR" term="%22Mohamed%2C+Ola%22">Mohamed, Ola</searchLink><br /><searchLink fieldCode="AR" term="%22Tedaldi%2C+Ellen%22">Tedaldi, Ellen</searchLink><br /><searchLink fieldCode="AR" term="%22Oliver%2C+Emily+A%2E%22">Oliver, Emily A.</searchLink><br /><searchLink fieldCode="AR" term="%22Short%2C+William+R%2E%22">Short, William R.</searchLink><br /><searchLink fieldCode="AR" term="%22Lowenthal%2C+Elizabeth+D%2E%22">Lowenthal, Elizabeth D.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jun2025, Vol. 37 Issue 6, p942-954. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Breastfeeding%22">Breastfeeding</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Health+attitudes%22">Health attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Culture%22">Culture</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+women%22">Psychology of women</searchLink><br /><searchLink fieldCode="DE" term="%22Infant+nutrition%22">Infant nutrition</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Religion%22">Religion</searchLink><br /><searchLink fieldCode="DE" term="%22Intention%22">Intention</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Pennsylvania%22">Pennsylvania</searchLink>
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  Data: Before national guidelines related to infant feeding among people living with HIV (PLHIV) in the United States were changed in 2023, PLHIV were discouraged from breastfeeding due to the potential risk of perinatal HIV transmission. Potential health benefits to both mother and child coupled with the ability to mitigate HIV transmission risk with modern treatments now make feeding decisions more complex for PLHIV. This study examined personal and social determinants of feeding choice among PLHIV in the Philadelphia area just prior to the change in national guidelines. In 2022 and 2023, we conducted in-depth interviews with 28 PLHIV between the ages of 18–50 years old that had previously given birth, 22 while living with HIV. Participants who gave birth while living with HIV expressed that they had not been given the choice to breastfeed. When probed about how they would consider choice in a hypothetical future pregnancy in the new guidelines era, participants' own knowledge and beliefs about what was best for their babies and themselves were consistently raised as the most influential factors. They relied strongly on their health providers for up-to-date knowledge. Advice from partners, family, and community was considered less influential for most. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=185944247
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      – Type: doi
        Value: 10.1080/09540121.2025.2474666
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      – Code: eng
        Text: English
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        PageCount: 13
        StartPage: 942
    Subjects:
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Breastfeeding
        Type: general
      – SubjectFull: Health literacy
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      – SubjectFull: Qualitative research
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      – SubjectFull: Health attitudes
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      – SubjectFull: Research funding
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      – SubjectFull: Culture
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      – SubjectFull: Interviewing
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      – SubjectFull: Psychology of women
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      – SubjectFull: Infant nutrition
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      – SubjectFull: Psychology of HIV-positive persons
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      – SubjectFull: Pennsylvania
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              Text: Jun2025
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