Despite the severity of the AIDS epidemic and the centrality of pregnancy and fertility to life in sub-Saharan Africa, little is known about how AIDS and its consequences alter reproductive goals and strategies. The Young Adult Families and AIDS Study (YAFAS) will collect timely and innovative data to investigate how young adults transitioning to parenthood amid a generalized epidemic simultaneously navigate the dual goals of avoiding HIV/AIDS and healthy childbearing. We situate the study in rural Malawi because counseling and testing for HIV, which are likely to influence reproduction, are just becoming available in the rural areas. An integrated longitudinal data set will include: Data from 2000 young women who will be tested for pregnancy and interviewed at quarterly intervals over a period of three years;linked data to their male sexual partners;biomarkers for HIV for both men and women, with the testing randomized in order to assess the causal influence of learning HIV serostatus;and from traditional cultural authorities to illuminate the role of local context in shaping reproductive desires. Using these new data, we address questions critical for individual, couple, national and international efforts to achieve health childbearing in a high-fertility and high HIV-prevalence setting.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD058366-06
Application #
8291165
Study Section
Special Emphasis Panel (ZHD1-DSR-W (20))
Program Officer
Newcomer, Susan
Project Start
2008-06-15
Project End
2014-05-31
Budget Start
2012-06-01
Budget End
2014-05-31
Support Year
6
Fiscal Year
2012
Total Cost
$355,089
Indirect Cost
$65,479
Name
Pennsylvania State University
Department
Type
Organized Research Units
DUNS #
003403953
City
University Park
State
PA
Country
United States
Zip Code
16802
Sennott, Christie; Yeatman, Sara (2016) SURPRISING RESULTS: HIV TESTING AND CHANGES IN CONTRACEPTIVE PRACTICES AMONG YOUNG WOMEN IN MALAWI. J Biosoc Sci 48:174-91
Conroy, Amy A; Wong, Lauren H (2015) How reliable are self-reports of HIV status disclosure? Evidence from couples in Malawi. Soc Sci Med 144:28-37
Yeatman, Sara E; Hoffman, Risa M; Chilungo, Abdallah et al. (2015) Brief Report: Health-Seeking Behavior and Symptoms Associated With Early HIV Infection: Results From a Population-Based Cohort in Southern Malawi. J Acquir Immune Defic Syndr 69:126-30
Yeatman, Sara; Sennott, Christie (2015) The sensitivity of measures of unwanted and unintended pregnancy using retrospective and prospective reporting: evidence from Malawi. Matern Child Health J 19:1593-600
Frye, Margaret; Trinitapoli, Jenny (2015) Ideals as Anchors for Relationship Experiences. Am Sociol Rev 80:496-525
Conroy, Amy A (2015) The influence of relationship power dynamics on HIV testing in rural Malawi. J Sex Res 52:347-59
Smith-Greenaway, Emily (2015) Are literacy skills associated with young adults' health in Africa? Evidence from Malawi. Soc Sci Med 127:124-33
Conroy, Amy A (2014) Marital infidelity and intimate partner violence in rural Malawi: a dyadic investigation. Arch Sex Behav 43:1303-14
Conroy, Amy A (2014) 'It means there is doubt in the house': perceptions and experiences of HIV testing in rural Malawi. Cult Health Sex 16:397-411
Bachan, Lauren K (2014) Anticipatory child fostering and household economic security in Malawi. Demogr Res 30:1157-1188

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