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This multicenter, longitudinal, mixed methods study aims to get a comprehensive and nuanced understanding of infant feeding knowledge among women living with HIV of Nordic and non-Nordic origin living in Nordic countries, and their interaction with healthcare providers regarding infant feeding planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pregnant women living with HIV in Denmark, Finland, and Sweden were recruited in 2019\u20132020. The Positive Attitudes Concerning Infant Feeding (PACIFY) questionnaire was completed in the 3rd trimester (T1), three (T2), and six (T3) months postpartum. Women who completed the quantitative survey were also invited to participate in qualitative semi-structured interviews at T1 and T3. Results from the survey and interviews were brought together through merging to assess for concordance, complementarity, expansion, or discordance between the datasets and to draw meta-inferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 44 women living with HIV completed the survey, of whom 31 also participated in the interviews. The merged analyses identified two overarching domains: Knowledge about breastfeeding in the U\u2009=\u2009U era and Communications with healthcare providers. The women expressed confusion about breastfeeding in the context of undetectable equals untransmittable (U\u2009=\u2009U). Women of Nordic origin were more unsure about whether breastfeeding was possible in the context of U\u2009=\u2009U than women of non-Nordic origin. Increased postpartum monitoring with monthly testing of the mother was not seen as a barrier to breastfeeding, but concerns were found regarding infant testing and infant ART exposure. Infant feeding discussions with healthcare providers were welcome but could also question whether breastfeeding was feasible, and many participants highlighted a need for more information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Healthcare providers caring for women living with HIV must have up-to-date knowledge of HIV transmission risks during breastfeeding and engage in shared decision-making to optimally support infant feeding choices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13006-024-00677-2","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T06:01:58Z","timestamp":1728626518000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Infant feeding knowledge among women living with HIV and their interaction with healthcare providers in a high-income setting: a longitudinal mixed methods study"],"prefix":"10.1186","volume":"19","author":[{"given":"Ellen","family":"Moseholm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inka","family":"Aho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5sa","family":"Mellgren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isik S","family":"Johansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terese L","family":"Katzenstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gitte","family":"Pedersen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merete","family":"Storgaard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Weis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"677_CR1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-044565","volume":"11","author":"N Weis","year":"2021","unstructured":"Weis N, Katzenstein TL, \u00d8rb\u00e6k M, Storgaard M, Pedersen G, Johansen IS, et al. 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Approval from the Danish National Ethics Committee was not required as no biomedical intervention was performed. All women gave informed consent to participate. The participants did not receive any reimbursements.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"EM reports grants from Gilead and the Novo Nordisk Foundation; honorarium paid to her institution from GSK, Gilead and Merck Sharp Dohme, outside the submitted work. IA reports personal fees from Merck Sharp Dohme, Gilead, and Glaxo Smith Kline, and a grant from Gilead, outside the submitted work. \u00c5M reports personal fees from Gilead and ViiV\/ GSK, outside the submitted work. TLK reports personal fees and grants from ViiV\/Glaxo Smith Kline, Gilead, CLS Behring, and Baxalta, outside of the submitted work. NW reports honorarium paid to her institution from Merck Sharp Dohme, outside the submitted work. The remaining authors (GP, ISJ, DB, and MS) declare no competing interests.\u00a0","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"71"}}