Figure 1.

Mediation diagram for the hypothesised effect of HIV care provider gender on discussing reproductive goals

Notes: Exposure =  gender of women’s healthcare provider, measured at baseline (woman vs man); Mediator =  comfortable discussing reproductive goals, measured at baseline (yes vs no); Outcome =  discussed reproductive goals between the baseline and 18-month follow-up surveys, measured at 18-month follow-up. Confounders of the exposure → mediator relationship: Having a gender preference for one’s HIV care provider; Confounders of the mediator → outcome relationship: women’s age, education level, racial identify, HIV stigma (personalised, internalised, disclosure concerns, public attitudes), had a discussion about reproductive goals with a healthcare provider in last 3 years, having at least one pregnancy since being diagnosed with HIV