evidence: Qualitative work conducted in Northern Ireland found that love, commitment, physical pleasure, and a desire to conceive without medical interventions helped to shape perceptions of risk within the relationship [74]. Among Italian couples consisting of HIV-positive men and seronegative women, assisted reproduction was typically regarded as safe and effective [75]. [...] Studies were assigned to the "serostatus disclosure" theme if the primary finding was related to disclosure of serostatus to partners, family, or wider social networks. Serostatus disclosure, however, typically referred to individual disclosure of HIV status to partners. The finding that 41% and 47% of HIV-positive men and women engaged in a serodiscordant couple, respectively, had not disclosed their status to their partner [79,80] was consistent with disclosure rates found in other studies [81-83]. Qualitative work conducted in the UK suggested that negative ideas about condoms, concerns about relationship quality, and limited communication within the relationship, were barriers to disclosing serostatus to partners [84]. In a mixed-methods study conducted among American women, qualitative interviews revealed that disclosure decisions for women were often based on emotional closeness to their partner, or were organized around a highly personalized (i.e., non-generalizable) set of criteria [85]. In a study conducted among American HIV-positive IDUs, there was a higher likelihood of disclosure to casual partners before first sexual contact when compared to primary partners [82]. Disclosure of HIV status to social networks appeared to present a different type of issue upon which very few studies have focused.