Factors influencing teen mothers' enrollment and participation in prevention of mother-to-child HIV transmission services in Limpopo Province, South Africa
Factors influencing teen mothers' enrollment and participation in prevention of mother-to-child HIV transmission services in Limpopo Province, South Africa
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DOI：
10.1177/1049732308318449
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发表时间：
2008-06-01
影响因子：
3.2
通讯作者：
Brookes, Heather
中科院分区：
文献类型：
--
作者：
Varga, Christine;Brookes, Heather
在这篇文章中，我们研究的障碍，艾滋病毒检测摄取和参与预防母婴艾滋病毒传播（PMTCT）服务的青少年母亲年龄在15至19岁的农村和城市林波波省，南非。我们采用了叙事研究方法，涉及关键信息提供者构建典型的案例研究，青少年的经验与艾滋病毒检测和进入PMTCT。个案研究构成了以社区为基础的问卷调查和与青少年母亲进行重点小组讨论的基础。客户辅导员动态在预测试咨询是关键的，在确定吸收和参与，辅导员的个人资料强烈影响的互动的性质。其他影响遵守预防母婴传播建议的因素包括艾滋病毒和婚前早孕的耻辱感，对阳性检测结果的恐惧，以及对保密性和卫生保健提供者待遇不佳的担忧。青少年描述了详细的策略，以避免艾滋病毒披露给劳动和分娩人员，尽管知道这将意味着没有抗逆转录病毒治疗的新生儿。研究结果的理论，方法和方案的影响进行了讨论。
In this article, we examine barriers to HIV testing uptake and participation in prevention of mothertochild HIV transmission (PMTCT) services among adolescent mothers aged 15 to 19 years in rural and urban Limpopo Province, South Africa. We used the narrative research method involving key informants constructing typical case studies of adolescent experiences with HIV testing and entry into PMTCT. Case studies formed the basis of a communitybased questionnaire and focus group discussions with adolescent mothers. Client counselor dynamics during pretest counseling were pivotal in determining uptake and participation, and counselor profile strongly influenced the nature of the interaction. Other factors found to influence adherence to PMTCT recommendations included HIV and early premarital pregnancy stigma, fear of a positive test result, and concerns over confidentiality and poor treatment by health care providers. Adolescents described elaborate strategies to avoid HIV disclosure to labor and delivery staff, despite knowing this would mean no antiretroviral therapy for their newborn infants. Theoretical, methodological, and programmatic implications of study findings are also discussed.