Follow-up of HIV-infected women diagnosed by antenatal screening in Barbados from 1996-2004

Follow-up of HIV-infected women diagnosed by antenatal screening in Barbados from 1996-2004
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DOI:
10.1089/apc.2007.0155
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发表时间:
2008-09-01
影响因子:
4.9
通讯作者:
Waterman, Ira
Waterman, Ira
中科院分区:
医学2区
文献类型:
--
作者:
Kumar, Alok;Kilaru, Krishna R.;Waterman, Ira

文献摘要

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本研究通过随访研究,分析通过产前自愿咨询检测(VCT)早期诊断HIV感染者对妇女健康状况和社会行为的影响。这是一项描述性研究。研究人群包括1996-2004年期间通过自愿咨询检测被诊断为艾滋病毒感染的所有艾滋病毒感染妇女。61人(37.4%)从未到艾滋病毒诊所接受护理或治疗。从诊断为HIV感染到随访门诊的中位延迟时间为36个月。在79名报告性活跃的妇女中,只有33人有固定的性伴侣; 54人在诊断出艾滋病毒后的某个时候有一个或多个临时性伴侣。三分之一的人从不与固定伴侣使用安全套,六分之一的人从不与临时伴侣使用安全套。总体而言,89名女性有一次或多次重复怀孕,大多数来自不同的伴侣。总之,许多产前自愿咨询和检测诊断的妇女未能利用现有的卫生保健设施,并继续从事冒险行为。
A follow-up study was undertaken to analyze the impact of the early diagnosis of HIV in women by antenatal voluntary counseling and testing (VCT) by way of making a difference to their health status and the social behavior of these women. This is a descriptive study. The study population included all HIV-infected women in this country who were diagnosed to be HIV infected by way of VCT during 1996-2004. Sixty-one (37.4%) never attended the HIV clinic for their care or treatment. The median delay between the time of diagnosis of HIV infection and the time of their presentation to the follow-up clinic was 36 months. Of the 79 women who reported to have been sexually active only 33 had a steady partner; 54 had had one or more casual sex partners at some point in time since their HIV diagnosis. One third never used condoms with their steady partner and one sixth never used condoms with casual partners. Overall, 89 women had one or more repeated pregnancy, mostly from different partners. In conclusion, many of the women diagnosed from antenatal VCT fail to utilize the available health care facilities and continue to engage in risk-taking behaviors.