Prenatal HIV Test Uptake and Its Associated Factors for Prevention of Mother to Child Transmission of HIV in East Africa.
Prenatal HIV Test Uptake and Its Associated Factors for Prevention of Mother to Child Transmission of HIV in East Africa.
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DOI：
10.3390/ijerph18105289
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发表时间：
2021-05-16
影响因子：
--
通讯作者：
Ogbo FA
中科院分区：
文献类型：
--
作者：
Astawesegn FH;Stulz V;Agho KE;Mannan H;Conroy E;Ogbo FA
确定作为艾滋病毒检测服务的推动因素和/或障碍的社会经济和结构性问题，对于在非洲母亲和儿童中防治艾滋病毒/艾滋病至关重要。在这项研究中，我们使用了46，645名年龄在15-49岁之间的妇女的加权样本，这些妇女在调查前两年内从10个东非国家最近的DHS数据集中分娩。多变量逻辑回归被用来调查与东非产前HIV检测摄取相关的因素。在东非，为预防艾滋病毒母婴传播而进行的产前艾滋病毒检测的总接受率为80.8%（95% CI：74.5-78.9%），卢旺达最高（97.9%，95% CI：97.2-98.3%），科摩罗最低（17.0%，95% CI：13.9-20.7%）。影响产前HIV检测服务接受率的共同因素是母亲文化程度较高（小学教育的AOR = 1.29; 95% CI：1.10-1.50;中学或高等教育的AOR = 1.96; 95% CI：1.53-2.51），伴侣教育水平较高（小学教育的AOR = 1.24; 95% CI：1.06-1.45;中学或高等教育的AOR = 1.56; 95% CI：1.26-1.94），家庭财富指数较高的妇女（中等财富指数的AOR = 1.29; 95% CI：1.11-1.50;富裕指数的AOR = 1.57; 95% CL：1.17-2.11），母亲接触媒体的机会增加，对艾滋病毒母婴传播的认识提高。然而，居住在农村社区的居民（AOR = 0.66; 95%CI：0.51-0.85）和长途跋涉到卫生机构（AOR = 0.8; 95%CI：0.69-0.91）与东非国家不使用产前艾滋病毒检测服务有关。在每个东非国家，与产前艾滋病毒检测有关的因素各不相同。总之，与全球目标相比，东非预防母婴传播艾滋病毒的产前艾滋病毒检测率较低。扩大干预措施以改善推动因素，同时解决使用产前艾滋病毒检测服务的障碍对于结束东非国家的艾滋病毒/艾滋病流行至关重要。
Identifying the socioeconomic and structural issues that act as enablers and/or barriers to HIV testing services is critical in combatting HIV/AIDS amongst mothers and children in Africa. In this study, we used a weighted sample of 46,645 women aged 15–49 who gave birth in the two years preceding the survey from the recent DHS dataset of ten East African countries. Multivariable logistic regression was used to investigate the factors associated with prenatal HIV test uptake in East Africa. The overall prenatal HIV test uptake for the prevention of mother-to-child transmission (PMTCT) of HIV was 80.8% (95% CI: 74.5–78.9%) in East Africa, with highest in Rwanda (97.9%, 95% CI: 97.2–98.3%) and lowest in Comoros (17.0%, 95% CI: 13.9–20.7%). Common factors associated with prenatal HIV test service uptake were higher maternal education level (AOR = 1.29; 95% CI: 1.10–1.50 for primary education and AOR = 1.96; 95% CI: 1.53–2.51 for secondary or higher education), higher partner education level (AOR = 1.24; 95% CI: 1.06–1.45 for primary education and AOR = 1.56; 95% CI: 1.26–1.94 for secondary or higher school), women from higher household wealth index (AOR = 1.29; 95% CI: 1.11–1.50 for middle wealth index; AOR = 1.57; 95% CL: 1.17–2.11 for rich wealth index), improved maternal exposure to the media, and increased awareness about MTCT of HIV. However, residents living in rural communities (AOR = 0.66; 95% CI: 0.51–0.85) and travelling long distances to the health facility (AOR = 0.8; 95% CI: 0.69–0.91) were associated with non-use of prenatal HIV test service in East African countries. In each East African country, factors associated with prenatal HIV test uptake for PMTCT varied. In conclusion, the pooled prenatal HIV test uptake for PMTCT of HIV was low in East Africa compared to the global target. Scaling up interventions to improve enablers whilst addressing barriers to the use of prenatal HIV test services are essential to end the HIV/AIDS epidemic in East African countries.
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