Comparison of HIV-positive women with children and without children accessing HIV care and treatment in the IeDEA Central Africa cohort.
Comparison of HIV-positive women with children and without children accessing HIV care and treatment in the IeDEA Central Africa cohort.
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IeDEA 中非队列中带孩子和不带孩子的 HIV 阳性女性接受 HIV 护理和治疗的比较。
DOI：
10.1080/09540121.2011.630364
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发表时间：
2012
期刊：
影响因子：
1.7
通讯作者：
Atibu,J
中科院分区：
文献类型：
--
作者：
Freeman,A;Newman,J;Hemingway-Foday,J;Iriondo-Perez,J;Stolka,K;Akam,W;Balimba,A;Kalenga,L;Mbaya,M;MfangamMolu,B;Mukumbi,H;Niyongabo,T;Woelk,G;Kiumbu,M;Atibu,J
在全球范围内，妇女占艾滋病毒感染者的一半，但在撒哈拉以南非洲，妇女受到的影响不成比例。数据来自喀麦隆、布隆迪和刚果民主共和国10个艾滋病治疗项目的8419名艾滋病感染妇女，这些项目是国际艾滋病流行病学数据库中非区域的一部分。我们使用卡方检验来确定有孩子的妇女与没有孩子的妇女之间的分布是否在社会人口统计学，行为和临床特征方面存在差异。Logistic回归分析用于确定母亲身份是否与药物依从性相关。在8 419名妇女中，81.7%的人有活着的孩子。大多数通过自愿检测进入护理，很少通过预防母婴传播方案进入护理。有孩子的妇女年龄较大，更有可能成为寡妇，更有可能没有受过正规教育，上过大学的可能性低于没有孩子的妇女（p<0.05）。没有孩子的妇女更有可能生活在有电和饮用水的家中（p<0.05）。这些组之间的依从性没有差异。然而，50岁以上的女性，那些报告没有使用药物，烟草或酒精的人，以及那些受过较高正规教育的人更有可能报告依从性沿着那些已经接受治疗两年以上的人（p<0.05）。由于妇女在撒哈拉以南非洲的艾滋病毒病例中占很大比例，因此更广泛地了解她们的特点将有助于检测、治疗和支助服务。虽然我们没有发现有孩子的妇女和没有孩子的妇女之间的依从性差异，但我们能够确定可能影响依从性的其他特征。有必要进一步调查撒哈拉以南非洲感染艾滋病毒的妇女的细微差别，以进一步了解她们的需求。
Globally, women comprise half of all people living with HIV, but in sub-Saharan Africa, women are disproportionately affected. Data were obtained from 8419 HIV-infected women at enrollment into 10 HIV treatment programs in Cameroon, Burundi, and the Democratic Republic of the Congo as part of the Central Africa region of the International Epidemiological Database to Evaluate AIDS. We used chi-squared tests to determine if distributions between women with children differed from those without children, in regards to socio-demographic, behavioral and clinical characteristics. Logistic regression was used to determine if motherhood was associated with medication adherence. Of 8419 women, 81.7% had living children. The majority entered care through voluntary testing, and very few entered care through prevention of mother-to-child transmission programs. Women with children were older and more likely to be widowed, more likely to have no formal education and less likely to have attended university than those without children (p<0.05). Women without children were more likely to live in a home with electricity and potable water (p<0.05). There was no difference in adherence between these groups. However, women older than 50 years, those who reported no drug, tobacco, or alcohol use, and those with higher levels of formal education were more likely to report adherence along with those who had been on treatment for more than two years (p<0.05). As women account for a substantial proportion of HIV cases in sub-Saharan Africa, a broader understanding of their characteristics will inform testing, treatment, and support services. Though we did not find differences in adherence between women with children and those without children, we were able to identify other characteristics that may affect adherence. Further inquiry into the nuances of women living with HIV in sub-Saharan Africa is necessary to further understand their needs.
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DOI：
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Journal of Physiology
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作者：
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通讯作者：
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R. North;G. Henderson;Y. Katayama;S. Johnson
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GRAFE, P;MAYER, CJ;WOOD, JD
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发表时间：
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期刊：
Journal of Physiology
影响因子：
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作者：
S. Johnson;Y. Katayama;R. North
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R. North
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影响因子：
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