Predictors of HIV serostatus disclosure to partners among HIV-positive pregnant women in Morogoro, Tanzania.
Predictors of HIV serostatus disclosure to partners among HIV-positive pregnant women in Morogoro, Tanzania.
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DOI：
10.1186/1471-2458-13-433
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发表时间：
2013-05-03
影响因子：
4.5
通讯作者：
Msuya SE
中科院分区：
文献类型：
--
作者：
Kiula ES;Damian DJ;Msuya SE
预防艾滋病毒母婴传播(母婴传播)已扩大到坦桑尼亚90%以上的卫生设施。该方案鼓励向合作伙伴披露艾滋病毒检测结果，并鼓励他们参与。这项研究旨在确定坦桑尼亚莫罗戈罗市HIV阳性孕妇向伴侣披露HIV血清状态的流行率、模式和预测因素。2010年3月至5月，在该市初级保健机构接受常规产前护理的艾滋病毒阳性孕妇中进行了一项横断面研究，她们在研究前至少一个月进行了艾滋病毒检测。调查问卷被用来收集有关向伙伴披露艾滋病毒的可能预测因素的信息。共有250名艾滋病毒阳性孕妇参加了登记。41%(102)的人向他们的伴侣透露了他们的艾滋病毒血清状况。在 <； 25岁[调整后优势比(AOR) = 2.2；95%CI：1.2-4.1]的孕妇中，更有可能向伴侣披露艾滋病毒，她们在当前怀孕前知道自己的艾滋病毒状况[AOR = 3.7；95%CI：1.7-8.3]，并在检测前与伴侣讨论[AOR = 6.9；95%CI：2.4-20.1]。对伴侣食物/房租/学费的依赖，导致向伴侣披露信息的几率较低[AOR = 0.4；95%CI：0.1-0.7]。据报道，十分之九的女性曾接受过关于披露信息和伴侣参与的重要性的咨询。在这种情况下，每十名艾滋病毒阳性孕妇中就有六名没有向她们的伴侣透露她们的艾滋病毒检测结果。使孕妇有一个个性化的艾滋病毒披露计划，加强艾滋病毒提供者发起的咨询和检测，以及解决经济发展问题，可能是在这一背景下改善艾滋病毒披露和伙伴参与的一些战略。
Prevention of mother to child transmission of HIV (PMTCT) has been scaled, to more than 90% of health facilities in Tanzania. Disclosure of HIV results to partners and their participation is encouraged in the program. This study aimed to determine the prevalence, patterns and predictors of HIV sero-status disclosure to partners among HIV positive pregnant women in Morogoro municipality, Tanzania. A cross sectional study was conducted in March to May 2010 among HIV-positive pregnant women who were attending for routine antenatal care in primary health care facilities of the municipality and had been tested for HIV at least one month prior to the study. Questionnaires were used to collect information on possible predictors of HIV disclosure to partners. A total of 250 HIV-positive pregnant women were enrolled. Forty one percent (102) had disclosed their HIV sero-status to their partners. HIV-disclosure to partners was more likely among pregnant women who were < 25 years old [Adjusted odds ratio (AOR) = 2.2; 95% CI: 1.2–4.1], who knew their HIV status before the current pregnancy [AOR = 3.7; 95% CI: 1.7–8.3], and discussed with their partner before testing [AOR = 6.9; 95% CI: 2.4–20.1]. Dependency on the partner for food/rent/school fees, led to lower odds of disclosure to partners [AOR = 0.4; 95% CI: 0.1–0.7]. Nine out of ten women reported to have been counseled on importance of disclosure and partner participation. Six in ten HIV positive pregnant women in this setting had not disclosed their results of the HIV test to their partners. Empowering pregnant women to have an individualized HIV-disclosure plan, strengthening of the HIV provider initiated counseling and testing and addressing economic development, may be some of the strategies in improving HIV disclosure and partner involvement in this setting.
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DOI：
10.1080/09540120701687059
发表时间：
2008-01-01
影响因子：
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作者：
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