HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention.
HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention.
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DOI：
10.1080/09540121.2018.1428724
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发表时间：
2018-04
期刊：
影响因子：
1.7
通讯作者：
Chantry C
中科院分区：
文献类型：
--
作者：
Geubbels E;Williams A;Ramaiya A;Tancredi D;Young S;Chantry C
艾滋病毒状况披露是开始和维持艾滋病毒护理和治疗以及减少艾滋病毒传播的一项关键支持战略。我们探索了披露的模式和相关关系，并描述了在坦桑尼亚沿海地区，护士促进的婴儿感染艾滋病毒的母亲披露的有效性。我们于2011年在一项观察性纵向研究中招募了400名艾滋病毒阳性妇女，对她们进行了关于产妇社会人口统计学和经济特征、母婴健康和艾滋病毒披露经历的访谈，并在入组时或1个月后的随访中提供护士协助的艾滋病毒披露。母亲们经常向丈夫和/或女性亲属透露她们的状况，并得到了积极的反应。经济上脆弱的妇女更经常向老年女性亲属透露，这表明向艾滋病毒阳性妇女提供婴幼儿喂养咨询应得到老年女性亲属的支持，以便实施适当的喂养做法。在这种低资源环境下，护士促进的披露是可行的，并被患者用于帮助他们首次披露和向新人披露。
HIV status disclosure is a key support strategy to start and maintain HIV care and treatment and to reduce HIV transmission. We explored the patterns and correlates of disclosure and described the effectiveness of nurse-facilitated disclosure among HIV-infected mothers of infants in coastal Tanzania. We enrolled 400 HIV positive women in an observational longitudinal study in 2011, interviewed them about maternal sociodemographic and economic characteristics, maternal and child health and history of HIV disclosure experiences and offered nurse-facilitated HIV disclosure at enrolment or at follow-up 1 month later. Mothers frequently disclosed their status to husbands and/or female relatives and experienced predominantly positive reactions. Economically vulnerable women disclosed more often to elderly female relatives, indicating that Infant and Young Child Feeding counselling given to HIV positive women should garner the support of elderly female relatives for implementing appropriate feeding practices. Nurse-facilitated disclosure was feasible in this low resource setting and was used by patients to help them with both first-time disclosure and disclosure to new persons.
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