Known HIV status among adolescent women attending antenatal care services in Eswatini, Ethiopia and Mozambique.
Known HIV status among adolescent women attending antenatal care services in Eswatini, Ethiopia and Mozambique.
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在埃斯瓦蒂尼，埃塞俄比亚和莫桑比克参加产前护理服务的青春期妇女中，已知的艾滋病毒状况。
DOI：
10.1186/s12978-021-01090-2
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发表时间：
2021-05-03
影响因子：
3.4
通讯作者：
Reidy W
中科院分区：
文献类型：
--
作者：
Njah J;Chiasson MA;Reidy W
产前护理诊所仍然是感染艾滋病毒的孕妇（包括青少年）获得艾滋病毒护理的重要切入点。在参加ANC时事先了解他们的艾滋病毒状况对于提供预防艾滋病毒母婴传播（PMTCT）的服务至关重要。我们在ANC入组时检查了已知的怀孕青少年和其他年龄组妇女的艾滋病毒状况。对2018年1月至12月期间来自斯瓦蒂尼、埃塞俄比亚和莫桑比克419个设施的常规报告的预防母婴传播数据进行了描述性研究。我们评估了各国对三个年龄组艾滋病毒状况的了解情况：15-19岁的青少年、20-24岁的年轻女性和25-49岁的老年女性。我们按年龄组和国家报告妇女中艾滋病毒流行情况以及已知和新诊断的艾滋病毒感染比例。数据按频率和比例进行汇总，包括其95%置信区间。在检查的设施中，52个（12.4%）在斯瓦蒂尼，63个（15.0%）在埃塞俄比亚，304个（72.6%）在莫桑比克。在三个国家，488,121名妇女参加了第一次ANC访问，23,917名（4.9%）为艾滋病毒阳性。青少年占所有ANC与会者的22%，而年轻妇女和老年妇女分别占33%和45%。在斯瓦蒂尼，青少年的艾滋病毒感染率低于其他年龄组（青少年11.9%，年轻人24.2%，老年人47.3%），但与埃塞俄比亚（青少年1.6%，年轻人1.6%，老年人2.2%）和莫桑比克（青少年2.5%，年轻人2.5%，老年人5.8%）的年轻女性相当。然而，在这三个国家中，与其他年龄组相比，在参加ANC之前，青少年知道自己艾滋病毒阳性状况的比例较低。在斯瓦蒂尼（青少年51.3%，年轻人59.9%，老年人79.2%）、埃塞俄比亚（青少年42.9%，年轻人63.7%，老年人75.2%）和莫桑比克（青少年16.4%，年轻人33.2%，老年人45.6%）。总的来说，青少年在接受检查的妇女中占了近四分之一，并且在参加ANC时对自己的艾滋病毒状况了解最少。他们的艾滋病毒感染率和已知的艾滋病毒阳性状况在接受调查的国家之间差异很大。需要在怀孕前提供有利于青少年的性健康和生殖健康以及预防母婴传播服务，以提高对艾滋病毒状况的了解，并为怀孕的青少年及其婴儿提供支持。产前保健（ANC）诊所对于怀孕少女的艾滋病毒检测很重要，因为她们在第一次产前检查时可能不知道自己的艾滋病毒阳性状况。我们描述了在三个非洲国家接受ANC服务的怀孕少女和其他年龄组妇女的数据，以检查她们在ANC注册时的艾滋病毒感染状况。我们检查了2018年1月至12月来自斯威士兰、埃塞俄比亚和莫桑比克419个PMTCT站点的数据，以评估分别为15-19岁、20-24岁和25-49岁的青少年、年轻和老年妇女的艾滋病毒检测结果。我们按年龄组和国家报告感染艾滋病毒的妇女人数以及已知和新发现的妇女感染艾滋病毒的比例。在三个国家，488,121名妇女参加了ANC，其中23,917名（4.9%）感染了艾滋病毒。青少年占所有ANC与会者的22%，而年轻妇女和老年妇女分别占33%和45%。与其他年龄组相比，每个国家的艾滋病毒流行率最低，青少年的流行率从斯威士兰的11.9%到埃塞俄比亚的1.6%和莫桑比克的2.5%不等。此外，与年轻和老年妇女相比，在参加ANC之前，青少年知道自己的艾滋病毒阳性状况的人数较少，在斯威士兰为51.3%，在埃塞俄比亚为42.9%，在莫桑比克仅为16.4%。怀孕的青少年占所有ANC与会者的近四分之一；他们中的大多数以前没有已知的艾滋病毒阳性状况。需要提供对青少年友好的孕前性健康和生殖健康服务以及预防母婴传播服务，以支持怀孕的青少年及其婴儿。在线版本包含补充材料，可在10.1186/s12978-021-01090-2获得。
Antenatal care (ANC) clinics remain important entry points to HIV care for pregnant women living with HIV—including adolescents. Prior knowledge of their HIV status at ANC enrollment is crucial to providing services for prevention of mother-to-child transmission (PMTCT) of HIV. We examined known HIV status of pregnant adolescents and women in other age groups at ANC enrollment. A descriptive study of routinely reported PMTCT data from 419 facilities in Eswatini, Ethiopia, and Mozambique, from January through December 2018 was conducted. We assessed knowledge of HIV status by country for three age groups: adolescents aged 15–19 years, young women aged 20–24 years, and older women aged 25–49 years. We report HIV prevalence and proportions of known and newly diagnosed HIV infections in women, by age group and country. The data were summarized by frequencies and proportions, including their 95% confidence intervals. Among the facilities examined, 52 (12.4%) were in Eswatini, 63 (15.0%) in Ethiopia, and 304 (72.6%) in Mozambique. Across three countries, 488,121 women attended a first ANC visit and 23,917 (4.9%) were HIV-positive. Adolescents constituted 22% of all ANC attendees, whereas young and older women represented 33% and 45%, respectively. HIV prevalence was lowest among adolescents than in other age groups in Eswatini (adolescents 11.9%, young 24.2% and older 47.3%), but comparable to young women in Ethiopia (adolescents 1.6%, young 1.6% and older 2.2%) and Mozambique (adolescents 2.5%, young 2.5% and older 5.8%), However, in each of the three countries, lower proportions of adolescents knew their HIV-positive status before ANC enrollment compared to other age groups: in Eswatini (adolescents 51.3%, young 59.9% and older 79.2%), in Ethiopia (adolescents 42.9%, young 63.7% and older 75.2%), and in Mozambique (adolescents 16.4%, young 33.2% and older 45.6%). Overall, adolescents made up nearly one-quarter of the women examined and had the least knowledge of their HIV status at ANC enrollment. Their HIV prevalence and known HIV-positive status varied widely across the countries examined. Adolescent-friendly sexual and reproductive health, and PMTCT services, before pregnancy, are needed to improve knowledge of HIV status and support pregnant adolescents and their infants. Antenatal care (ANC) clinics are important for HIV testing of pregnant adolescents, who may not know their HIV-positive status at the first ANC visit. We describe data on pregnant adolescents and women in other age groups in ANC services to examine their prior HIV status at ANC enrollment across three African countries. We examined data from 419 PMTCT sites in Eswatini, Ethiopia, and Mozambique from January-December 2018, to evaluate HIV testing results for adolescents, young and older women aged 15–19, 20–24 and 25–49 years, respectively. We report the number of women living with HIV and the proportions of known and newly identified women living with HIV, by age-group and country. Across three countries, 488,121 women attended ANC and 23,917 (4.9%) were living with HIV. Adolescents constituted 22% of all ANC attendees, whereas young and older women represented 33% and 45%, respectively. HIV prevalence in each country compared to other age groups was lowest and varied among adolescents from 11.9% in Eswatini, to 1.6% in Ethiopia and to 2.5% in Mozambique. Also, fewer adolescents knew their HIV-positive status before ANC enrollment compared to young and older women from 51.3% in Eswatini, 42.9% in Ethiopia to only 16.4% in Mozambique. Pregnant adolescents made up nearly one-quarter of all ANC attendees; a majority of them had no previously known HIV-positive status. Adolescent-friendly, sexual and reproductive health services, before pregnancy and in PMTCT services, are needed to support pregnant adolescents and their infants. The online version contains supplementary material available at 10.1186/s12978-021-01090-2.
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DOI：
10.1111/tmi.12072
发表时间：
2013-04
期刊：
Tropical medicine & international health : TM & IH
影响因子：
--
作者：
Clouse K;Pettifor A;Shearer K;Maskew M;Bassett J;Larson B;Van Rie A;Sanne I;Fox MP
通讯作者：
Fox MP
影响因子：
6
作者：
Nuwagaba-Biribonwoha H;Kiragga AN;Yiannoutsos CT;Musick BS;Wools-Kaloustian KK;Ayaya S;Wolf H;Lugina E;Ssali J;Abrams EJ;Elul B;International epidemiology Databases to Evaluate AIDS (IeDEA) East Africa Collaboration
通讯作者：
International epidemiology Databases to Evaluate AIDS (IeDEA) East Africa Collaboration
DOI：
10.1097/qai.0000000000001176
发表时间：
2017-01-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Ronen K;McGrath CJ;Langat AC;Kinuthia J;Omolo D;Singa B;Katana AK;NgʼAngʼA LW;John-Stewart G
通讯作者：
John-Stewart G
影响因子：
2.2
作者：
Fokam, Joseph;Sosso, Samuel Martin;Ndjolo, Alexis
通讯作者：
Ndjolo, Alexis
DOI：
10.7196/samj.8207
发表时间：
2014-12-01
期刊：
SAMJ: South African Medical Journal
影响因子：
--
作者：
Fatti, G;Shaikh, N;Grimwood, A
通讯作者：
Grimwood, A