The impact of African ethnicity and migration on pregnancy in women living with HIV in the UK: design and methods
The impact of African ethnicity and migration on pregnancy in women living with HIV in the UK: design and methods
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DOI：
10.1186/1471-2458-12-596
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发表时间：
2012-08-02
影响因子：
4.5
通讯作者：
Elford, Jonathan
中科院分区：
文献类型：
--
作者：
Tariq, Shema;Pillen, Alex;Elford, Jonathan
背景：在英国，被诊断为艾滋病毒感染的女性中报告的怀孕人数从1990年的80人增加到2010年的1400多人;大多数是出生在撒哈拉以南非洲的女性。有一个缺乏的研究如何社会逆境对怀孕的艾滋病毒阳性妇女在英国的影响，此外，鲜为人知的重要成果，如治疗吸收和返回后的后续行动怀孕。本研究的目的是检查怀孕的非洲妇女艾滋病毒感染者在UK.Methods和设计：这是一个两阶段的混合方法研究。第一阶段涉及分析2000年至2010年期间发生的约12，000例妊娠的数据，这些数据报告给英国的妊娠和儿童艾滋病毒国家研究（NSHPC）。第二阶段在伦敦进行，包括：（一）对23名感染艾滋病毒的非洲孕妇、4名卫生保健专业人员和2名志愿部门工作者进行半结构化访谈;（二）在一个艾滋病毒慈善机构进行约90小时的人种学实地考察;（三）在一个五旬节派教会进行约40小时的人种学实地考察。我们开发了一种创新的方法，利用流行病学和人类学的方法来探索怀孕的非洲妇女感染艾滋病毒在英国。目前正在分析这项混合方法研究中收集的数据，这些数据将有助于为这一群体提供适当的服务。
Background:The number of reported pregnancies in women with diagnosed HIV in the UK increased from 80 in 1990 to over 1400 in 2010; the majority were among women born in sub-Saharan Africa. There is a paucity of research on how social adversity impacts upon pregnancy in HIV positive women in the UK; furthermore, little is known about important outcomes such as treatment uptake and return for follow-up after pregnancy. The aim of this study was to examine pregnancy in African women living with HIV in the UK.Methods and design:This was a two phase mixed methods study. The first phase involved analysis of data on approximately 12,000 pregnancies occurring between 2000 and 2010 reported to the UK's National Study of HIV in Pregnancy and Childhood (NSHPC). The second phase was based in London and comprised: (i) semi-structured interviews with 23 pregnant African women living with HIV, 4 health care professionals and 2 voluntary sector workers; (ii) approximately 90 hours of ethnographic fieldwork in an HIV charity; and (iii) approximately 40 hours of ethnographic fieldwork in a Pentecostal church.Discussion:We have developed an innovative methodology utilising epidemiological and anthropological methods to explore pregnancy in African women living with HIV in the UK. The data collected in this mixed methods study are currently being analysed and will facilitate the development of appropriate services for this group.