The impact of HIV couple testing and counseling on social support among pregnant women and their partners in Lilongwe, Malawi: an observational study.
The impact of HIV couple testing and counseling on social support among pregnant women and their partners in Lilongwe, Malawi: an observational study.
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DOI：
10.1080/09540121.2018.1510102
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发表时间：
2019-03
期刊：
影响因子：
1.7
通讯作者：
Rosenberg NE
中科院分区：
文献类型：
--
作者：
Bhushan NL;Golin CE;McGrath N;Maman S;Tsidya M;Chimndozi L;Wesevich A;Hoffman IF;Hosseinipour MC;Miller WC;Rosenberg NE
夫妇艾滋病毒检测和咨询（夫妇咨询）促进更安全的性行为，增加夫妇之间的沟通，减少艾滋病毒传播。然而，夫妻咨询对社会支持的影响，对艾滋病毒感染者至关重要，还没有被审查。在马拉维的一家产前诊所，90对最近检测出艾滋病毒阳性孕妇的夫妇（女性阳性夫妇）和47对最近检测出艾滋病毒阴性孕妇的夫妇（女性阴性夫妇）参加了一项观察性研究。每对夫妇的成员进行评估之前和一个月后的伴侣，家庭和同伴的社会支持，使用感知的社会支持的多维规模的夫妇咨询。在婚姻咨询之前，无论是女性积极的夫妇（β=-10.00，p <0.01）还是女性消极的夫妇（β=-8.43，p<0.01），女性的社会支持都低于男性。在夫妻咨询后，女性积极型夫妻（β=4.01，p<0.01）和女性消极型夫妻（β=4.69，p <0.01）中女性的社会支持增加，但男性在任何类型的夫妻中都没有增加。夫妻咨询可能是一种有效的战略，以增加对妇女的社会支持，包括那些最近诊断出艾滋病毒的妇女。
Couples HIV testing and counseling (couple counseling) promotes safer sexual behaviors, increases communication between couples, and decreases HIV transmission. However, the impact of couple counseling on social support, critical for persons living with HIV, has not been examined. Ninety couples with a recently tested HIV-positive pregnant woman (female-positive couples) and 47 couples with a recently tested HIV-negative pregnant woman (female-negative couples) were enrolled in an observational study at an antenatal clinic in Malawi. Each couple member was assessed immediately before and one month after couple counseling for partner, family, and peer social support using the Multidimensional Scale of Perceived Social Support. Before couple counseling, social support was lower among women than men in both female-positive couples (β=−10.00, p <0.01) and female-negative couples (β=−8.43, p<0.01). After couple counseling, social support increased for women in female-positive couples (β=4.01, p<0.01) and female-negative couples (β=4.69, p <0.01) but not for men in either type of couple. couple counseling could be an effective strategy to increase social support for women, including those with recent HIV diagnoses.
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