Addressing the unique needs of adolescent mothers in the fight against HIV.

Addressing the unique needs of adolescent mothers in the fight against HIV.
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DOI:
10.1002/jia2.25155
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发表时间:
2018-06
影响因子:
6
通讯作者:
Moodley D
Moodley D
中科院分区:
医学1区
文献类型:
--
作者:
Groves AK;Maman S;Stankard PH;Gebrekristos LT;Amon JJ;Moodley D

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尽管撒哈拉以南非洲对减少少女和年轻妇女艾滋病毒感染的认识有所提高,并为此进行了投资,但未成年母亲的独特需求仍未得到解决。该地区的青少年出生率高于世界其他任何地方(范围从20%到> 50%)[1]。此外,在过去十年中,少女怀孕率没有下降,反而上升了[2],这表明该区域青年协会的生殖健康需求仍然没有得到满足。最近的一项研究发现,与非孕妇相比,孕妇在怀孕期间感染艾滋病毒的可能性高出两倍多。这种风险在分娩后继续存在,产后妇女被发现感染艾滋病毒的可能性是未怀孕妇女的四倍[3]。此外,在一项关于产后艾滋病毒发病率的研究中,年轻妇女感染艾滋病毒的风险高于老年妇女:发病率随着年龄的增加而下降[4]。
Despite increased awareness of and investment in the reduction of HIV among adolescent girls and young women (AGYW) in sub-Saharan Africa, the unique needs of adolescent mothers remain unaddressed. Teenage birth rates in the region are higher than anywhere else in the world (with a range from 20% to> 50%)[1]. Furthermore, teenage pregnancy rates over the past decade have risen, not fallen [2], indicating continued unmet reproductive health needs of AGYW in the region.The perinatal period is a time of increased risk of HIV infection. A recent study found that compared to non-pregnant women, pregnant women were more than two times more likely to be infected with HIV in pregnancy. The risk continues after childbirth, when postpartum women were found to be four times more likely to be infected with HIV than non-pregnant women [3]. Furthermore, in a study of HIV incidence postpartum, younger women were at higher risk of HIV than older women: incidence declined with each additional year of age [4].
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