Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey.
Determinants of male involvement in the prevention of mother-to-child transmission of HIV programme in Eastern Uganda: a cross-sectional survey.
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DOI：
10.1186/1742-4755-7-12
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发表时间：
2010-06-23
影响因子：
3.4
通讯作者：
Tylleskär T
中科院分区：
文献类型：
--
作者：
Byamugisha R;Tumwine JK;Semiyaga N;Tylleskär T
母婴传播艾滋病毒（MTCT）占全世界所有儿童艾滋病毒感染的95%以上。若干研究表明，男性参与其配偶的产前护理，加上夫妇艾滋病毒咨询和检测，增加了对艾滋病毒预防干预措施的利用。2000年在乌干达和2002年在姆巴莱启动了预防母婴传播方案。2003年，不到10%的孕妇在姆巴莱地区转诊医院接受了产前艾滋病毒检测;夫妻咨询和艾滋病毒检测率很低。因此，我们进行了这项研究，以确定男性参与的水平，并确定其在预防母婴传播方案的决定因素。在乌干达东部的姆巴莱区，对388名年龄在18岁或18岁以上的男性进行了横断面调查，这些男性的配偶在姆巴莱区域转诊医院接受产前保健。根据6个问题构建了男性参与指数。除了调查外，还进行了八次焦点小组讨论和五次深入访谈。受访者的中位年龄为32岁（四分位数间距，IQR：28-37）。大多数（74%）的男性参与指数较低，只有5%的男性陪同其配偶到产前诊所。受过中学教育的男性比受过小学教育或没有受过正规教育的男性更有可能有较高的男性参与指数（OR：1.9，95% CI：1.1-3.3）。职业为司机（OR：0.3，95%CI：0.1-0.7）或害怕向配偶透露HIV血清检测结果（OR：0.4，95%CI：0.2-0.8）的受访者不太可能有高的男性参与指数。男性参与预防母婴传播计划的障碍与不良的卫生系统、社会经济因素和文化信仰有关。在姆巴莱区，阻碍男子参与防止母婴传播方案的结构和文化障碍是复杂的，相互关联的。需要优先重视社区提高男子对产前保健和防止母婴传播的认识，并提高诊所对客户的友好程度，以改善男子参与率低的情况，减轻社会经济和文化因素的影响。
Mother-to-child transmission of HIV (MTCT) accounts for over 95% of all paediatric HIV infections worldwide. Several studies have shown that male participation in the antenatal care of their spouses together with couple counselling and testing for HIV, increases use of the interventions for HIV prevention. The prevention programme of MTCT (PMTCT) was launched in Uganda in 2000 and Mbale in 2002. Less than 10% of the pregnant women accepted antenatal HIV testing at Mbale Regional Referral Hospital in 2003; couple counselling and testing for HIV was low. Therefore, we conducted the study to determine the level of male involvement and identify its determinants in the PMTCT programme. A cross-sectional survey of 388 men aged 18 years or more, whose spouses were attending antenatal care at Mbale Regional Referral Hospital, was conducted in Mbale district, Eastern Uganda. A male involvement index was constructed based on 6 questions. The survey was complemented by eight focus group discussions and five in-depth interviews. The respondents had a median age of 32 years (inter-quartile range, IQR: 28-37). The majority (74%) had a low male involvement index and only 5% of men accompanied their spouses to the antenatal clinic. Men who had attained secondary education were more likely to have a high male involvement index (OR: 1.9, 95% CI: 1.1-3.3) than those who had primary or no formal education. The respondents, whose occupation was driver (OR: 0.3, 95% CI: 0.1-0.7) or those who had fear of disclosure of their HIV sero-status results to their spouses (OR: 0.4, 95% CI: 0.2-0.8), were less likely to have a high male involvement index. Barriers to male involvement in the PMTCT programme were related to both the poor health system, to socio-economic factors and to cultural beliefs. Structural and cultural barriers to men's involvement in the PMTCT programme in Mbale district were complex and interrelated. Community sensitization of men about the benefits of antenatal care and PMTCT and improving client-friendliness in the clinics needs to be prioritised in order to improve low male participation and mitigate the effect of socio-economic and cultural factors.
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DOI：
10.1080/09540120701687059
发表时间：
2008-01-01
影响因子：
1.7
作者：
Msuya, S. E.;Mbizvo, E. M.;Stray-Pedersen, B.
通讯作者：
Stray-Pedersen, B.
影响因子：
168.9
作者：
Marseille, E;Kahn, JG;Jackson, JB
通讯作者：
Jackson, JB
DOI：
10.1080/09540120120063223
发表时间：
2001-10-01
影响因子：
1.7
作者：
Maman, S;Mbwambo, J;Sweat, M
通讯作者：
Sweat, M
影响因子：
3.8
作者：
Antelman, G;Fawzi, MCS;Fawzi, WW
通讯作者：
Fawzi, WW
影响因子：
4.5
作者：
Karamagi, Charles A. S.;Tumwine, James K.;Heggenhougen, Kristian
通讯作者：
Heggenhougen, Kristian