南非感染艾滋病毒妇女的围产期流动性和母婴分离问题。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-01-04 DOI:10.1080/09540121.2023.2299745
Kate Clouse, Sandisiwe Noholoza, Sindiswa Madwayi, Megan Mrubata, Natalie N Robbins, Carol S Camlin, Landon Myer, Tamsin K Phillips
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引用次数: 0

摘要

这项前瞻性队列研究调查了南非 200 名感染艾滋病病毒的孕妇和产后妇女的流动模式。参与者在怀孕三个月时从南非开普敦附近的常规产前护理机构登记,并在产后随访六个月。在登记和随访时收集了定量数据。尽管研究时间很短,而且当时正值 COVID-19 大流行,但参与者的流动性(自我报告)很普遍。虽然大多数人表示目前居住地稳定,但 71% 的人有第二个主要居住地,主要在东开普省(EC)。受工作、教育和家庭生活的影响,参与者一生中搬家的次数中位数为两次。在研究期间,20% 的参与者符合研究中关于旅行的定义(7 天以上,50 公里以上),旅行的目的地主要是东开普省,中位持续时间为 30 天。超过三分之一有其他在世子女的参与者表示,这些子女与他们分开居住,主要由母亲的家人照顾。这些研究结果表明,有必要采取有针对性的干预措施,为流动人口,尤其是感染艾滋病毒的围产期妇女提供持续的护理支持。这项研究为了解流动性动态提供了有价值的见解,并强调了这一人群所面临的独特障碍,有助于改善资源有限环境中的艾滋病护理工作。
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Peripartum mobility and maternal/child separation among women living with HIV in South Africa.

This prospective cohort study investigated the mobility patterns of 200 pregnant and postpartum women living with HIV in South Africa. Participants were enrolled during their third trimester from routine antenatal care near Cape Town, South Africa, and followed for six months postpartum. Quantitative data were collected at enrollment and follow-up. Mobility (self-reported) was common among the participants, despite the brief study period and the concurrent COVID-19 pandemic. While most reported stability in their current residence, 71% had a second main residence, primarily in the Eastern Cape (EC). Participants had a median of two lifetime moves, motivated by work, education, and family life. During the study period, 20% of participants met the study definition of travel (>7 days and >50 km), with trips predominantly to the EC, lasting a median duration of 30 days. Over one-third of participants with other living children reported that these children lived apart from them, with the mother's family being primary caregivers. These findings emphasize the need for targeted interventions to support continuity of care for mobile populations, particularly peripartum women living with HIV. The study contributes valuable insights into mobility dynamics and highlights unique barriers faced by this population, contributing to improved HIV care in resource-limited settings.

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