在埃塞俄比亚Fantale地区参加产前检查的孕妇中,男性伴侣参与预防艾滋病毒母婴传播及其相关因素

Lemma E, Husein G
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引用次数: 4

摘要

背景:仅对孕妇进行筛查不足以预防艾滋病毒母婴传播。因此,男性伴侣的参与被认为是在预防艾滋病毒母婴传播方面加强重点干预的首要优先事项。但这仍然是埃塞俄比亚面临的最大挑战之一。目的:评估埃塞俄比亚东部芬塔莱地区男性伴侣参与预防艾滋病毒母婴传播的程度并确定相关因素。方法:采用基于机构的横断面研究设计。数据收集于2016年3月1日至31日在芬塔莱区卫生机构产前保健诊所随机抽样的272名孕妇。数据分析采用SPSS 21.0版。进行多因素logistic回归,采用校正比值比测量自变量和因变量之间的相关性,95%置信区间,p值< 0.05认为有统计学意义。结果:男性伴侣参与产前保健/预防艾滋病毒母婴传播(PMTCT)的比例为14.0%。与农村孕妇相比,生活在城市的孕妇由伴侣陪同进行产前护理/预防母婴艾滋病毒传播的可能性是农村孕妇的3.8倍(AOR=3.8, 95% CI: 1.24, 7.86)。另一方面,对于陪伴伴侣进行产前护理没有负面文化信念的母亲,与那些有负面文化信念的母亲相比,让伴侣参与的可能性要高2.3倍(AOR=2.3, 95% CI: 1.94, 9.66)。结论:男性伴侣参与产前保健/预防艾滋病毒母婴传播的比例为14.0%,非常低。在产前护理中陪伴孕妇的居住地和文化信仰是男性伴侣参与的独立预测因素。因此,应制定全面战略,以改善男性伴侣的参与,并特别关注牧民。
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Male Partner Involvement on Prevention of Mother to Child Transmission of HIV and Associated Factors among Pregnant Mothers Attending Antenatal at Fantale District, Ethiopia
Background: Only screening pregnant mother is not adequate to prevent mother to child transmission of HIV. Thus, male partners’ involvement has been considered as a first priority to focus intervention to be intensified in prevention of mother to child transmission of HIV. But it remained one of the biggest challenges in Ethiopia. Objective: Assess the extent of male partner’s involvement in prevention of mother to child transmission of HIV and identify associated factors in Fentale district, Eastern Ethiopia. Methods: Institution based cross-sectional study design was employed. Data was collected from random sample of 272 pregnant mothers at antenatal care clinic of Health facilities in Fentale district from 1st to 31st March, 2016. Data was analyzed using SPSS version 21.0. Multivariate logistic regressions were carried out, association between independent and dependent variables was measured using adjusted odds ratios and 95% confidence interval and P-value below 0.05 was considered statistically significant. Result: Male partner involvement on Antenatal care/Prevention of Mother to Child transmission (PMTCT) of HIV was 14.0%. Pregnant mothers living in urban were 3.8 times more likely to be accompanied by their partner on Antenatal care/Prevention of Mother to Child transmission of HIV compared to those from rural (AOR=3.8, 95% CI: 1.24, 7.86). On the other-hand mothers not having negative cultural belief about accompanying their partner at Antenatal care were 2.3 times more likely to involve their partner compared to those having negative beliefs (AOR=2.3, 95% CI: 1.94, 9.66). Conclusion: Male partner involvement on Antenatal care/Prevention of Mother to Child transmission of HIV was 14.0% which is very low. Residence and cultural beliefs about accompanying pregnant mother at Antenatal care were found to be the independent predictors of male partner involvement. Hence, comprehensive strategy should be put in place to improve male partner involvement giving special focuses for pastoralists.
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