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尼日利亚卡拉巴尔地区产前护理服务对象对预防艾滋病母婴传播策略的知晓度与接受度

Awareness and acceptability of strategies for preventing mother to child transmission of HIV among antenatal clients in Calabar, Nigeria.

作者信息

Ogaji D S, Ikpeme B M, Oyo-Ita A E, Omuemu V O, Etuk S J, Ekabua J E

机构信息

Dept of General Practice and Primary Health Care, University of Helsinki, Finland.

出版信息

Niger J Med. 2008 Jan-Mar;17(1):29-32. doi: 10.4314/njm.v17i1.37350.

Abstract

BACKGROUND

Mother to child transmission is the major route through which children below the age of 15 years acquire HIV infection. The most effective way to reduce childhood HIV infection is to prevent the infection in mothers and for already infected mothers use appropriate strategies to prevent transmission to their children. This study was conducted to determine the level of awareness and acceptability of strategies for preventing mother to child transmission of HIV.

METHOD

Exploratory multi-centric descriptive study involving 400 antenatal attendees in Federal, State and a Private health facility was used. Interviewer-administered questionnaire was the tool for data collection.

RESULT

Majority of the respondents (94.7%) were aware of transmission of HIV from an infected mother to her child. Respondents were more aware of the use of antiretroviral drugs in pregnancy (63.2%) than they were of avoiding breastfeeding (58.5%) and Cesarean delivery (22.8%) as strategies for preventing mother to child transmission. They were also more likely to accept the use of antiretroviral drugs (78.2%) than they would avoid breastfeeding (69.0%) and accept Cesarean delivery (38.0%) for preventing mother to child transmission of HIV High educational status was significantly associated with a positive attitude to these strategies.

CONCLUSION

There is need for more educational programs and social support to bridge the gap between the levels of awareness and acceptability of strategies for preventing mother to child transmission of HIV among the populace.

摘要

背景

母婴传播是15岁以下儿童感染艾滋病毒的主要途径。减少儿童艾滋病毒感染的最有效方法是预防母亲感染,对于已感染的母亲,采用适当策略防止其将病毒传播给子女。本研究旨在确定预防艾滋病毒母婴传播策略的知晓水平和可接受性。

方法

采用探索性多中心描述性研究,纳入联邦、州和一家私立医疗机构的400名产前检查者。通过访谈式问卷收集数据。

结果

大多数受访者(94.7%)知晓艾滋病毒可由感染的母亲传播给孩子。受访者对孕期使用抗逆转录病毒药物(63.2%)的知晓程度高于避免母乳喂养(58.5%)和剖宫产(22.8%)作为预防母婴传播策略的知晓程度。他们接受使用抗逆转录病毒药物(78.2%)预防母婴传播艾滋病毒的可能性也高于避免母乳喂养(69.0%)和接受剖宫产(38.0%)。高教育水平与对这些策略的积极态度显著相关。

结论

需要开展更多教育项目和社会支持,以弥合民众对预防艾滋病毒母婴传播策略的知晓水平和可接受性之间的差距。

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