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尼日利亚埃努古孕妇的 HIV 血清学检测结果披露模式。

HIV serostatus disclosure pattern among pregnant women in Enugu, Nigeria.

机构信息

Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.

出版信息

J Biosoc Sci. 2009 Nov;41(6):789-98. doi: 10.1017/S0021932009990137. Epub 2009 Jun 25.

Abstract

This study was carried out in two medical facilities in Enugu, Nigeria, from September to November 2007. An interviewer-administered questionnaire was used to collect data from HIV-positive pregnant women accessing PMTCT (prevention of maternal-to-child transmission) services at the two centres. Ninety-two women were interviewed: 89 (96.7%) had disclosed their status, while 3 (3.3%) had not. Of the 89 women who had disclosed, 84 (94.4%) had disclosed to partners, 82 (92.1%) to husbands, 2 (2.2%) to fiancés, 18 (20.2%) to sisters, 13 (14.6%) to mothers, 10 (11.2%) to brothers, 10 (11.2%) to fathers and 10 (11.2%) to priests. Fifty-two (58.4%) gave emotional support as the reason for disclosure and 46 (51.7%) gave economic and financial support as reasons. Fifty-six (62.9%) reported understanding from partner as a positive outcome and 44 (49.4%) reported financial support. Forty-six (51.7%) reported no negative outcome. Serostatus disclosure rate in this study was high with most women disclosing to their partners.

摘要

这项研究在尼日利亚埃努古的两家医疗机构进行,时间是 2007 年 9 月至 11 月。采用访谈员管理的问卷收集了在这两个中心接受预防母婴传播(PMTCT)服务的 HIV 阳性孕妇的数据。共访谈了 92 名妇女:89 名(96.7%)已经透露了自己的状况,而 3 名(3.3%)没有透露。在已经透露状况的 89 名妇女中,84 名(94.4%)向伴侣透露了自己的状况,82 名(92.1%)向丈夫透露了状况,2 名(2.2%)向未婚夫透露了状况,18 名(20.2%)向姐妹透露了状况,13 名(14.6%)向母亲透露了状况,10 名(11.2%)向兄弟透露了状况,10 名(11.2%)向父亲透露了状况,10 名(11.2%)向牧师透露了状况。52 名(58.4%)表示透露状况是为了获得情感支持,46 名(51.7%)表示是为了获得经济和财务支持。56 名(62.9%)报告说,伴侣的理解是一个积极的结果,而 44 名(49.4%)报告说获得了经济支持。46 名(51.7%)报告没有出现负面结果。这项研究中的血清状况披露率很高,大多数妇女向伴侣透露了自己的状况。

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