Peltzer Karl
a Human Sciences Research Council , Pretoria , South Africa.
AIDS Care. 2014 Feb;26(2):186-90. doi: 10.1080/09540121.2013.803016. Epub 2013 Jun 2.
The aim of this study was to assess sexual activity, condom use and disclosure of HIV infection status among HIV-infected women 3-12 months after delivery and to identify factors associated with unsafe sex. A cross-sectional study was carried out on 480 HIV-positive sexually active new mothers in 48 primary health care clinics in Nkangala District. Post-natal women were recruited by systematic sampling (every consecutive patient over a period of 2 months) and responded to a questionnaire. Overall, 31.9% reported unsafe sex with an HIV-uninfected of unknown-status partner. In multivariate regression analysis, not having disclosed their HIV status, having experienced physical partner violence, lack of male involvement and not having attended a support group were associated with unsafe sex. Several risk factors for unsafe sex post-natally have been identified and can be utilised in post-partum sexual health education programmes.
本研究的目的是评估分娩后3至12个月的感染艾滋病毒妇女的性活动、避孕套使用情况以及艾滋病毒感染状况的披露情况，并确定与不安全性行为相关的因素。在恩康加拉区的48家初级卫生保健诊所对480名有性活动的艾滋病毒阳性新妈妈进行了一项横断面研究。通过系统抽样（连续2个月内的每一位连续患者）招募产后妇女，并让她们回答一份问卷。总体而言，31.9%的人报告与艾滋病毒未感染或感染状况不明的伴侣发生了不安全性行为。在多变量回归分析中，未披露其艾滋病毒感染状况、遭受过伴侣身体暴力、男性未参与以及未参加支持小组与不安全性行为有关。已确定了产后不安全性行为的几个风险因素，可用于产后性健康教育项目。
