Udigwe Go, Mbachu Ii, Onyegbule Oa, Oguaka V
Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Ann Med Health Sci Res. 2014 Sep;4(5):687-91. doi: 10.4103/2141-9248.141503.
Consistent use of condom provides protection from transmission of human immunodeficiency virus (HIV) infection in couples with sero-discordant HIV status. It also protects against acquiring other strains in HIV positive concordant couples.
This study evaluated the use of barrier method of contraception among HIV patients.
This was a descriptive cross-sectional study conducted among pregnant women in Nnamdi Azikiwe University Teaching Hospital Nnewi. An interviewer administered questionnaire was used to obtain relevant information from the subjects. Data was analyzed using SPSS software version 20.0 (Chicago, IL, USA, August 2011).
A total of 126 HIV positive pregnant women participated in this study. The mean age of the women was 30.4 (5) years while the mean parity was 2.6 (1). All the patients had at least primary education with 63.5% (80/126) having secondary education as the highest educational attainment while 87.3% (110/126) were in monogamous marriage. The partner's HIV status showed that 41.3% (52/126) tested negative to HIV antibodies while 42.8% (54/126) tested positive to HIV antibodies and 15.9% (20/126) do not know partner's HIV status. Only 61.9% (78/126) of the couples use condom during sexual intercourse. Further analysis showed that 26.2% (33/126) use condom consistently except during timed intercourse for conception. There was significant association between type of relationship and use of barrier method of contraception. There was no significant association between sero-discordant couples and highest educational status with use of barrier method of conception.
Condom use among HIV positive couples is low and raises great concern on transmission of the virus to partners and babies born to positive mothers.
坚持使用避孕套可防止人类免疫缺陷病毒（HIV）感染在血清学不一致的夫妻间传播。它还能防止HIV阳性的一致夫妻感染其他毒株。
本研究评估了HIV患者中屏障避孕法的使用情况。
这是一项在恩纳姆迪·阿齐克韦大学教学医院（Nnewi）对孕妇进行的描述性横断面研究。通过访谈者发放问卷从研究对象处获取相关信息。使用SPSS软件20.0版（美国伊利诺伊州芝加哥，2011年8月）对数据进行分析。
共有126名HIV阳性孕妇参与了本研究。这些女性的平均年龄为30.4（5）岁，平均产次为2.6（1）。所有患者至少接受过小学教育，其中63.5%（80/126）的最高学历为中学教育，87.3%（110/126）处于一夫一妻制婚姻。伴侣的HIV状况显示，41.3%（52/126）的HIV抗体检测呈阴性，42.8%（54/126）的HIV抗体检测呈阳性，15.9%（20/126）不知道伴侣的HIV状况。只有61.9%（78/126）的夫妻在性交时使用避孕套。进一步分析表明，26.2%（33/126）的夫妻除了在计划受孕的特定性交时间外一直使用避孕套。关系类型与屏障避孕法的使用之间存在显著关联。血清学不一致的夫妻以及最高学历与屏障避孕法的使用之间不存在显著关联。
HIV阳性夫妻中避孕套的使用率较低，这引发了对病毒传播给伴侣以及阳性母亲所生孩子的极大担忧。
