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7
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A Systematic Review of the Current Status of Safer Conception Strategies for HIV Affected Heterosexual Couples in Sub-Saharan Africa.撒哈拉以南非洲地区艾滋病毒感染者异性恋夫妇更安全受孕策略的现状系统评价。
AIDS Behav. 2018 Sep;22(9):2916-2946. doi: 10.1007/s10461-018-2170-x.

本文引用的文献

1
Safer Conception Methods and Counseling: Psychometric Evaluation of New Measures of Attitudes and Beliefs Among HIV Clients and Providers.更安全的受孕方法与咨询：对艾滋病毒感染者及医护人员态度和信念新测量方法的心理测量评估
AIDS Behav. 2016 Jun;20(6):1370-81. doi: 10.1007/s10461-015-1199-3.
2
Correlates of Use of Timed Unprotected Intercourse to Reduce Horizontal Transmission Among Ugandan HIV Clients with Fertility Intentions.乌干达有生育意愿的艾滋病毒感染者为减少水平传播而采用定时无保护性交的相关因素。
AIDS Behav. 2015 Jun;19(6):1078-88. doi: 10.1007/s10461-014-0906-9.
3
"I may not say we really have a method, it is gambling work": knowledge and acceptability of safer conception methods among providers and HIV clients in Uganda.“我或许不能说我们真有一套方法，这就是碰运气的事”：乌干达医疗服务提供者和感染艾滋病毒的患者对更安全受孕方法的认知与接受情况
Health Care Women Int. 2014;35(7-9):896-917. doi: 10.1080/07399332.2014.924520. Epub 2014 Aug 8.
4
"Our hands are tied up": current state of safer conception services suggests the need for an integrated care model.“我们束手束脚”：安全受孕服务的现状表明需要一种综合护理模式。
Health Care Women Int. 2014;35(7-9):990-1009. doi: 10.1080/07399332.2014.920023. Epub 2014 Aug 8.
5
Fertility and contraceptive decision-making and support for HIV infected individuals: client and provider experiences and perceptions at two HIV clinics in Uganda.生育能力和避孕决策以及对感染 HIV 的个人的支持：乌干达两家 HIV 诊所的客户和服务提供者的经验及看法。
BMC Public Health. 2013 Feb 2;13:98. doi: 10.1186/1471-2458-13-98.
6
Antiretrovirals and safer conception for HIV-serodiscordant couples.抗逆转录病毒药物和更安全的受孕方法用于 HIV 血清不一致的夫妇。
Curr Opin HIV AIDS. 2012 Nov;7(6):569-78. doi: 10.1097/COH.0b013e328358bac9.
7
Evaluating safer conception options for HIV-serodiscordant couples (HIV-infected female/HIV-uninfected male): a closer look at vaginal insemination.评估HIV血清学不一致夫妇（感染HIV的女性/未感染HIV的男性）更安全的受孕选择：深入探讨阴道授精。
Infect Dis Obstet Gynecol. 2012;2012:587651. doi: 10.1155/2012/587651. Epub 2012 Aug 8.
8
Prevention of HIV-1 infection with early antiretroviral therapy.早期抗逆转录病毒疗法预防 HIV-1 感染。
N Engl J Med. 2011 Aug 11;365(6):493-505. doi: 10.1056/NEJMoa1105243. Epub 2011 Jul 18.
9
Uptake of family planning methods and unplanned pregnancies among HIV-infected individuals: a cross-sectional survey among clients at HIV clinics in Uganda.HIV 感染者采用计划生育方法和意外怀孕情况：乌干达 HIV 诊所客户的横断面调查。
J Int AIDS Soc. 2011 Jun 30;14:35. doi: 10.1186/1758-2652-14-35.
10
Preexposure prophylaxis and timed intercourse for HIV-discordant couples willing to conceive a child.HIV 阳性和阴性的夫妻一方想要孩子时的暴露前预防和定时性交。
AIDS. 2011 Oct 23;25(16):2005-8. doi: 10.1097/QAD.0b013e32834a36d0.

乌干达有生育意愿的艾滋病毒感染者对更安全受孕方法的认知及态度的多层次相关因素

Multi-level Correlates of Safer Conception Methods Awareness and Attitudes Among Ugandan HIV Clients with Fertility Intentions.

作者信息

Wagner Glenn J, Woldetsadik Mahlet A, Beyeza-Kashesya Jolly, Goggin Kathy, Mindry Deborah, Finocchario-Kessler Sarah, Khanakwa Sarah, Wanyenze Rhoda K

机构信息

RAND Corporation, Santa Monica, USA.

Mulago Hospital, Department of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda.

出版信息

Afr J Reprod Health. 2016 Mar;20(1):40-51. doi: 10.29063/ajrh2016/v20i1.4. Epub 2016 Jun 5.

DOI:10.29063/ajrh2016/v20i1.4
PMID:28190955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5297376/
Abstract

Many people living with HIV desire childbearing, but low cost safer conception methods (SCM) such as timed unprotected intercourse (TUI) and manual self-insemination (MSI) are rarely used. We examined awareness and attitudes towards SCM, and the correlates of these constructs among 400 HIV clients with fertility intentions in Uganda. Measures included awareness, self-efficacy, and motivation regarding SCM, as well as demographics, health management, partner and provider characteristics. Just over half knew that MSI (53%) and TUI (51%) reduced transmission risk during conception, and 15% knew of sperm washing and pre-exposure prophylaxis. In separate regression models for SCM awareness, motivation, and self-efficacy, nearly all independent correlates were related to the partner, including perceived willingness to use SCM, knowledge of respondent's HIV status, HIV-seropositivity, marriage and equality in decision making within the relationship. These findings suggest the importance of partners in promoting SCM use and partner inclusion in safer conception counselling.

摘要

许多感染艾滋病毒的人渴望生育，但诸如定时无保护性交（TUI）和手动自我授精（MSI）等低成本的更安全受孕方法很少被使用。我们调查了乌干达400名有生育意愿的艾滋病毒感染者对更安全受孕方法的知晓情况和态度，以及这些因素的相关情况。测量指标包括对更安全受孕方法的知晓度、自我效能感和动机，以及人口统计学特征、健康管理情况、伴侣和医疗服务提供者的特征。略多于一半的人知道手动自我授精（53%）和定时无保护性交（51%）能降低受孕期间的传播风险，15%的人知道精子清洗和暴露前预防。在关于更安全受孕方法的知晓度、动机和自我效能感的单独回归模型中，几乎所有独立相关因素都与伴侣有关，包括伴侣对使用更安全受孕方法的意愿、对受访者艾滋病毒感染状况的了解、艾滋病毒血清阳性、婚姻以及关系中决策的平等性。这些发现表明伴侣在促进更安全受孕方法的使用以及让伴侣参与更安全受孕咨询方面的重要性。