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埃塞俄比亚西北部贡德尔大学医院HIV阳性女性双重避孕方法的使用情况及其相关因素

Prevalence of dual contraceptive use and associated factors among HIV positive women at University of Gondar Hospital, Northwest Ethiopia.

作者信息

Reta Mebratu Mitiku, Tessema Gizachew Assefa, Shiferaw Getachew

机构信息

Department of Internal Medicine, School of Medicine, University of Gondar, Gondar, Ethiopia.

Department of Reproductive Health, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

出版信息

BMC Res Notes. 2019 Jan 18;12(1):36. doi: 10.1186/s13104-019-4053-2.

Abstract

OBJECTIVE

Dual contraceptive is the use of male condom besides any modern contraceptive. It reduces parent to child transmission of HIV and other sexually transmitted infections between partners. The aim of this study was to investigate the prevalence and associated factors of dual contraceptive use among HIV positive women at University of Gondar Hospital, North West Ethiopia.

RESULT

The prevalence of dual contraceptive use was found to be 13.2% (95% CI 10.5, 16.0). Partner involvement in post-test counseling [AOR = 3.11 (95% CI = 1.74, 5.57)], open partner discussion on using dual contraceptive [AOR = 7.84, 95% CI (4.26, 14.42)], provision of counseling about dual contraception [AOR = 6.56, 95% CI (3.54, 12.18)], age 18-24 years [AOR = 4.79, 95% CI (1.72, 13.32)], age 25-34 years [AOR = 1.97, 95% CI (1.01, 3.85)] and being a housewife [AOR = 4.38, 95% CI (1.89, 10.16)] were significant factors associated with dual contraceptive use. The prevalence of dual contraceptive use was low. This shows, there is a need to in promote partner involvement in HIV testing and counseling by offering counseling session in a couple-basis. It is also necessary for programmers to routinely focus on provision of dual contraception for HIV-infected women and Integration of family planning into HIV care follow-up clinic need to be strengthened.

摘要

目的

双重避孕是指在使用任何现代避孕方法的基础上再使用男用避孕套。它可减少伴侣间艾滋病毒母婴传播以及其他性传播感染。本研究的目的是调查埃塞俄比亚西北部贡德尔大学医院艾滋病毒阳性女性中双重避孕使用的患病率及相关因素。

结果

双重避孕的使用率为13.2%(95%置信区间10.5,16.0)。伴侣参与检测后咨询[AOR = 3.11(95%置信区间 = 1.74,5.57)]、就使用双重避孕进行公开的伴侣讨论[AOR = 7.84,95%置信区间(4.26,14.42)]、提供双重避孕咨询[AOR = 6.56,95%置信区间(3.54,12.18)]、年龄18 - 24岁[AOR = 4.79,95%置信区间(1.72,13.32)]、年龄25 - 34岁[AOR = 1.97,95%置信区间(1.01,3.85)]以及家庭主妇身份[AOR = 4.38,95%置信区间(1.89,10.16)]是与双重避孕使用相关的显著因素。双重避孕的使用率较低。这表明,有必要通过提供夫妻共同参与的咨询服务来促进伴侣参与艾滋病毒检测和咨询。对于项目规划者来说,常规关注为感染艾滋病毒的女性提供双重避孕措施也很有必要,并且需要加强将计划生育纳入艾滋病毒护理随访诊所的工作。

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