Department of Community and Behavioral Health, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, 80045, USA.
Center for Global Health, Colorado School of Public Health, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA.
AIDS Behav. 2020 Jan;24(1):291-303. doi: 10.1007/s10461-019-02546-0.
Male partner involvement is an important factor in prevention of mother-to-child transmission (PMTCT). Yet, poor conceptualization has hindered optimal assessment of male involvement. We created and evaluated a brief 10-item male partner involvement scale using principal components analysis and scree plots, Cronbach's alpha, and linear regression with survey data from postpartum women with HIV (n = 200) in Kenya. The scale had a two-factor structure: male encouragement/reminders and active participation. The overall scale and the encouragement/reminders sub-scale displayed strong internal reliability. In the multivariable models, the scales were positively associated with constructive relationship dynamics, HIV status disclosure, and couple HIV testing and counseling, and negatively associated with internalized HIV stigma. The encouragements/reminders sub-scale was also negatively associated with a new HIV diagnosis during pregnancy. This work furthers the conceptualization of male partner involvement in PMTCT and provides a valid measure to assess male involvement as a pathway to better PMTCT outcomes.
男性伴侣的参与是预防母婴传播（PMTCT）的一个重要因素。然而，概念上的不足阻碍了对男性参与的最佳评估。我们使用主成分分析和碎石图、克朗巴赫α系数以及肯尼亚艾滋病毒感染产后妇女的调查数据，创建并评估了一个简短的 10 项男性伴侣参与量表。该量表有两个因素结构：男性的鼓励/提醒和积极参与。整体量表和鼓励/提醒子量表显示出很强的内部可靠性。在多变量模型中，这些量表与建设性的关系动态、艾滋病毒状况披露、夫妇艾滋病毒检测和咨询呈正相关，与内化的艾滋病毒耻辱感呈负相关。鼓励/提醒子量表也与怀孕期间新的艾滋病毒诊断呈负相关。这项工作进一步深化了 PMTCT 中男性伴侣参与的概念，并提供了一种有效的衡量方法来评估男性参与作为改善 PMTCT 结果的途径。
