Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine.
Department of Psychology, University of Georgia.
AIDS Care. 2020 Oct;32(10):1304-1310. doi: 10.1080/09540121.2020.1786000. Epub 2020 Jun 30.
Male involvement in the prevention of mother to child transmission of HIV (PMTCT) during pregnancy is encouraged, but the accuracy of its measurement has not been established. The purpose of this cross-sectional study was to establish the factor structure of an index of male involvement in PMTCT. Using a structured questionnaire, 1369 HIV positive pregnant women and 522 male partners were recruited in rural Mpumalanga, South Africa. A principal component analysis with varimax rotation yielded two components accounting for 49.9% of the variance. The first factor, named Communication-Based Male Involvement and addressing partner discussions about prenatal, HIV, birth and postnatal issue, accounted for 39.8% of the variance. The second, named Action-Based Male Involvement and addressed partner awareness and actions, and information provided during antenatal visits, financial support, and attendance to visits, accounted for 10.1% of the variance. Given the low rates of male involvement participation in antenatal care, interventions are needed to increase male involvement. However, a method of quantifying male partner participation was needed to assess the effectiveness of such interventions. We hope that the Revised Male Involvement Index will stimulate further research in this area, thus increasing the effectiveness of PMTCT programs aimed at increasing male partner involvement.
鼓励男性参与预防艾滋病毒母婴传播（PMTCT），但尚未确定其测量的准确性。本横断面研究旨在建立 PMTCT 男性参与指数的因子结构。在南非姆普马兰加省农村地区，使用结构化问卷招募了 1369 名 HIV 阳性孕妇和 522 名男性伴侣。主成分分析与方差极大旋转得出两个解释 49.9%方差的成分。第一个因子称为基于沟通的男性参与，涉及伴侣讨论产前、HIV、分娩和产后问题，占方差的 39.8%。第二个因子称为基于行动的男性参与，涉及伴侣意识和行动，以及在产前检查期间提供的信息、经济支持和就诊次数，占方差的 10.1%。鉴于男性参与产前保健的比例较低，需要采取干预措施来增加男性参与。然而，需要一种量化男性伴侣参与的方法来评估此类干预措施的有效性。我们希望修订后的男性参与指数将激发该领域的进一步研究，从而提高旨在增加男性伴侣参与的 PMTCT 计划的有效性。
