博茨瓦纳孕妇中 HIV 感染的社会人口学预测因素：7 家卫生机构的横断面研究。
Sociodemographic Predictors of HIV Infection among Pregnant Women in Botswana: Cross-Sectional Study at 7 Health Facilities.
机构信息
Faculty of Medicine, Department of Family Medicine and Public Health, University of Botswana, Gaborone.
Faculty of Health Sciences, National Pedagogic University, Kinshasa 1 D.R.C, Gaborone, Botswana.
出版信息
J Int Assoc Provid AIDS Care. 2020 Jan-Dec;19:2325958220925659. doi: 10.1177/2325958220925659.
OBJECTIVES
To determine the prevalence and sociodemographic predictors of HIV among pregnant women in Botswana.
METHODS
This was a cross-sectional study of randomly enrolled women aged 18 to 49 years, attending 7 health facilities in Botswana. Data were gathered from November 2017 to March 2018 and analyzed using SPSS version 24.
RESULT
Of the 429 women enrolled, 407 (96.4%) were included in the analysis. The HIV prevalence was 17%; 69 of 407 (95% CI: 13.4- 21.0). Women aged 35 to 49 years had higher HIV prevalence than those 18 to 24 years (adjusted odds ratio [AOR] = 6.2; 95% CI: 2.7-14.4). Illiterate and elementary school educated women had higher HIV prevalence than those with a tertiary education (AOR = 8.5; 95% CI: 1.8-39.1). Those with a history of alcohol intake had a higher HIV prevalence than those without (AOR = 2.6; 95% CI: 1.3-5.3).
CONCLUSION
HIV prevalence was lower than it was in 2011. Age, level of education, and history of alcohol intake were strong predictors for HIV infection calling for targeted behavioral change interventions.
目的
确定博茨瓦纳孕妇中艾滋病毒的流行情况和社会人口学预测因素。
方法
这是一项横断面研究，对象为年龄在 18 至 49 岁之间、随机招募的妇女，在博茨瓦纳的 7 家卫生机构接受调查。数据于 2017 年 11 月至 2018 年 3 月收集，并使用 SPSS 版本 24 进行分析。
结果
在 429 名入组妇女中，407 名（96.4%）被纳入分析。艾滋病毒流行率为 17%；407 名妇女中有 69 名（95%CI：13.4-21.0）。35 至 49 岁的妇女比 18 至 24 岁的妇女艾滋病毒流行率更高（调整后的优势比 [AOR] = 6.2；95%CI：2.7-14.4）。未受过教育和小学教育的妇女比受过高等教育的妇女艾滋病毒流行率更高（AOR = 8.5；95%CI：1.8-39.1）。有饮酒史的妇女比没有饮酒史的妇女艾滋病毒流行率更高（AOR = 2.6；95%CI：1.3-5.3）。
结论
艾滋病毒流行率低于 2011 年。年龄、教育程度和饮酒史是艾滋病毒感染的强有力预测因素，需要有针对性的行为改变干预措施。
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