Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
PLoS One. 2020 Dec 2;15(12):e0242659. doi: 10.1371/journal.pone.0242659. eCollection 2020.
Mother-to-child transmission (MTCT) of HIV infection remains a major public health problem and constitutes the most important cause of HIV infection in children. Knowledge of married women on MTCT of HIV is very important for successful intervention toward prevention of mother-to-child transmission (PMTCT) and achieving the goal of eliminating the new HIV infection. The objective of the study was to assess knowledge of married women on MTCT of HIV and associated factors in Mecha district Northwest Ethiopia.
A community based cross sectional study was conducted involving 520 married women from January 1 to February 30 /2017 in Mecha district. Interviewer administered questionnaires were used to collect the data. The collected data was entered, cleaned and checked using Epi Data version 3.1 and then analyzed with SPSS version 20. Bivariate and multivariable logistic regression was computed for all explanatory variables to identify determinant factors at 95% confidence interval. Explanatory variables having P-value <0.05 taken as a predictor for knowledge of married women on mother to child transmission of HIV.
This study was carried out among a total of 520 married reproductive age group women with a response rate of 98%. From the total of 510 respondents, 160(31.4%) of women were knowledgeable on vertical transmission of HIV (MTCT). Women who were knowledgeable on MTCT of HIV was positively associated with urban residence (AOR = 1.75, 95% CI: 1.05-2.92), women who had history of ANC follow up (AOR = 2.68, 95% CI: 1.17-6.13), women who were pregnant during the study period (AOR = 1.86, 95%CI: 1.10-3.13) and those who had discussions with their husband about HIV/AIDS/ MTCT (AOR = 2.40, 95% CI: 1.52-.3.80).
The finding from this study revealed that knowledge of married women on MTCT of HIV was low. This may contribute to increase the spread of MTCT of HIV. Therefore, giving more attention and emphasis on continuous education regarding MTCT of HIV is highly recommended.
母婴传播（MTCT）仍然是一个主要的公共卫生问题，也是儿童感染 HIV 的最重要原因。了解已婚妇女对 HIV 母婴传播的认识对于成功干预预防母婴传播（PMTCT）和实现消除新的 HIV 感染目标非常重要。本研究的目的是评估埃塞俄比亚西北部 Mecha 区已婚妇女对 HIV 母婴传播的认识及其相关因素。
本研究为 2017 年 1 月 1 日至 2 月 30 日在 Mecha 区进行的一项基于社区的横断面研究，涉及 520 名已婚育龄妇女。采用访谈员管理的问卷收集数据。使用 EpiData 版本 3.1 输入、清理和检查收集的数据，然后使用 SPSS 版本 20 进行分析。对所有解释变量进行双变量和多变量逻辑回归，以确定 95%置信区间的决定因素。具有 P 值 <0.05 的解释变量被视为知识变量的预测因子。
这项研究共涉及 520 名已婚育龄妇女，应答率为 98%。在总共 510 名受访者中，有 160 名（31.4%）妇女对 HIV 的垂直传播（MTCT）有认识。对 HIV 母婴传播有认识的妇女与城市居住（AOR = 1.75，95%CI：1.05-2.92）、有 ANC 随访史（AOR = 2.68，95%CI：1.17-6.13）、在研究期间怀孕（AOR = 1.86，95%CI：1.10-3.13）和与丈夫讨论过 HIV/AIDS/MTCT（AOR = 2.40，95%CI：1.52-3.80）的妇女呈正相关。
这项研究的结果表明，已婚妇女对 HIV 母婴传播的认识较低。这可能会导致 MTCT 的传播增加。因此，强烈建议更加关注和重视 HIV 母婴传播的持续教育。
