Markos Kachero Mesfin, Arba Kinfe Aseb
School of Midwifery, College of Medicine and Health Sciences Wolaita Sodo University, Wolaita Sodo, Southern Ethiopia.
School of Nursing, College of Medicine and Health Sciences Wolaita Sodo University, Wolaita Sodo, Southern Ethiopia.
HIV AIDS (Auckl). 2021 Feb 3;13:135-143. doi: 10.2147/HIV.S289445. eCollection 2021.
Significant progress has been made towards achieving the 90-90-90 global targets by 2020. Nationally, 72% of HIV-positive people aged 15-64 years in urban areas were aware of their HIV status. There is low habit of male partner accompanying pregnant women during ANC visit. This study assessed the HIV test service utilization and associated factors among pregnant women's partners in Addis Ababa.
A community-based cross-sectional study design was conducted from January to February 2020 in Addis Ababa town. A multistage sampling method was used to recruit 812 participants. Data were entered into EpiData version 4.1 and analysis was done by using SPSS version 25.0. The presence and strength of significant association with outcome variables in multivariable analysis were determined with P<0.05 and at 95% CI, respectively.
Among respondents, 63.7% [95% CI (60-67%)] of pregnant woman partners had tested for HIV/AIDS. Knowledge on the route of HIV transmission from mother to child (AOR=1.9, 95% CI (1.3-2.7)), knowledge on ways of prevention of HIV from mother to child transmission (AOR=0.26, 95% CI (0.17-0.38)), previous history of couple HIV counseling (AOR=3.7, 95% CI (2.3-6.1)), discussion about HCT and ANC services with a partner (AOR=6.3, 95% CI (4.0-9.8)), heard about discordant HIV test result (AOR=1.6, 95% CI (1.4-4)) were significantly associated with partner HIV test.
HIV testing service utilization among male partners of pregnant women was good in the study area. The knowledge on ways of prevention of HIV from mother to child transmission, those who received couple HIV counseling before, those who discussed HCT at ANC services with a partner, and heard about discordant HIV test results were predictors of HIV test utilization among pregnant women partner. Therefore, increasing community awareness on the pregnant women partner testing should be planned to enhance male partner HIV testing during in antenatal care follow-up.
在实现到2020年的90-90-90全球目标方面已取得重大进展。在全国范围内，城市地区15至64岁的艾滋病毒呈阳性者中有72%知晓自己的艾滋病毒感染状况。男性伴侣在孕妇产前检查时陪同的习惯较低。本研究评估了亚的斯亚贝巴孕妇伴侣的艾滋病毒检测服务利用情况及相关因素。
2020年1月至2月在亚的斯亚贝巴市开展了一项基于社区的横断面研究设计。采用多阶段抽样方法招募了812名参与者。数据录入EpiData 4.1版本，并使用SPSS 25.0版本进行分析。在多变量分析中，与结果变量的显著关联的存在和强度分别通过P<0.05和95%置信区间来确定。
在受访者中，63.7%[95%置信区间(60-67%)]的孕妇伴侣进行了艾滋病毒/艾滋病检测。对母婴传播艾滋病毒途径的了解（调整后比值比[AOR]=1.9，95%置信区间(1.3-2.7)）、对预防母婴传播艾滋病毒方法的了解（AOR=0.26，95%置信区间(0.17-0.38)）、夫妻艾滋病毒咨询既往史（AOR=3.7，95%置信区间(2.3-6.1)）、与伴侣讨论过艾滋病毒检测和咨询服务及产前检查服务（AOR=6.3，95%置信区间(4.0-9.8)）、听说过不一致的艾滋病毒检测结果（AOR=1.6，95%置信区间(1.4-4)）与伴侣艾滋病毒检测显著相关。
在研究地区孕妇的男性伴侣中，艾滋病毒检测服务利用率良好。对预防母婴传播艾滋病毒方法的了解、之前接受过夫妻艾滋病毒咨询的人、在产前检查服务中与伴侣讨论过艾滋病毒检测的人以及听说过不一致的艾滋病毒检测结果的人是孕妇伴侣艾滋病毒检测利用情况的预测因素。因此，应计划提高社区对孕妇伴侣检测的认识，以加强产前保健随访期间男性伴侣的艾滋病毒检测。
