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埃塞俄比亚德拉塔地区孕妇的性伴侣参与 HIV 检测和咨询。

Male partner involvement in HIV testing and counseling among partners of pregnant women in the Delanta District, Ethiopia.

机构信息

Delanta District Health Office, Delanta, South Wollo, Ethiopia.

School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

PLoS One. 2021 Mar 17;16(3):e0248436. doi: 10.1371/journal.pone.0248436. eCollection 2021.

DOI:10.1371/journal.pone.0248436
PMID:33730107
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7968626/
Abstract

BACKGROUND

Only screening a pregnant mother is not satisfactory to prevent mother-to-child transmission of HIV (PMTCT). A male partner's involvement in HIV testing and counseling is also critical for PMTCT, however, it is one of the biggest challenges in Ethiopia. This study aimed to assess a male partner's involvement in HIV testing and counseling and associated factors among partners of pregnant women in the Delanta District, Northern Ethiopia.

METHODS

A community-based cross-sectional study design was conducted in the Delanta District from March 15 to May 10, 2018. During the study period, 609 male partners were involved. A binary and multiple logistic regression model was used to examine the association between variables.

RESULTS

Out of all, 325 (53.7% at 95% CI: 49.6 to 57.5) of male partners were involved in HIV testing and counseling in the District. Male partners who were living together, ever heard about HIV from health professionals, pregnant women's antenatal care (ANC) visit, partner visited the PMTCT clinic with wife, and partner and wife discussion before HIV testing and counseling were factors associated with male partner involvement.

CONCLUSION

The proportion of male partner involvement was found to be low as compared to the national standards. Local health authorities and health care workers need to develop and conduct interventions that help partners with their wife to live together, improve their awareness about HIV and testing, ANC visit by pregnant women, and encourage having home discussion before HIV testing through counseling, by so doing finally raise the level of male partner involvement in HIV testing and counseling.

摘要

背景

仅对孕妇进行筛查不足以预防艾滋病毒母婴传播(PMTCT)。让男性伴侣参与艾滋病毒检测和咨询对于 PMTCT 也至关重要,但这也是埃塞俄比亚面临的最大挑战之一。本研究旨在评估德尔塔地区孕妇的男性伴侣参与艾滋病毒检测和咨询的情况以及相关因素。

方法

2018 年 3 月 15 日至 5 月 10 日在德尔塔地区进行了一项基于社区的横断面研究设计。在此期间,共有 609 名男性伴侣参与了研究。采用二项和多项逻辑回归模型来检查变量之间的关联。

结果

在该地区,共有 325 名(95%CI:49.6-57.5)男性伴侣参与了艾滋病毒检测和咨询。与男性伴侣参与艾滋病毒检测和咨询相关的因素包括:同居、曾从卫生专业人员处听说过艾滋病毒、孕妇接受产前护理(ANC)、伴侣与妻子一起前往 PMTCT 诊所、以及伴侣和妻子在艾滋病毒检测和咨询之前进行了讨论。

结论

与国家标准相比,男性伴侣参与的比例较低。当地卫生当局和卫生保健工作者需要制定并开展干预措施,帮助伴侣与妻子同住,提高他们对艾滋病毒和检测的认识,增加孕妇接受 ANC 检查的次数,并鼓励在艾滋病毒检测和咨询之前进行家庭讨论,最终提高男性伴侣参与艾滋病毒检测和咨询的水平。