Department of Work and Social Psychology, Maastricht University, P.O. Box 616.6200 MD, Maastricht, the Netherlands.
Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., Miami, FL, 33136, USA.
Matern Child Health J. 2021 Jun;25(6):919-928. doi: 10.1007/s10995-020-03071-6. Epub 2021 Apr 17.
This study aimed to investigate the association between Male Partner Involvement (MPI) and maternal health outcomes among women attending Prevention of Mother-to-Child Transmission of HIV (PMTCT) services in rural South Africa. The association between Male Partner Participation in the main study (MPP) and maternal health outcomes among these women was also investigated.
The study utilized data collected from 535 HIV infected women in a randomized controlled trial between 2015 and 2016. Maternal health outcome data (delivery mode, pregnancy systolic and diastolic blood pressure, pregnancy body mass index, pregnancy CD4 count, and pregnancy viral load) were collected from the women's antenatal record forms accessed from the primary healthcare facilities. Bivariate and multivariable logistic regression models were used to estimate the association between socio-demographic characteristics of the women, MPI, and MPP with maternal health outcomes.
The mean age of the women was 29.03 years (SD = 5.89). No significant associations were found between MPI and any of the maternal health outcomes contrary to what was hypothesized. Both the bivariate and multivariate analysis indicated a significant association between MPP and higher pregnancy viral load, contrary to the study hypothesis. Insignificant associations were found between MPP and both pregnancy CD4 count and pregnancy blood pressure. The only significant association between maternal health outcomes and socio-demographic characteristics, was between educational attainment and higher pregnancy CD4 count in both the bivariate and multivariate analysis.
The study showed no significant support for MPI in improving maternal health outcomes of women in PMTCT in rural South Africa. Future studies should include additional maternal health outcomes for investigation.
本研究旨在探讨南非农村地区接受预防母婴传播艾滋病毒（PMTCT）服务的妇女中，男性伴侣参与（MPI）与产妇健康结局之间的关系。还研究了男性伴侣在主要研究中的参与（MPP）与这些妇女的产妇健康结局之间的关系。
该研究利用了 2015 年至 2016 年期间在一项随机对照试验中收集的 535 名感染艾滋病毒的妇女的数据。从初级保健机构获取的妇女产前记录表单中收集了产妇健康结局数据（分娩方式、妊娠收缩压和舒张压、妊娠体重指数、妊娠 CD4 计数和妊娠病毒载量）。使用二变量和多变量逻辑回归模型来估计妇女的社会人口统计学特征、MPI 和 MPP 与产妇健康结局之间的关联。
妇女的平均年龄为 29.03 岁（SD=5.89）。与假设相反，MPI 与任何产妇健康结局之间均无显著关联。无论是双变量还是多变量分析，均表明 MPP 与较高的妊娠病毒载量之间存在显著关联，与研究假设相反。MPP 与妊娠 CD4 计数和妊娠血压均无显著关联。唯一与产妇健康结局和社会人口统计学特征之间存在显著关联的是，在双变量和多变量分析中，教育程度与较高的妊娠 CD4 计数之间存在关联。
该研究表明，在南非农村地区接受 PMTCT 的妇女中，MPI 对改善产妇健康结局没有显著支持。未来的研究应包括更多的产妇健康结局进行调查。
