Marie Stope International, Addis Ababa, Ethiopia.
Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Pan Afr Med J. 2021 May 3;39:7. doi: 10.11604/pamj.2021.39.7.27839. eCollection 2021.
couples HIV testing and counseling is an important intervention to make an informed decision on reproductive health, to adopt preventive behaviors, support each other, and prevent mother-to-child HIV transmissions. Despite the importance of partners of pregnant women HIV testing uptake, there is limited study in Ethiopia. Hence, this study aimed to assess the proportion of HIV testing uptake and its determinants among partners of pregnant women.
a community-based cross-sectional study was conducted from January to February 2020 in Addis Ababa. A multistage cluster sampling technique was used to recruit 812 partners of pregnant women. A pre-tested and structured questionnaire was used to collect the data. Binary logistic regression analysis was performed to identify the determinants of HIV testing uptake among partners of pregnant women. Adjusted odds ratio with 95% confidence interval was used to declare statistical association and the direction of the association between the dependent variable and independent variables.
overall, a total of 63.7% (95% CI: 60-67%) of partners of pregnant women were tested for HIV/AIDS. Knowledge on mother to child transmission of HIV (AOR=2.0, 95% CI: 1.37-3.06), previous history of couple HIV testing and counseling (AOR=3.8, 95% CI: 2.49-5.85), discussion with spouse (AOR= 6.6, 95% CI: 4.44-9.91), and having information about discordant HIV test result (AOR =2.3, 95% CI: 1.48-4.14) were significantly associated with partners of pregnant women HIV test uptake.
HIV testing uptake among partners of pregnant women was low. To increase the uptake of HIV testing, program designers and implementors should work on knowledge of the spouse´s on mother to child transition of HIV, to have more discussion between couples, and consider and strengthen activities that increase couple HIV testing and counseling at the community level before pregnancy.
夫妻 HIV 检测和咨询是做出有关生殖健康决策、采取预防措施、相互支持以及预防母婴 HIV 传播的重要干预措施。尽管伴侣接受 HIV 检测对孕妇非常重要，但在埃塞俄比亚，这方面的研究非常有限。因此，本研究旨在评估孕妇伴侣 HIV 检测率及其决定因素。
这是一项 2020 年 1 月至 2 月在亚的斯亚贝巴进行的基于社区的横断面研究。采用多阶段聚类抽样技术招募了 812 名孕妇的伴侣。使用经过预测试和结构化的问卷收集数据。采用二元逻辑回归分析确定孕妇伴侣 HIV 检测的决定因素。使用调整后的优势比（95%置信区间）来表示依赖变量和独立变量之间的关联的统计学关联和方向。
总体而言，63.7%（95%CI：60-67%）的孕妇伴侣接受了 HIV/AIDS 检测。对母婴 HIV 传播的了解（AOR=2.0，95%CI：1.37-3.06）、夫妻 HIV 检测和咨询的既往史（AOR=3.8，95%CI：2.49-5.85）、与配偶讨论（AOR=6.6，95%CI：4.44-9.91）以及对不一致的 HIV 检测结果的了解（AOR=2.3，95%CI：1.48-4.14）与孕妇伴侣 HIV 检测率显著相关。
孕妇伴侣的 HIV 检测率较低。为了提高 HIV 检测率，方案设计者和执行者应该致力于提高配偶对母婴 HIV 传播的认识，加强夫妻之间的讨论，并考虑并加强在怀孕前在社区层面增加夫妻 HIV 检测和咨询的活动。
