在乌干达，利用艾滋病毒检测和咨询服务的残疾妇女在产前护理期间：2016 年人口和健康调查分析。
Utilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey.
机构信息
The Lurie Institute for Disability Policy, The Heller School for Social Policy and Management, Brandeis University, 415 South Street, MS 035, Waltham, MA, 02453, USA.
出版信息
BMC Public Health. 2021 Nov 2;21(1):1984. doi: 10.1186/s12889-021-12045-4.
BACKGROUND
HIV testing and counselling during antenatal care (ANC) is critical for eliminating mother-to-child transmission of HIV. We investigated disparity in utilization of HIV testing and counselling services (HTC) between women with and without disabilities in Uganda.
METHODS
We conducted a retrospective study using the nationally representative 2016 Uganda Demographic and Health Survey. The study sampled 10,073 women between age 15-49 who had a live birth in the last 5 years. We estimated unadjusted and adjusted odds ratio for receiving pre-test HIV counselling, obtaining an HIV test result, and post-test HIV counselling by disability status using logistic regressions.
RESULTS
We found that women with disabilities were less likely to receive pre-test HIV counselling (59.6 vs 52.4), obtain an HIV test result (68.2 vs 61.4), receive post-test HIV counselling (55.5 vs 51.6), and all HTC services (49.2 vs 43.5). From the regression analysis, women with disabilities were less likely to receive pre-test counselling [AOR = 0.83; CI = 0.74, 0.93] and obtain an HIV test result [AOR = 0.88; CI = 0.78, 0.99].
CONCLUSIONS
Our findings revealed that women with disabilities are less likely to receive HTC service during ANC and highlighted the need for disability-inclusive HIV and reproductive health services. Government, non-governmental organizations, and other stakeholders should consider funding inclusive campaigns and identifying other mechanisms for disseminating health information and behavioral interventions to women with disabilities.
背景
在产前护理（ANC）中进行艾滋病毒检测和咨询对于消除艾滋病毒母婴传播至关重要。我们调查了乌干达残疾妇女和非残疾妇女在艾滋病毒检测和咨询服务（HTC）利用方面的差异。
方法
我们使用具有全国代表性的 2016 年乌干达人口与健康调查进行了回顾性研究。该研究对过去 5 年内生育过活产儿的 10073 名 15-49 岁的妇女进行了抽样。我们使用逻辑回归估计了残疾状况对接受预检测艾滋病毒咨询、获得艾滋病毒检测结果和接受艾滋病毒检测后咨询的未经调整和调整后的优势比。
结果
我们发现，残疾妇女接受预检测艾滋病毒咨询的可能性较小（59.6%比 52.4%），获得艾滋病毒检测结果的可能性较小（68.2%比 61.4%），接受艾滋病毒检测后咨询的可能性较小（55.5%比 51.6%），以及所有 HTC 服务的可能性较小（49.2%比 43.5%）。从回归分析来看，残疾妇女接受预咨询的可能性较小[调整优势比（AOR）=0.83；置信区间（CI）=0.74，0.93]，获得艾滋病毒检测结果的可能性也较小（AOR=0.88；CI=0.78，0.99）。
结论
我们的研究结果表明，残疾妇女在 ANC 期间接受 HTC 服务的可能性较小，这突显了需要提供对残疾妇女包容的艾滋病毒和生殖健康服务。政府、非政府组织和其他利益攸关方应考虑为包容性运动提供资金，并确定向残疾妇女传播健康信息和行为干预措施的其他机制。
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