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尼日利亚中北部地区 HIV 感染者对母婴传播的认知,以及他们的性与生育意愿。

Knowledge on mother-to-child transmission of HIV, and sexuality and fertility desires among people living with HIV in North-Central, Nigeria.

机构信息

Department of Community Medicine, College of Health and Medical Sciences, Babcock University, Ilishan Remo, Ogun State, Nigeria.

Seventh-Day Adventist Hospital, Jengre, Plateau State, Nigeria.

出版信息

Pan Afr Med J. 2021 Sep 28;40:64. doi: 10.11604/pamj.2021.40.64.31455. eCollection 2021.

DOI:10.11604/pamj.2021.40.64.31455
PMID:34804332
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8590253/
Abstract

INTRODUCTION

mother-to-child transmission (MTCT) is the transmission of HIV from a mother to the child during pregnancy, labour and breastfeeding. People living with HIV (PLHIV) are sexually active and also HIV can be transmitted while trying to achieve pregnancy involving unprotected hetero-sexual intercourse. Fertility desire among PLHIV is increasing due to improved quality of life and survival following commencement of anti-retroviral treatment and available reproductive health services. The objective of the study was to determine the association between knowledge on MTCT of HIV and sexuality and fertility desire.

METHODS

this study was descriptive cross-sectional applying systematic sampling technique among PLHIV using semi-structured interviewer administered questionnaires. Data was analysed using SPSS version 23.0. Chi square test was used for statistical analysis. At 95% confidence interval a P-value of <0.05 was considered to be statistically significant.

RESULTS

a total of 168 PLHIV were studied, 63.3% females and 36.7% males. Majority (81.5%) of the respondents were sexually active and 64.1% had fertility desire. On awareness of MTCT 62.5% had heard of MTCT but only 28.2% had good knowledge. No association was found between knowledge of MTCT and sexuality and fertility desire respectively.

CONCLUSION

PLHIV had high awareness but poor knowledge on MTCT of HIV, hence the need for healthcare workers to provide sexual and reproductive health counselling including information on MTCT to both male and female PLHIV during routine clinic visits.

摘要

介绍

母婴传播(MTCT)是指 HIV 从母亲传播给怀孕、分娩和哺乳期的孩子。HIV 感染者(PLHIV)具有性活跃性,并且在试图怀孕时,如果不采取保护措施进行异性性行为,也可能会传播 HIV。随着抗逆转录病毒治疗的开始和生殖健康服务的提供,PLHIV 的生活质量和生存率得到提高,他们的生育愿望也在增加。本研究的目的是确定 HIV 母婴传播和性行为与生育愿望之间的关系。

方法

本研究采用描述性横断面研究,使用半结构式访谈者管理问卷,对 PLHIV 进行系统抽样。使用 SPSS 版本 23.0 分析数据。采用卡方检验进行统计分析。在 95%置信区间内,P 值<0.05 被认为具有统计学意义。

结果

共研究了 168 名 PLHIV,其中 63.3%为女性,36.7%为男性。大多数(81.5%)受访者具有性活跃性,64.1%有生育愿望。在母婴传播意识方面,62.5%听说过母婴传播,但只有 28.2%有良好的知识。母婴传播知识与性行为和生育愿望之间没有相关性。

结论

PLHIV 对 HIV 母婴传播有很高的认识,但知识水平较差,因此医疗保健工作者需要在常规诊所就诊期间为男性和女性 PLHIV 提供性健康和生殖健康咨询,包括母婴传播信息。

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