Guta Nuredin Mohammed, Ruksi Sisay Tulu, Seid Kalid
Department of Nursing, College of Health Science, Mizan Tepi University, Mizan-Aman, Ethiopia.
Department of Public Health, College of Health Science, Mizan Tepi University, Mizan-Aman, Ethiopia.
Heliyon. 2023 Jul 14;9(7):e18282. doi: 10.1016/j.heliyon.2023.e18282. eCollection 2023 Jul.
To improve pregnancy outcomes, a pregnant mother living with HIV/AIDS requires a high level of social and emotional support. However, women from low-income countries were subjected to low social support status despite adequate counseling and health messages to increase their social support. Therefore, this study aimed to investigate the predictors of the perceived poor social support status among pregnant women attending ART clinics in Southwest Ethiopia.
A hospital-based cross-sectional study with consecutive sampling was conducted to enroll 265 pregnant women on antiretroviral therapy (ART) from December 1 to 30, 2021. The data were collected using an interviewer-administered questionnaire. Epidata was used for data entry and analyzed after it was exported to a statistical package for the social sciences. Binary logistic regression was used and the level of significance was declared at -value <0.05 using Adjusted odds ratio at 95% CI after candidate variables were identified in binary logistic regression at a -value of <0.25.
Finding from the study figured out that low level of poor social support is found to be 47.2%. Study revealed that income level[AOR = 5.1 95% CI [1.9,13.6]], disclosure status[AOR: 1.9 95% CI [1.1,3.3]], unwanted pregnancy [AOR = 2.3 CI; [ 1.4,3.9]], and low adherence level[AOR: 2.1 95% CI [1.1,3.1]] were strong predictors.
This study identified high levels of poor social support. Increasing access to information education and communications focusing on stigma, disclosure & refresher training that boosts the counseling skills of health care providers to enhance adherence level is strongly recommended.
为改善妊娠结局，感染艾滋病毒/艾滋病的孕妇需要高水平的社会和情感支持。然而，尽管提供了充分的咨询和健康信息以增加社会支持，但低收入国家的妇女社会支持状况仍然较低。因此，本研究旨在调查埃塞俄比亚西南部接受抗逆转录病毒治疗（ART）门诊的孕妇中，社会支持状况不佳的预测因素。
2021年12月1日至30日，在一家医院进行了一项基于连续抽样的横断面研究，纳入265名接受抗逆转录病毒治疗的孕妇。数据通过访谈员管理的问卷收集。使用EpiData进行数据录入，并导出到社会科学统计软件包后进行分析。采用二元逻辑回归，在二元逻辑回归中以<0.25的P值确定候选变量后，使用95%置信区间的调整比值比，以P值<0.05声明显著性水平。
研究发现，社会支持状况不佳的比例为47.2%。研究表明，收入水平[AOR = 5.1，95% CI [1.9,13.6]]、披露状况[AOR: 1.9，95% CI [1.1,3.3]]、意外怀孕[AOR = 2.3，CI; [1.4,3.9]]和依从性低[AOR: 2.1，95% CI [1.1,3.1]]是强有力的预测因素。
本研究发现社会支持状况不佳的比例较高。强烈建议增加获取信息教育和宣传的机会，重点关注耻辱感、披露情况以及复习培训，以提高医疗保健提供者的咨询技能，从而提高依从性。
