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尼日利亚拉各斯州接受抗逆转录病毒治疗诊所治疗的艾滋病毒/艾滋病妇女的孕前和避孕护理。

Preconception and contraceptive care for women living with HIV/AIDS attending antiretroviral treatment clinics in Lagos State, Nigeria.

机构信息

Department of Community Medicine, Faculty of Public Health, University of Ibadan, Nigeria.

Department of Public Health, University of Calabar, Calabar, Nigeria.

出版信息

Afr Health Sci. 2024 Mar;24(1):25-35. doi: 10.4314/ahs.v24i1.5.

Abstract

BACKGROUND

Women living with HIV/AIDS possess fertility desires similar to their uninfected counterparts, and with advances in health therapies, these women can realistically have and raise uninfected children. Preconception care (PC) is a specialized form of intervention aimed at the prevention, identification, treatment, and management of biomedical, behavioural, and social conditions that militate against safe motherhood and the delivery of healthy offspring.

OBJECTIVE

The study aimed to assess preconception and contraceptive care among women living with HIV and attending Antiretroviral Therapy Clinics in Alimosho, Lagos State, Nigeria.

METHODS

This was a descriptive facility-based cross-sectional study of 383 women of reproductive age living with HIV/AIDS and attending ART clinics in the study area. Probability sampling methods were used in the selection procedures. Data were analyzed using descriptive statistics, Chi-square test, and univariate logistic regression at a 5% level of significance. Stratified and simple random sampling were used in the selection process.

RESULTS

Only 37.4% of respondents received optimal PC services. Being 20-29 years old [OR =1.716 (95% CI: 1.664, 1.769), = 0.020], being 30-39 years [OR =1.514 (95% CI: 0.598, 3.831), = 0.005], tertiary education [OR =8.43. (95% CI: 1.41, 18.5), = 0.020], and being single [OR =2.00 (95% CI: 1.928-2.072), = 0.002] were significantly related to the utilization of contraceptives.

CONCLUSION

There is a need to provide structure and guidelines for optimal streamlined PC and contraceptive services for women living with HIV/AIDS.

摘要

背景

感染艾滋病毒的女性与未感染的女性一样,拥有生育愿望,并且随着健康治疗方法的进步,这些女性可以现实地生育和抚养未感染的孩子。孕前保健 (PC) 是一种专门的干预形式,旨在预防、识别、治疗和管理不利于母婴安全和生育健康后代的生物医学、行为和社会状况。

目的

本研究旨在评估在尼日利亚拉各斯州阿利莫绍的抗逆转录病毒治疗诊所就诊的感染艾滋病毒的女性的孕前和避孕护理情况。

方法

这是一项在研究区域内对 383 名处于生育年龄的感染艾滋病毒/艾滋病的女性进行的基于设施的描述性横断面研究。采用概率抽样方法进行选择程序。使用描述性统计、卡方检验和单变量逻辑回归在 5%的显著性水平下进行数据分析。分层和简单随机抽样用于选择过程。

结果

只有 37.4%的受访者接受了最佳的 PC 服务。20-29 岁年龄组 [OR=1.716(95%CI:1.664,1.769), = 0.020]、30-39 岁年龄组 [OR=1.514(95%CI:0.598,3.831), = 0.005]、接受过高等教育 [OR=8.43(95%CI:1.41,18.5), = 0.020] 和单身 [OR=2.00(95%CI:1.928-2.072), = 0.002] 与避孕措施的使用显著相关。

结论

需要为感染艾滋病毒的女性提供结构和指南,以实现最佳的简化 PC 和避孕服务。

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