Horner P J, McBride M, Coker R J, Crowley S, Harris J R, Murphy S M, Weber J N, Renton A M
Department of Genitourinary Medicine and Communicable Diseases, St Mary's Hospital, London, UK.
Genitourin Med. 1993 Oct;69(5):370-2. doi: 10.1136/sti.69.5.370.
To describe patterns of attendance for follow-up among HIV infected women in Parkside, UK and their correlates.
Retrospective cohort study.
103 HIV infected women.
Whether patients attended for follow-up between three and 18 months.
31% of women were married and 46% had children. Women born in sub-Saharan Africa were significantly less likely to attend for follow-up after three months (56%) than women born in other areas who had acquired HIV either heterosexually (82%) or through injecting drug use (81%). This pattern persisted on multivariate analysis controlling for whether women were symptomatic, had had a previous positive test, were married or had children.
HIV positive sub-Saharan African women are less likely to reattend for follow-up than women with heterosexually acquired HIV from other areas or those who acquired infection through intravenous drug use. Further studies are needed to identify barriers to follow-up for women and to shape the development of more appropriate and accessible services for HIV infected women, especially those of sub-Saharan African origin.
描述英国帕克赛德地区感染艾滋病毒女性的随访就诊模式及其相关因素。
回顾性队列研究。
103名感染艾滋病毒的女性。
患者是否在3至18个月期间进行随访。
31%的女性已婚，46%育有子女。撒哈拉以南非洲出生的女性在三个月后进行随访的可能性（56%）显著低于其他地区出生、通过异性性行为感染艾滋病毒（82%）或通过注射吸毒感染艾滋病毒（81%）的女性。在对女性是否有症状、之前检测是否呈阳性、是否已婚或育有子女进行多变量分析时，这种模式依然存在。
撒哈拉以南非洲的艾滋病毒阳性女性比其他地区通过异性性行为感染艾滋病毒的女性或通过静脉吸毒感染艾滋病毒的女性再次进行随访的可能性更低。需要进一步研究以确定女性随访的障碍，并为感染艾滋病毒的女性，尤其是撒哈拉以南非洲裔女性制定更合适、更易获得的服务。
