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Influence of Male Partners on HIV Disclosure Among South African Women in a Cluster Randomized PMTCT Intervention.
AIDS and Behavior ( IF 4.852 ) Pub Date : 2021-02-01 , DOI: 10.1007/s10461-020-03021-x
John M Abbamonte 1 , Manasi S Parrish 2 , Tae K Lee 3 , Shandir Ramlagan 4 , Sibusiso Sifunda 4 , Karl Peltzer 4, 5, 6 , Stephen M Weiss 1 , Deborah L Jones 1
Affiliation  

Disclosure of HIV serostatus is beneficial for women, their partners, and their infants as it enables women to actively participate in preventative care (Hodgson et al. in PLoS ONE 9(11):e111421, 2014; Odiachi et al. in Reprod Health 15(1):36, 2018). Therefore, it is important that interventions addressing HIV prevention include elements that foster disclosure of HIV to partners. This study conducted in South Africa utilizes the "Protect Your Family" (PYF) behavioral intervention and compares Prevention of Mother to Child Transmission (PMTCT) among women participating in the program versus those in a control program. Within both groups, male partners were either present or not present for the intervention. The purpose of this study was to examine differential disclosure over time for individuals in the different conditions and partner involvement. A firth logistic regression revealed an interaction in the experimental condition with male partners participating (b = - 2.84, SE = 1.56, p = .012), in which female participants were less likely to disclose their HIV status over time. Findings from this study illustrate that additional efforts are needed to empower women to disclose their HIV status.

中文翻译:

随机 PMTCT 干预中男性伴侣对南非妇女 HIV 披露的影响。

披露 HIV 血清状况有利于女性、她们的伴侣和她们的婴儿,因为它使女性能够积极参与预防保健(Hodgson 等人在 PLoS ONE 9(11):e111421, 2014 中;Odiachi 等人在 Reprod Health 15 中(1):36, 2018)。因此,解决 HIV 预防的干预措施包括促进向合作伙伴披露 HIV 的要素非常重要。这项在南非进行的研究利用“保护您的家庭”(PYF) 行为干预,并将参与该计划的妇女与参加控制计划的妇女的母婴传播预防 (PMTCT) 进行比较。在两组中,男性伴侣在干预时要么在场,要么不在场。本研究的目的是检查不同条件下的个人和合作伙伴参与随时间的差异披露。第五次逻辑回归揭示了实验条件与参与的男性伴侣之间的相互作用(b = - 2.84,SE = 1.56,p = .012),其中女性参与者随着时间的推移不太可能透露自己的 HIV 状况。这项研究的结果表明,需要付出额外的努力来赋予女性披露其艾滋病病毒感染状况的能力。
更新日期:2020-09-05
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