背景:在全球范围内,由于艾滋病毒性传播和垂直传播的额外风险,艾滋病毒的流行使得孕前护理更加重要。然而,在埃塞俄比亚高危女性中使用孕前保健的证据有限.这项研究的目的是评估2023年在埃塞俄比亚南部Hadiya地区公立医院参加ART诊所的育龄期HIV阳性妇女的孕前保健利用情况和相关因素。
方法:从2022年7月1日至9月1日,在297名研究参与者中使用了采用混合方法方法的横断面研究设计。数据通过预先测试的结构化问卷收集。采用SPSS统计软件25版进行数据分析。Logistic回归,计算了95%置信区间的调整后赔率比(AOR),和p值<0.05的变量被认为具有统计学意义。使用开放代码4.03版分析定性数据。
结果:这项研究显示,19.9%(95%Cl:15.4,24.2)的研究参与者使用孕前护理。妇女的自主性(AOR=3.65;95%CI:1.14,11.68;P=0.03),PCC知识(AOR=3.05;95%CI:1.13,8.22;P=0.001),获得家庭/丈夫支持(AOR=4.06;95%CI:1.56,10.53;P=0.022),与医疗保健提供者的讨论(AOR=5.60;95%CI:2.26,13.90;P=0.002),PCC的可用空间(AOR=3.77;95%CI:1.38,10.31;P=0.009),获得所有实验室服务(AOR=4.19;95%CI:1.61,10.94;P=0.002),和病史(AOR=2.94;95%CI:11.01,8.62;P=0.036)与PCC使用显著相关。
结论:当前研究区域中PCC的使用水平较低。妇女的自主权,PCC的知识,从家人或丈夫那里获得支持,与医疗保健提供者进行讨论,可以进入PCC室,获得所有实验室服务,并且有医疗问题史与PCC的使用显著相关。我们的研究结果表明,将PCC整合到常规的HIV护理中,提高妇女的自主性,并将家庭支持与医疗保健提供者整合。
BACKGROUND: Globally, the HIV pandemic makes preconception care even more crucial due to the additional risks for sexual and vertical transmission of HIV. However, there is limited evidence on the
utilization of preconception care among high-risk women in Ethiopia. The purpose of this research is to assess preconception care
utilization and associated factors among HIV-positive women of reproductive age who attend ART clinics in public hospitals in the Hadiya zone of Southern Ethiopia in 2023.
METHODS: A cross-sectional study design employing a mixed methods approach was used among 297 study participants from July 1-Semptember 1, 2022. Data were collected by pretested structured questionnaires. The data were analyzed by SPSS statistical software version 25. Logistic regression, Adjusted Odds Ratio (AOR) with a 95% confidence interval was computed, and variables with a p-value < 0.05 were considered statistically significant. Qualitative data were analyzed using open code version 4.03.
RESULTS: This study revealed that 19.9% (95%Cl: 15.4, 24.2) of study participants use preconception care. Women\'s autonomy (AOR = 3.65; 95% CI: 1.14, 11.68;P = 0.03), knowledge of PCC (AOR = 3.05; 95% CI: 1.13, 8.22; P = 0.001), getting family/husband support (AOR = 4.06; 95% CI: 1.56, 10.53;P = 0.022), discussions with healthcare providers (AOR = 5.60; 95% CI: 2.26, 13.90;P = 0.002), availability of room for PCC (AOR = 3.77; 95% CI: 1.38, 10.31;P = 0.009), getting all laboratory services (AOR = 4.19; 95% CI: 1.61, 10.94; P = 0.002), and history of medical problems (AOR = 2.94; 95% CI: 11.01, 8.62;P = 0.036) were significantly associated with PCC use.
CONCLUSIONS: The level of PCC use in the current study area is low. Women\'s autonomy, knowledge of PCC, obtaining support from family or husband, engaging in discussions with healthcare providers, having access to a PCC room, access to all laboratory services, and having a history of medical problems are significantly associated with PCC use. Our findings suggest integrating PCC into routine HIV care, boosting women\'s autonomy, and integrating family support with healthcare providers.