全球承认艾滋病毒感染者(PLHIV)的生殖健康权利。这项研究的目的是探索生殖选择,以及影响这些选择的因素,在南非豪登省Ekurhuleni卫生区的初级卫生保健(PHC)设施就诊的艾滋病毒阳性患者。
2013年,在Ekurhuleni卫生区进行了横断面调查。在三个随机选择的社区卫生中心中,我们选择了HIV阳性患者的随机样本.在获得知情同意后,经过培训的现场工作者管理一份结构化问卷,以获取有关社会人口统计学的信息,生殖选择和生殖选择的知识。使用STATA®13分析调查数据。
大多数调查参与者(n=430)是女性(70%)和失业(57%)。参与者的平均年龄为36.4岁(SD8.6):男性为40.8岁(SD8.7),女性为34.5岁(SD7.8)。在调查参与者中,46%的人表达了对儿童的渴望(95%CI:41.4-50.9)。在多元Logistic回归分析中,对儿童渴望的预测因素是年龄小于49岁,结婚或同居,也没有亲生孩子.没有孩子的PLHIV想要孩子的几率是16.48[95%CI:5.94-45.74]倍,与有两个或两个以上孩子的人相比,而对于那些不到25年的人来说,与50岁以上的孩子相比,想要孩子的几率为0.78[95%CI:0.23-2.59].关于可用生殖选择的PLHIV知识有限,大多数依靠卫生工作者的指导。
应教育PHC级别的卫生保健提供者,以满足PLHIV的生殖健康需求。这些方面应反映在省和国家卫生政策中。
There is global recognition of the reproductive health rights of people living with HIV (PLHIV). The aim of this research study was to explore the reproductive choices, and the factors influencing these choices, of HIV positive patients attending primary health care (PHC) facilities in the Ekurhuleni health district of the Gauteng Province of South Africa.
During 2013, a cross-sectional survey was conducted in the Ekurhuleni health district. At each of three randomly selected community health centres, a random sample of HIV positive patients was selected. After informed consent was obtained, trained fieldworkers administered a structured questionnaire that elicited information on socio-demographics, reproductive choices and knowledge of reproductive options. Survey data were analysed using STATA® 13.
The majority of survey participants (n = 430) were female (70%) and unemployed (57%). The mean age of participants was 36.4 years (SD 8.6): 40.8 years (SD 8.7) for men and 34.5 years (SD7.8) for women. Among survey participants, 46% expressed a desire for children (95% CI: 41.4-50.9). In the multiple logistic regression analysis, predictors of desire for children were age less than 49 years, marriage or living together, and no biological children. The odds of wanting children was 16.48 [95% CI: 5.94-45.74] times higher for PLHIV without children, compared with those with two or more children, while for those less than 25 years, the odds of wanting children was 0.78 [95% CI: 0.23-2.59] compared with those older than 50 years. The PLHIV knowledge on the available reproductive options was limited, with the majority relying on the guidance of the health workers.
Health care providers at PHC level should be educated to address the reproductive health needs of PLHIV. These aspects should be reflected in provincial and national health policies.