South Africans with recent pregnancy rarely know partner’s HIV serostatus: implications for serodiscordant couples interventionsReportar como inadecuado




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BMC Public Health

, 14:843

Health behavior, health promotion and society

Abstract

BackgroundImplementation of safer conception strategies requires knowledge of partner HIV-serostatus. We recruited women and men in a high HIV-prevalence setting for a study to assess periconception risk behavior among individuals reporting HIV-serodiscordant partnerships. We report screening data from that study with the objective of estimating the proportion of individuals who are aware that they are in an HIV-serodiscordant relationship at the time of conception.

MethodsWe screened women and men attending antenatal and antiretroviral clinics in Durban, South Africa for enrollment in a study of periconception risk behavior among individuals with serodiscordant partners. Screening questionnaires assessed for study eligibility including age 18–45 years for women or at least 18 years of age for men, pregnancy in past year women or partner pregnancy in the past 3 years men, HIV status of partner for recent pregnancy, participant’s HIV status, and infected partner’s HIV status having been known before the referent pregnancy.

ResultsAmong 2620 women screened, 2344 90% met age and pregnancy criteria and knew who fathered the referent pregnancy. Among those women, 963 41% did not know the pregnancy partner’s HIV serostatus at time of screening. Only 92 4% reported knowing of a serodiscordant partnership prior to pregnancy. Among 1166 men screened, 225 19% met age and pregnancy criteria. Among those men, 71 32% did not know the pregnancy partner’s HIV status and only 30 13% reported knowing of a serodiscordant partnership prior to pregnancy.

ConclusionsIn an HIV-endemic setting, awareness of partner HIV serostatus is rare. Innovative strategies to increase HIV testing and disclosure are required to facilitate HIV prevention interventions for serodiscordant couples.

KeywordsHIV prevention HIV serodiscordant couples Safer conception HIV serostatus disclosure Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-843 contains supplementary material, which is available to authorized users.

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Autor: Lynn T Matthews - Lizzie Moore - Tamaryn L Crankshaw - Cecilia Milford - Fortunate N Mosery - Ross Greener - Christina P

Fuente: https://link.springer.com/







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