Pregnant women's experiences of male partner involvement in the context of prevention of mother-to-child transmission in Khayelitsha, South Africa.
Identifieur interne : 001474 ( Main/Merge ); précédent : 001473; suivant : 001475Pregnant women's experiences of male partner involvement in the context of prevention of mother-to-child transmission in Khayelitsha, South Africa.
Auteurs : Kirsty Brittain [Afrique du Sud] ; Janet Giddy ; Landon Myer ; Diane Cooper ; Jane Harries ; Kathryn StinsonSource :
- AIDS care [ 1360-0451 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Complications de la grossesse et maladies infectieuses (), Complications de la grossesse et maladies infectieuses (psychologie), Conjoints (psychologie), Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Femmes enceintes (psychologie), Grossesse, Groupes focalisés, Humains, Infections à VIH (diagnostic), Infections à VIH (psychologie), Infections à VIH (transmission), Mâle, Mères, Nouveau-né, Partenaire sexuel (psychologie), Prise en charge prénatale, République d'Afrique du Sud, Révélation de la vérité, Transmission verticale de maladie infectieuse (), Études transversales.
- MESH :
- diagnostic : Infections à VIH.
- psychologie : Complications de la grossesse et maladies infectieuses, Conjoints, Femmes enceintes, Infections à VIH, Partenaire sexuel.
- Adulte, Adulte d'âge moyen, Complications de la grossesse et maladies infectieuses, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Grossesse, Groupes focalisés, Humains, Infections à VIH, Mâle, Mères, Nouveau-né, Prise en charge prénatale, République d'Afrique du Sud, Révélation de la vérité, Transmission verticale de maladie infectieuse, Études transversales.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Adult, Cross-Sectional Studies, Female, Focus Groups, HIV Infections (diagnosis), HIV Infections (psychology), HIV Infections (transmission), Health Knowledge, Attitudes, Practice, Humans, Infant, Newborn, Infectious Disease Transmission, Vertical (prevention & control), Male, Middle Aged, Mothers, Pregnancy, Pregnancy Complications, Infectious (prevention & control), Pregnancy Complications, Infectious (psychology), Pregnant Women (psychology), Prenatal Care, Sexual Partners (psychology), Socioeconomic Factors, South Africa, Spouses (psychology), Surveys and Questionnaires, Truth Disclosure.
- MESH :
- geographic : South Africa.
- diagnosis : HIV Infections.
- prevention & control : Infectious Disease Transmission, Vertical, Pregnancy Complications, Infectious.
- psychology : HIV Infections, Pregnancy Complications, Infectious, Pregnant Women, Sexual Partners, Spouses.
- transmission : HIV Infections.
- Adult, Cross-Sectional Studies, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Humans, Infant, Newborn, Male, Middle Aged, Mothers, Pregnancy, Prenatal Care, Socioeconomic Factors, Surveys and Questionnaires, Truth Disclosure.
Abstract
Male partner involvement (MPI) has been identified as a priority intervention in programmes for the prevention of mother-to-child transmission (PMTCT) of HIV, but rates of MPI remain low worldwide. This study used a quantitative survey (n=170) and two focus group discussions (FGDs) with 16 HIV-positive pregnant women attending a public sector antenatal care service in Khayelitsha, South Africa, to examine the determinants of high levels of involvement and generate a broader understanding of women's experiences of MPI during pregnancy. Among survey participants, 74% had disclosed their status to their partner, and most reported high levels of communication around HIV testing and preventing partner transmission, as well as high levels of MPI. High MPI was significantly more likely among women who were cohabiting with their partner; who had reportedly disclosed their HIV status to their partner; and who reported higher levels of HIV-related communication with their partner. FGD participants discussed a range of ways in which partners can be supportive during pregnancy, not limited to male attendance of antenatal care. MPI appears to be a feasible intervention in this context, and MPI interventions should aim to encourage male partner attendance of antenatal care as well as greater involvement in pregnancy more generally. Interventions that target communication are needed to facilitate HIV-related communication and disclosure within couples. MPI should remain a priority intervention in PMTCT programmes, and increased efforts should be made to promote MPI in PMTCT.
DOI: 10.1080/09540121.2015.1018862
PubMed: 25738960
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pubmed:25738960Le document en format XML
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<term>Female</term>
<term>Focus Groups</term>
<term>HIV Infections (diagnosis)</term>
<term>HIV Infections (psychology)</term>
<term>HIV Infections (transmission)</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Infant, Newborn</term>
<term>Infectious Disease Transmission, Vertical (prevention & control)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mothers</term>
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<term>Complications de la grossesse et maladies infectieuses (psychologie)</term>
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<term>Connaissances, attitudes et pratiques en santé</term>
<term>Enquêtes et questionnaires</term>
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<term>Spouses</term>
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<term>Transmission verticale de maladie infectieuse</term>
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<front><div type="abstract" xml:lang="en">Male partner involvement (MPI) has been identified as a priority intervention in programmes for the prevention of mother-to-child transmission (PMTCT) of HIV, but rates of MPI remain low worldwide. This study used a quantitative survey (n=170) and two focus group discussions (FGDs) with 16 HIV-positive pregnant women attending a public sector antenatal care service in Khayelitsha, South Africa, to examine the determinants of high levels of involvement and generate a broader understanding of women's experiences of MPI during pregnancy. Among survey participants, 74% had disclosed their status to their partner, and most reported high levels of communication around HIV testing and preventing partner transmission, as well as high levels of MPI. High MPI was significantly more likely among women who were cohabiting with their partner; who had reportedly disclosed their HIV status to their partner; and who reported higher levels of HIV-related communication with their partner. FGD participants discussed a range of ways in which partners can be supportive during pregnancy, not limited to male attendance of antenatal care. MPI appears to be a feasible intervention in this context, and MPI interventions should aim to encourage male partner attendance of antenatal care as well as greater involvement in pregnancy more generally. Interventions that target communication are needed to facilitate HIV-related communication and disclosure within couples. MPI should remain a priority intervention in PMTCT programmes, and increased efforts should be made to promote MPI in PMTCT.</div>
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