From prenatal HIV testing of the mother to prevention of sexual HIV transmission within the couple
| Autor: | Annick Tijou Traoré, Hermann Brou, Annabel Desgrées-du-Loû, Gérard Djohan, Valériane Leroy, Renaud Becquet |
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| Přispěvatelé: | Mouillet, Evelyne, Centre population et développement (CEPED - UMR_D 196), Institut de Recherche pour le Développement (IRD)-Université Paris Descartes - Paris 5 (UPD5), Ecole nationale supérieure de statistique et d'économie appliquée [Abidjan] (ENSEA), Aménagement, Développement, Environnement, Santé et Sociétés (ADES), Université Bordeaux Segalen - Bordeaux 2-Université Bordeaux Montaigne-Centre National de la Recherche Scientifique (CNRS), Institut de Santé Publique, d'Epidémiologie et de Développement (ISPED), Université Bordeaux Segalen - Bordeaux 2, Epidémiologie, santé publique et développement, Université Bordeaux Segalen - Bordeaux 2-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR99-ISPED, for the ANRS 1201/1202/1253 Ditrame Plus Group, Université Bordeaux Segalen - Bordeaux 2-Université Bordeaux Montaigne (UBM)-Centre National de la Recherche Scientifique (CNRS), Centre National de la Recherche Scientifique (CNRS)-Université Bordeaux Segalen - Bordeaux 2-Université Bordeaux Montaigne, Centre Population et Développement (CEPED), Institut national d'études démographiques (INED)-Institut de Recherche pour le Développement (IRD)-Université Paris Descartes - Paris 5 (UPD5), Centre Population et Développement, the ANRS 1201/1202/1253 Ditrame Plus Group, Centre population et développement ( CEPED - UMR_D 196 ), Institut de Recherche pour le Développement ( IRD ) -Université Paris Descartes - Paris 5 ( UPD5 ), Ecole nationale supérieure de statistique et d'économie appliquée [Abidjan] ( ENSEA ), Aménagement, Développement, Environnement, Santé et Sociétés ( ADES ), Université Bordeaux Segalen - Bordeaux 2-Université Bordeaux Montaigne-Centre National de la Recherche Scientifique ( CNRS ), Institut de Santé Publique, d'Epidémiologie et de Développement ( ISPED ), Université Bordeaux Segalen - Bordeaux 2-Institut National de la Santé et de la Recherche Médicale ( INSERM ) -IFR99-ISPED |
| Rok vydání: | 2009 |
| Předmět: |
Counseling
Male Sexually transmitted disease MESH: Sexual Behavior MESH: Chi-Square Distribution Health (social science) HIV Infections MESH : Sexual Partners COMMUNICATION MESH : Interpersonal Relations law.invention MESH: Pregnancy MESH : Sexual Behavior GROSSESSE Pregnancy Risk Factors MESH: Risk Factors law Prenatal Diagnosis MESH: Sexual Partners MESH : Female Pregnancy Complications Infectious MESH : Infectious Disease Transmission Vertical SIDA COUPLE MESH: Counseling virus diseases [ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie MESH: Follow-Up Studies MESH: HIV Infections MESH : Adult MESH: Interpersonal Relations MESH: Interviews as Topic MESH : Risk Factors MESH : Truth Disclosure MESH : Counseling MESH: Infectious Disease Transmission Vertical ENFANT Sexual Partners SANTE DE LA REPRODUCTION Cohort Female MESH: Truth Disclosure PRESERVATIF EDUCATION SANITAIRE Adult MESH : Disease Transmission Infectious medicine.medical_specialty Sexual transmission MESH: Cote d'Ivoire MESH : Male SEROPOSITIVITE Sexual Behavior Context (language use) MESH: Disease Transmission Infectious Truth Disclosure Interviews as Topic History and Philosophy of Science Condom Acquired immunodeficiency syndrome (AIDS) MESH : HIV Infections Disease Transmission Infectious medicine Humans Interpersonal Relations MESH: Pregnancy Complications Infectious MESH: Prenatal Diagnosis MESH : Prenatal Diagnosis Gynecology Chi-Square Distribution MESH: Humans MESH : Chi-Square Distribution business.industry Public health MESH : Humans MESH : Follow-Up Studies MESH: Adult MESH : Cote d'Ivoire PREVENTION SANITAIRE medicine.disease Infectious Disease Transmission Vertical MESH: Male MESH : Pregnancy Cote d'Ivoire MESH : Pregnancy Complications Infectious FEMME DEPISTAGE [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie MESH : Interviews as Topic Family medicine [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business Serostatus MESH: Female Follow-Up Studies |
| Zdroj: | Social Science and Medicine Social Science and Medicine, 2009, 69 (6), pp.892-9. ⟨10.1016/j.socscimed.2009.05.045⟩ Social Science and Medicine, Elsevier, 2009, 69 (6), pp.892-9. ⟨10.1016/j.socscimed.2009.05.045⟩ Working Paper du Ceped #01, Centre Population et Développement. 2009, pp.20 Social Science and Medicine, Elsevier, 2009, 69 (6), pp.892-9. 〈10.1016/j.socscimed.2009.05.045〉 |
| ISSN: | 0277-9536 |
| DOI: | 10.1016/j.socscimed.2009.05.045 |
| Popis: | International audience; The first step in preventing mother-to-child HIV transmission (PMTCT) programmes is offering HIV counselling and testing to pregnant women. In developing countries where HIV testing remains rare, it represents a unique opportunity for many women to learn their HIV status. This prenatal HIV testing is not only the entry point to prevention of mother-to-child HIV transmission, but also an occasion for women to sensitize their male partner to sexual risks. Here we explore if these women, HIV-tested as mothers, apply the prevention recommendations they also receive as women. In the Ditrame Plus PMTCT program in Abidjan, Côte d'Ivoire, two cohorts of women (475 HIV-infected women and 400 HIV-negative women) were followed up two years after the pregnancy when they were offered prenatal HIV testing. In each cohort, we compared the proportion of women who communicated with their regular partner on sexual risks, prior to and after prenatal HIV testing. We analysed socio-demographic factors related to this communication. We measured two potential conjugal outcomes of women HIV testing: the level of condom use at sex resumption after delivery and the risk of union break-up. Prenatal HIV testing increased conjugal communication regarding sexual risks, whatever the woman's serostatus. This communication was less frequent for women in a polygamous union or not residing with their partner. Around 30% of women systematically used condoms at sex resumption. Among HIV infected ones, conjugal talk on sexual risks was related to improved condom use. After HIV testing, more HIV-infected women separated from their partners than HIV-uninfected women, despite very few negative reactions from the notified partners. In conclusion, offering prenatal HIV counselling and testing is an efficient tool for sensitizing women and their partners to HIV prevention. But sexual prevention in a conjugal context remains difficult and need to be specifically addressed. |
| Databáze: | OpenAIRE |
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