Impact of HIV counseling and testing among child-bearing women in Kinshasa, Zaïre
| Autor: | William L. Heyward, N. Mbuyi, St Louis Me, Veronique Batter, Munkolenkole Kamenga, Robert W. Ryder, L. Mbu, Malulu M |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Counseling Male Health Knowledge Attitudes Practice medicine.medical_specialty Sexual Behavior media_common.quotation_subject Immunology HIV Infections Asymptomatic law.invention Condoms Acquired immunodeficiency syndrome (AIDS) Condom Pregnancy law HIV Seronegativity HIV Seropositivity medicine Humans Immunology and Allergy Pregnancy Complications Infectious media_common Gynecology Obstetrics business.industry virus diseases Abstinence medicine.disease Contraception Sexual Partners Infectious Diseases Family planning Family Planning Services Democratic Republic of the Congo Female Health education medicine.symptom business |
| Zdroj: | AIDS. 7:1633-1637 |
| ISSN: | 0269-9370 |
| Popis: | In Kinshasa Zaire researchers compared data on 187 HIV-seropositive women who delivered at Mama Yemo Hospital between October 1989 and April 1990 with data on 178 HIV-seronegative age- and parity-matched controls to determine whether HIV counseling and testing resulted in risk reduction behavior. All the women tended to have levels of knowledge about modes of HIV transmission but about 50% did not know that HIV-infected people can be asymptomatic. HIV-seropositive women were more likely to know that HIV infection can be asymptomatic than HIV-seronegative women (67% vs. 35%; p < .001). 30% did not know that HIV can be transmitted perinatally. After counseling 86% of all women planned to use contraceptives especially condoms (61%). HIV- seropositive women were more likely to intend to use condoms than HIV-seronegative women (70.8% vs. 52.6%; p < .001). Yet 12 months later just 20% of cases actually used condoms which was not that much different than it was among controls (17%). HIV-seropositive women actually used less effective birth control methods (abstinence rhythm and withdrawal) than they had planned (p < .001). Cases were more likely to notify their partners about their serologic status than were controls (94% vs. 47%; p < .001). After 12 months the partners of just 2.2% of all women came to the clinic for HIV counseling and testing. Only 7.9% of the women who wanted clinic staff to help them in notifying and counseling their partner brought their partners to the clinic for joint counseling and testing. The pregnancy rate at 12 months was essentially the same for both groups (6% for cases and 8% for controls). These findings show that HIV counseling and testing did increase contraceptive and condom use but the levels were lower than intended. They emphasize the need to include male partners in counseling to further decrease the risk of heterosexual and perinatal HIV transmission. |
| Databáze: | OpenAIRE |
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