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

BMC Public Health

Jennifer A Smit²  David R Bangsberg⁴  Steven A Safren⁵  Christina Psaros⁵  Ross Greener²  Fortunate N Mosery²  Cecilia Milford²  Tamaryn L Crankshaw¹  Lizzie Moore²  Lynn T Matthews³ 

[1] Health Economics and HIV and AIDS Research Division, University of Kwazulu-Natal, Durban, South Africa;Maternal, Adolescent and Child Health (MatCH), Faculty of Health Sciences, University of the Witwatersrand, Durban, South Africa;Division of Infectious Disease, Beth Israel Deaconess Medical Center, Boston, USA;Division of Infectious Disease and Center for Global Health, Massachusetts General Hospital, 100 Cambridge Street, 15th Floor, Boston, MA 02114, USA;Department of Psychiatry, Massachusetts General Hospital, Boston, USA

关键词: HIV serostatus disclosure;    Safer conception;    HIV serodiscordant couples;    HIV prevention;   

Others  :  1128333
DOI  :  10.1186/1471-2458-14-843

 received in 2013-08-16, accepted in 2014-07-24,  发布年份 2014

【 摘 要 】

Background

Implementation 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.

Methods

We 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.

Results

Among 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.

Conclusions

In 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.

【 授权许可】

   
2014 Matthews et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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