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首页> 美国卫生研究院文献>Infectious Diseases in Obstetrics and Gynecology >Risk-Taking Behavior for HIV Acquisition during Pregnancy in Porto Alegre Brazil
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Risk-Taking Behavior for HIV Acquisition during Pregnancy in Porto Alegre Brazil

机译：巴西阿雷格里港怀孕期间感染艾滋病毒的冒险行为

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Recent studies suggest that acquisition of HIV-1 infection during pregnancy and breastfeeding is associated with a high risk of HIV mother-to-child transmission. This study evaluates risk factors associated with HIV acquisition during pregnancy in women delivering at a large metropolitan medical facility located in the south of Brazil. From February to August 2009, our group conducted a cross-sectional study assessing women's risk for HIV acquisition by administering an oral survey to peripartum women. Of 2465 participants, 42% (n = 1046) knew that partner had been tested for HIV. During pregnancy, 82% (n = 2022) of participants never used condoms; yet 97% (n = 2399) practiced vaginal sex. Multivariate logistic regression analysis showed that patients with more years of education, in a relationship for more than 1 year, and who knew their own HIV status were more likely to know their partners' HIV status (P < 0.05). Those who were in relationship for more than 1 year and were married/living together were more likely to be comfortable discussing HIV testing with partners (P < 0.05). In conclusion, women in Brazil are at risk of HIV-infection during pregnancy as they remain sexually active, often do not know their sexual partner's HIV status, and have minimal condom use.
机译：最近的研究表明，在怀孕和母乳喂养期间获得HIV-1感染与HIV母婴传播的高风险有关。这项研究评估了在位于巴西南部的大型都市医疗机构分娩的妇女在怀孕期间与艾滋病毒感染相关的危险因素。从2009年2月至2009年8月，我们小组通过对围产期妇女进行口头调查，进行了一项横断面研究，评估了妇女感染艾滋病毒的风险。在2465名参与者中，有42％（n = 1046）知道该伴侣已经接受了HIV检测。在怀孕期间，有82％（n = 2022）的参与者从未使用过安全套。但仍有97％（n = 2399）进行过阴道性交。多元logistic回归分析显示，受过多年教育，关系超过1年且知道自己的艾滋病毒状况的患者更有可能了解其伴侣的艾滋病毒状况（P <0.05）。关系超过一年且已婚/同居的人更愿意与伴侣讨论HIV检测（P <0.05）。总而言之，巴西的妇女由于保持性活跃，经常不了解其性伴侣的艾滋病毒状况并且很少使用安全套，因此在怀孕期间有感染艾滋病毒的风险。

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