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首页> 外文期刊>Reproductive Health >Utilization of dual contraception method among reproductive age women on antiretroviral therapy in selected public hospitals of Northern Ethiopia
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Utilization of dual contraception method among reproductive age women on antiretroviral therapy in selected public hospitals of Northern Ethiopia

机译：埃塞俄比亚北部一些公立医院的育龄妇女双重避孕方法在抗逆转录病毒治疗中的应用

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Background Sexually transmitted infections are highly prevalent among pregnant women in Africa. Among the incidence of HIV infection in children, 90% of the infection is attributable to their mothers. Ethiopia is one of the countries with an increasing risky sexual behavior and the most affected by the HIV epidemic. If prevention of mother to child transmission focuses on increasing contraception, it will prevent more than 29% of HIV infection at birth. Therefore, the aim of this study was to assess utilization of dual contraceptive method and associated factors among reproductive age women on antiretroviral therapy in selected public hospitals of Mekelle town, Northern Ethiopia. Methods Institution based cross-sectional survey was conducted in selected public hospitals of Mekelle among women under antiretroviral therapy from March 1–April 31, 2016. We used a systematic sampling technique to select 331 women. A pretested interviewer administered questionnaire was used for data collection. The data were entered in to Epi data version 3.1 and exported to SPSS version 20 for analysis. Bivariate and multivariable logistic regression analysis was computed. Odds ratio along with 95% CI was computed to ascertain the association. Statistical tests at p -value of Results Only 51(15.7%) of participants have utilized dual contraception method. Being single[AOR 5.43, 95% CI (1.61, 18.32)] and cohabitated [AOR 6.06; 95% CI: (2.16, 16.95)] in marital status, having HIV negative partner [AOR 4.44; 95% CI: (1.23, 16.04)], exposure to post diagnosis counseling [AOR 3.03; 95% CI: 1.34, 6.80], disclosed HIV status [AOR 6.06; 95% CI: (1.78, 20.87)] and discussing safer sex with partner [AOR 6.96; 95% CI: (2.75, 16.62)] were positively associated with utilization of dual contraceptive method. Conclusion The overall magnitude of dual contraceptive use is still low in this study. This will be a great concern on the transmission of the virus from mother to babies and partners and risk of complications following unintended pregnancy. This will continue to present as major public health problems in the region unless future interventions focuses on the barriers through tailored counseling and husband involvement in all aspects of the HIV/AIDS care.
机译：背景技术性传播感染在非洲的孕妇中非常普遍。在儿童的艾滋病毒感染率中，90％的感染归因于母亲。埃塞俄比亚是性行为风险增加且受艾滋病毒流行影响最大的国家之一。如果预防母婴传播的重点是增加避孕药具，它将在出生时预防超过29％的HIV感染。因此，本研究的目的是评估埃塞俄比亚北部梅克尔镇某些公立医院对育龄妇女双重避孕方法和相关因素在抗逆转录病毒疗法中的应用。方法自2016年3月1日至4月31日，在Mekelle的部分公立医院接受抗逆转录病毒治疗的妇女中，进行了基于机构的横断面调查。我们采用系统的抽样方法，对331名妇女进行了选择。使用预先测试的访调员管理的问卷进行数据收集。数据输入到Epi数据版本3.1中，并导出到SPSS版本20中进行分析。计算了双变量和多变量逻辑回归分析。计算几率与95％CI以确定关联。结果为p值的统计测试只有51（15.7％）名参与者使用了双重避孕方法。单身[AOR 5.43，95％CI（1.61，18.32）]，同居[AOR 6.06;婚姻状况为95％CI：（2.16，16.95），患有HIV阴性伴侣[AOR 4.44; 95％CI：（1.23，16.04）]，接受诊断后咨询[AOR 3.03; 95％CI：1.34，6.80]，显示HIV状况[AOR 6.06; 95％CI：（1.78，20.87）]，并与伴侣讨论更安全的性爱[AOR 6.96; 95％CI：（2.75，16.62）]与双重避孕方法的使用呈正相关。结论：本研究中双重避孕药的使用总体规模仍然很低。这将是极大的关注，因为该病毒会从母亲传播给婴儿和伴侣，以及意外怀孕后出现并发症的风险。除非今后的干预措施通过有针对性的咨询和丈夫参与艾滋病毒/艾滋病治疗的各个方面来关注障碍，否则这将继续成为该地区的主要公共卫生问题。

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