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首页> 外文期刊>Qualitative health research >Factors influencing teen mothers' enrollment and participation in prevention of mother-to-child HIV transmission services in Limpopo Province, South Africa.
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Factors influencing teen mothers' enrollment and participation in prevention of mother-to-child HIV transmission services in Limpopo Province, South Africa.

机译：南非林波波省影响青少年母亲入学和参与预防母婴HIV传播服务的因素。

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摘要

In this article, we examine barriers to HIV testing uptake and participation in prevention of mother-to-child HIV transmission (PMTCT) services among adolescent mothers aged 15 to 19 years in rural and urban Limpopo Province, South Africa. We used the narrative research method involving key informants constructing typical case studies of adolescent experiences with HIV testing and entry into PMTCT. Case studies formed the basis of a community-based questionnaire and focus group discussions with adolescent mothers. Client-counselor dynamics during pretest counseling were pivotal in determining uptake and participation, and counselor profile strongly influenced the nature of the interaction. Other factors found to influence adherence to PMTCT recommendations included HIV and early premarital pregnancy stigma, fear of a positive test result, and concerns over confidentiality and poor treatment by health care providers. Adolescents described elaborate strategies to avoid HIV disclosure to labor and delivery staff, despite knowing this would mean no antiretroviral therapy for their newborn infants. Theoretical, methodological, and programmatic implications of study findings are also discussed.
机译：在本文中，我们研究了南非林波波省农村和城市中15至19岁的青春期母亲在艾滋病毒检测和接受预防母婴HIV传播（PMTCT）服务方面的障碍。我们使用了叙述性研究方法，涉及关键知情者，构建了有关艾滋病毒检测和进入PMTCT的青少年经验的典型案例研究。案例研究构成了基于社区的问卷调查以及与青春期母亲进行的焦点小组讨论的基础。在测试前咨询过程中，客户-咨询顾问的动态对于确定吸收和参与至关重要，咨询顾问的个人形象极大地影响了互动的性质。发现影响遵守PMTCT建议的其他因素包括艾滋病毒和婚前早孕耻辱，担心检测结果呈阳性，以及对医护人员的机密性和不良治疗的担忧。青少年描述了精心设计的策略，以避免向分娩和工作人员透露艾滋病毒，尽管知道这将意味着对新生婴儿无抗逆转录病毒疗法。还讨论了研究结果的理论，方法和程序含义。

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