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首页> 外文期刊>Journal of women’s health >A randomized controlled trial to promote long-term contraceptive use among HIV-serodiscordant and concordant positive couples in Zambia.
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A randomized controlled trial to promote long-term contraceptive use among HIV-serodiscordant and concordant positive couples in Zambia.

机译:一项随机对照试验,旨在促进赞比亚HIV阳性和顺从阳性夫妇中长期使用避孕药具。

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BACKGROUND: Countries facing high HIV prevalence often also experience high levels of fertility and low contraceptive use, suggesting high levels of unmet need for contraceptive services. In particular, the unique needs of couples with one or both partners HIV positive are largely missing from many current family planning efforts, which focus on the prevention of pregnancies in the absence of reduction of the risk of HIV and other sexually transmitted infections (STIs). METHODS: This article presents an examination of contraceptive method uptake among a cohort of HIV serodiscordant and concordant positive study participants in Zambia. RESULTS: Baseline contraceptive use was low; however, exposure to a video-based intervention that provided information on contraceptive methods and modeled desirable future planning behaviors dramatically increased the uptake of modern contraceptive methods. CONCLUSIONS: Including information on family planning in voluntary counseling and testing (VCT) services in addition to tailoring the delivery of family planning information to meet the needs and concerns of HIV-positive women or those with HIV-positive partners is an essential step in the delivery of services and prevention efforts to reduce the transmission of HIV. Family planning and HIV prevention programs should integrate counseling on dual method use, combining condoms for HIV/STI prevention with a long-acting contraceptive for added protection against unplanned pregnancy.
机译:背景:面临艾滋病毒高流行的国家通常也经历着高水平的生育率和较低的避孕措施使用,这表明未满足的避孕服务需求水平很高。特别是,有一个或两个伴侣的夫妇对艾滋病毒呈阳性的夫妇的独特需求在许多目前的计划生育工作中已基本缺失,计划生育工作侧重于在不降低艾滋病毒和其他性传播感染风险的情况下预防怀孕。 。方法:本文介绍了在赞比亚的一组艾滋病毒血清和一致阳性研究参与者中使用避孕方法的情况。结果:基线避孕药具使用率低;但是,接受基于视频的干预措施,可以提供有关避孕方法的信息并建模理想的未来计划行为,这极大地提高了现代避孕方法的使用率。结论:除了使计划生育信息的提供符合艾滋病毒抗体阳性妇女或艾滋病毒抗体阳性伴侣的需求和关注之外,在自愿咨询和检测(VCT)服务中包括有关计划生育的信息是该计划中必不可少的步骤。提供服务和预防工作以减少艾滋病毒的传播。计划生育和艾滋病毒预防计划应结合使用双重方法的咨询意见,将预防艾滋病毒/性传播感染的避孕套与长效避孕药相结合,以增加对意外怀孕的保护。

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