HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention

Geubbels E.; Williams A.; Ramaiya A.; Tancredi D.; Young S.; Chantry C.

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HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention

机译：育南炎农村产后女性的艾滋病毒状况披露：护士促进披露干预的预测因子，经验和吸收

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HIV status disclosure is a key support strategy to start and maintain HIV care and treatment and to reduce HIV transmission. We explored the patterns and correlates of disclosure and described the effectiveness of nurse-facilitated disclosure among HIV-infected mothers of infants in coastal Tanzania. We enrolled 400 HIV positive women in an observational longitudinal study in 2011, interviewed them about maternal sociodemographic and economic characteristics, maternal and child health and history of HIV disclosure experiences and offered nurse-facilitated HIV disclosure at enrolment or at follow-up 1 month later. Mothers frequently disclosed their status to husbands and/or female relatives and experienced predominantly positive reactions. Economically vulnerable women disclosed more often to elderly female relatives, indicating that Infant and Young Child Feeding counseling given to HIV positive women should garner the support of elderly female relatives for implementing appropriate feeding practices. Nurse-facilitated disclosure was feasible in this low resource setting and was used by patients to help them with both first-time disclosure and disclosure to new persons.

机译：艾滋病毒状态披露是开始和维持艾滋病毒护理和治疗和减少HIV传输的关键支持策略。我们探索了披露的披露和相关性，并描述了泰南尼亚沿海婴幼儿艾滋病毒感染母亲中护士促进披露的有效性。我们在2011年的观察纵向研究中注册了400名艾滋病毒阳性妇女，采访了关于孕产妇社会阶段和经济特征，孕产妇和儿童健康以及艾滋病毒披露经验的历史，并在1个月后提供护士促进的艾滋病毒披露或在随访期间。母亲经常向丈夫和/或女性亲属披露他们的地位，经历了主要的阳性反应。经济上弱势妇女更常见于老年女性亲属，表明给予艾滋病毒阳性妇女的婴儿和幼儿喂养咨询应该让老年女性亲属的支持实施适当的喂养行为。护士促进的披露在这种低资源环境中是可行的，并且由患者使用患者帮助他们第一次披露和披露新人。

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来源
《AIDS care.》 |2018年第4期|共9页
作者
Geubbels E.; Williams A.; Ramaiya A.; Tancredi D.; Young S.; Chantry C.;
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作者单位

Ifakara Hlth Inst Hlth Syst &

Policy Dar Es Salaam Tanzania;

Emory Univ Sch Med Dept Pediat Atlanta GA USA;

Ifakara Hlth Inst Hlth Syst &

Policy Dar Es Salaam Tanzania;

Univ Calif Davis Med Ctr Dept Pediat Sacramento CA 95817 USA;

Cornell Univ Dept Populat Med &

Diagnost Sci Program Int Nutr Ithaca NY USA;

Univ Calif Davis Med Ctr Dept Pediat Sacramento CA 95817 USA;

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原文格式 PDF
正文语种 eng
中图分类传染病;
关键词
Disclosure; HIV; mothers; Tanzania;

机译：披露;艾滋病毒;母亲;坦桑尼亚;

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专利

1. HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention [J] . Geubbels E., Williams A., Ramaiya A., AIDS care. . 2018,第4期

机译：育南炎农村产后女性的艾滋病毒状况披露：护士促进披露干预的预测因子，经验和吸收
2. Determinants of disclosure and non-disclosure of HIV-positive status, by?pregnant women in rural South Africa [J] . Shandir Ramlagan, Gladys Matseke, Violeta J. Rodriguez, SAHARA-J . 2018,第1期

机译：南非农村孕妇的信息披露和未披露艾滋病毒阳性状况的决定因素
3. Patterns and Predictors of HIV-Status Disclosure Among Pregnant Women in South Africa: Dimensions of Disclosure and Influence of Social and Economic Circumstances [J] . Brittain Kirsty, Mellins Claude A., Remien Robert H., AIDS and behavior . 2018,第12期

机译：南非孕妇艾滋病毒现状披露的模式和预测因素：披露尺寸与社会经济的影响
4. Signal Appropriation of Explicit HIV Status Disclosure Fields in Sex-Social Apps used by Gay and Bisexual Men [C] . Mark Warner, Juan F. Maestre, Jo Gibbs, ACM Conference on Human Factors in Computing Systems . 2019

机译：同性恋和双性恋男性使用的性社会应用中显式艾滋病毒状态披露字段的信号拨款
5. Impact of HIV-Related Stigma and Discrimination on HIV Testing Behaviors, and Interventions to Improve HIV Testing Uptake, in Northern Tanzania [D] . Allen, Megan. 2019

机译：坦桑尼亚北部与艾滋病毒有关的污名和歧视对艾滋病毒检测行为的影响以及采取干预措施以提高艾滋病毒吸收率
6. HIV status disclosure among postpartum women in rural Tanzania: predictors experiences and uptake of a nurse-facilitated disclosure intervention. [O] . E. Geubbels, A. Williams, A. Ramaiya, -1

机译：坦桑尼亚农村地区产后妇女中的艾滋病毒状况披露：护士协助的披露干预措施的预测指标经验和接受情况。
7. HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention [O] . E. Geubbels, A. Williams, A. Ramaiya, 2018

机译：坦桑尼亚农村产后女性的艾滋病毒状况披露：护士促进披露干预的预测因子，经验和吸收

HIV status disclosure among postpartum women in rural Tanzania: predictors, experiences and uptake of a nurse-facilitated disclosure intervention

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