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首页> 外文期刊>AIDS care. >HIV infection and reproductive health in teenage women orphaned and made vulnerable by AIDS in Zimbabwe.
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HIV infection and reproductive health in teenage women orphaned and made vulnerable by AIDS in Zimbabwe.

机译：津巴布韦因艾滋病而成为孤儿并变得脆弱的少女的艾滋病毒感染和生殖健康。

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AIDS has increased the number of orphans and vulnerable children (OVCs) in sub-Saharan Africa who could suffer detrimental life experiences. We investigated whether OVCs have heightened risks of adverse reproductive health outcomes including HIV infection. Data on HIV infection, sexually transmitted infection (STI) symptoms and pregnancy, and common risk factors were collected for OVCs and non-OVCs in a population survey of 1523 teenage children in eastern Zimbabwe between July 2001 and March 2003. Multivariate logistic regression was used to test for statistical association between OVC status, adverse reproductive health outcomes and suspected risk factors.Amongst women aged 15-18 years, OVCs had higher HIV prevalence than non-OVCs (3.2% versus 0.0%; p=0.002) and more common experience of STI symptoms (5.9% versus 3.3%; adjusted odds ratio = 1.75, 95% CI 0.80-3.80) and teenage pregnancy (8.3% versus 1.9%; 4.25, 1.58-11.42). OVCs (overall), maternal orphans and young women with an infected parent were more likely to have received no secondary school education and to have started sex and married, which, in turn, were associated with poor reproductive health. Amongst men aged 17-18 years, OVC status was not associated with HIV infection (0.5% versus 0.0%; p=1.000) or STI symptoms (2.7% versus 1.6%; p=0.529). No association was found between history of medical injections and HIV risk amongst teenage women and men.High proportions of HIV infections, STIs and pregnancies among teenage girls in eastern Zimbabwe can be attributed to maternal orphanhood and parental HIV. Many of these could be averted through further female secondary school education. Predicted substantial expanded increases in orphanhood could hamper efforts to slow the acquisition of HIV infection in successive generations of young adults, perpetuating the vicious cycle of poverty and disease.
机译：艾滋病增加了撒哈拉以南非洲可能遭受不利生活经历的孤儿和弱势儿童的数量。我们调查了OVC是否增加了包括HIV感染在内的不利生殖健康结果的风险。在2001年7月至2003年3月间，对津巴布韦东部1523名少年儿童进行的人口调查中，收集了有关OVC和非OVC的HIV感染，性传播感染（STI）症状和妊娠以及常见危险因素的数据。使用多因素Logistic回归检验OVC状况，不良生殖健康结局和可疑危险因素之间的统计关联。在15至18岁的女性中，OVC的艾滋病毒患病率高于非OVC（3.2％对0.0％; p = 0.002），并且经验更为普遍性传播感染症状的发生率（5.9％对3.3％;调整后的比值比= 1.75，95％CI 0.80-3.80）和少女怀孕（8.3％对1.9％; 4.25，1.58-11.42）。 OVC（总体），父母受感染的孤儿和年轻妇女更可能没有接受中学教育，并开始过性生活和结婚，这反过来又与生殖健康差有关。在17-18岁的男性中，OVC状态与HIV感染（0.5％对0.0％; p = 1.000）或STI症状（2.7％对1.6％; p = 0.529）无关。在青少年男女中，注射药物的历史与艾滋病毒感染风险之间没有关联。津巴布韦东部少女中高比例的艾滋病毒感染，性传播感染和怀孕可归因于孕产妇孤儿和父母的艾滋病毒。其中许多可以通过进一步的女子中学教育来避免。预计孤儿人数的大幅增加可能会阻碍为减缓连续几代年轻人的艾滋病毒感染率而做出的努力，从而使贫穷和疾病的恶性循环永存。

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