"我希望生一个没有艾滋病毒的孩子":乌干达西南部孕妇和哺乳期母亲对艾滋病毒护理中病毒载量检测和抑制的看法。

Discover Social Science and Health Pub Date : 2024-01-01 Epub Date: 2024-11-06 DOI:10.1007/s44155-024-00120-1
Jane Kabami, Cecilia Akatukwasa, Stella Kabageni, Joanita Nangendo, Ambrose Byamukama, Fredrick Atwiine, Valence Mfitumukiza, John Bosco Tamu Munezero, Elizabeth Arinaitwe, Andrew Mutabazi, Peter Ssebutinde, Phillipa Musoke, Moses R Kamya, Anne R Katahoire
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引用次数: 0

摘要

导言:病毒抑制是预防艾滋病母婴传播的关键因素。母亲对病毒载量抑制的看法对于成功预防艾滋病母婴传播至关重要。因此,我们旨在探讨妇女在病毒抑制方面的经验和看法:这是一项定性子研究,包含在一项分组随机试验(NCT04122144)中,该试验旨在改善乌干达西南部四家三级/四级医疗机构中感染艾滋病毒的孕妇和哺乳期母亲的病毒载量结果。2020 年 3 月 1 日至 2020 年 9 月 30 日,我们对感染 HIV 的孕妇和哺乳期妇女进行了 32 次深入访谈,以探讨她们对病毒抑制的理解和解释。对访谈进行了录音、转录,并使用 Dedoose 软件进行编码分析:共有 32 名女性艾滋病病毒感染者参与了这项定性研究。WLHIV 从获得健康和生育无 HIV 婴儿的角度来解释病毒抑制。坚持抗逆转录病毒疗法是实现病毒抑制的关键途径。与医疗服务提供者的接触程度被视为实现病毒抑制的关键因素。参与者讲述了他们在常规服务中进行病毒载量检测的经历。不过,他们也透露了一些抑制病毒的近似障碍,包括预期的耻辱感、不披露艾滋病病毒感染状况的挑战、妊娠困扰以及距离医疗机构的距离:对感染艾滋病毒的孕妇和哺乳期母亲的病毒抑制情况的了解和解释为采取预防艾滋病毒垂直传播的行为提供了基础。医护人员可以通过提供有关病毒抑制、坚持治疗策略的清晰且符合文化习俗的教育,并营造一个支持性的、不做评判的环境,为妇女提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"I desire to have an HIV-free baby": pregnant and breastfeeding mothers' perceptions of Viral load testing and suppression in HIV care in southwestern Uganda.

Introduction: Viral suppression is a critical component for preventing mother-to-child transmission of HIV(MTCT). Mothers' perceptions of viral load suppression is crucial in the attainment of successful outcomes in preventing mother to child transmission of HIV. We therefore aimed to explore the experiences and perceptions of women on viral suppression.

Methods: This was a qualitative sub-study embedded in a cluster-randomized trial (NCT04122144) designed to improve viral load outcomes among pregnant and breastfeeding mothers living with HIV in four level III/IV health facilities in South-western Uganda. Thirty-two in-depth interviews were conducted with pregnant and breastfeeding women with HIV from 1st March 2020 to 30th September 2020 to explore their understanding and interpretation of viral suppression. Interviews were audio-recorded, transcribed, and coded in Dedoose software for analysis.

Results: A total of 32 Women living with HIV were enrolled in this qualitative study. WLHIV explained viral suppression in the context of attaining good health and having HIV-free babies. Adherence to ART was presented as a key avenue to viral suppression. The level of engagement with providers was presented as a key attribute of attaining viral suppression. The participants narrated their experiences with viral load testing within the routine services. However, they revealed experiencing some proximate barriers to suppression including anticipated stigma, challenges with non-disclosure of HIV status, pregnancy distress, and distance to the health facility.

Conclusion: The understanding and interpretation of viral suppression among pregnant and breastfeeding mothers living with HIV provides a basis for adopting behaviors leading to prevention of vertical transmission of HIV. Health care workers can support women by providing clear and culturally appropriate education about viral suppression, adherence strategies and creating a supportive and non-judgmental environment.

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来源期刊
Discover Social Science and Health
Discover Social Science and Health intersection of health and social sciences-
CiteScore
0.60
自引率
0.00%
发文量
21
审稿时长
22 days
期刊介绍: Discover Social Science and Health is an interdisciplinary, international journal that publishes papers at the intersection of the social and biomedical sciences. Papers should integrate, in both theory and measures, a social perspective (reflecting anthropology, criminology, economics, epidemiology, policy, sociology, etc) and a concern for health (mental and physical). Health, broadly construed, includes biological and other indicators of overall health, symptoms, diseases, diagnoses, treatments, treatment adherence, and related concerns. Drawing on diverse, sound methodologies, submissions may include reports of new empirical findings (including important null findings) and replications, reviews and perspectives that construe prior research and discuss future research agendas, methodological research (including the evaluation of measures, samples, and modeling strategies), and short or long commentaries on topics of wide interest. All submissions should include statements of significance with respect to health and future research. Discover Social Science and Health is an Open Access journal that supports the pre-registration of studies. Topics Papers suitable for Discover Social Science and Health will include both social and biomedical theory and data. Illustrative examples of themes include race/ethnicity, sex/gender, socioeconomic, geographic, and other social disparities in health; migration and health; spatial distribution of risk factors and access to healthcare; health and social relationships; interactional processes in healthcare, treatments, and outcomes; life course patterns of health and treatment regimens; cross-national patterns in health and health policies; characteristics of communities and neighborhoods and health; social networks and treatment adherence; stigma and disease progression; methodological studies including psychometric properties of measures frequently used in health research; and commentary and analysis of key concepts, theories, and methods in studies of social science and biomedicine. The journal welcomes submissions that draw on biomarkers of health, genetically-informed and neuroimaging data, psychophysiological measures, and other forms of data that describe physical and mental health, access to health care, treatment, and related constructs.
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