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Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa

BACKGROUND: The HIV risk increases during pregnancy. The elevated risk of HIV acquisition in pregnant women may be explained by behavioural and other factors. The aim of this study was to assess sexual HIV risk behaviour and its associated factors among pregnant women in Mpumalanga, South Africa. ME...

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Autores principales: Peltzer, Karl, Mlambo, Gladys
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599185/
https://www.ncbi.nlm.nih.gov/pubmed/23510451
http://dx.doi.org/10.1186/1471-2393-13-57
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author Peltzer, Karl
Mlambo, Gladys
author_facet Peltzer, Karl
Mlambo, Gladys
author_sort Peltzer, Karl
collection PubMed
description BACKGROUND: The HIV risk increases during pregnancy. The elevated risk of HIV acquisition in pregnant women may be explained by behavioural and other factors. The aim of this study was to assess sexual HIV risk behaviour and its associated factors among pregnant women in Mpumalanga, South Africa. METHODS: A cross-sectional study was conducted among 1 502 pregnant women (age range 18–47 years, mean age 26.6 years, standard deviation (SD) 6.1, and the mean gestational age was 6.5 months (SD 1.6). Antenatal women were selected, using systematic sampling from 63 primary care clinics and community health centres in Nkangala District. Data were collected by using a structured questionnaire and multivariate logistic regression analysis was used. RESULTS: The majority (63%) of the participants had never used a condom with their primary sexual partner in the past 3 months, 60% were not aware of the HIV status of their sexual partner, 7.6% had a casual sexual partner in the past 3 months, 20% had two or more sexual partners in the past 12 months and 17.3% reported to have been diagnosed with a sexually transmitted infection (STI) (other than HIV) in the past 12 months. The various HIV risk behaviours were predicted, by being single and alcohol use for multiple sexual partners; by fewer antenatal visits, being HIV negative and not having used alcohol for lack of condom use; by being HIV positive, having experienced physical partner violence and psychological distress for having been diagnosed with a sexually transmitted infection (other than HIV); and by lower education, unplanned pregnancy, non-antenatal care attendance by expectant father, the belief that antiretrovirals can cure HIV and being HIV positive for having a partner with HIV positve or unknown status. CONCLUSION: High levels of sexual HIV risk behaviour were found during pregnancy. Pregnant women need to be informed of their increased risk of HIV and the importance of sexual HIV risk reduction including the use of condoms throughout pregnancy.
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spelling pubmed-35991852013-03-17 Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa Peltzer, Karl Mlambo, Gladys BMC Pregnancy Childbirth Research Article BACKGROUND: The HIV risk increases during pregnancy. The elevated risk of HIV acquisition in pregnant women may be explained by behavioural and other factors. The aim of this study was to assess sexual HIV risk behaviour and its associated factors among pregnant women in Mpumalanga, South Africa. METHODS: A cross-sectional study was conducted among 1 502 pregnant women (age range 18–47 years, mean age 26.6 years, standard deviation (SD) 6.1, and the mean gestational age was 6.5 months (SD 1.6). Antenatal women were selected, using systematic sampling from 63 primary care clinics and community health centres in Nkangala District. Data were collected by using a structured questionnaire and multivariate logistic regression analysis was used. RESULTS: The majority (63%) of the participants had never used a condom with their primary sexual partner in the past 3 months, 60% were not aware of the HIV status of their sexual partner, 7.6% had a casual sexual partner in the past 3 months, 20% had two or more sexual partners in the past 12 months and 17.3% reported to have been diagnosed with a sexually transmitted infection (STI) (other than HIV) in the past 12 months. The various HIV risk behaviours were predicted, by being single and alcohol use for multiple sexual partners; by fewer antenatal visits, being HIV negative and not having used alcohol for lack of condom use; by being HIV positive, having experienced physical partner violence and psychological distress for having been diagnosed with a sexually transmitted infection (other than HIV); and by lower education, unplanned pregnancy, non-antenatal care attendance by expectant father, the belief that antiretrovirals can cure HIV and being HIV positive for having a partner with HIV positve or unknown status. CONCLUSION: High levels of sexual HIV risk behaviour were found during pregnancy. Pregnant women need to be informed of their increased risk of HIV and the importance of sexual HIV risk reduction including the use of condoms throughout pregnancy. BioMed Central 2013-03-04 /pmc/articles/PMC3599185/ /pubmed/23510451 http://dx.doi.org/10.1186/1471-2393-13-57 Text en Copyright ©2013 Peltzer and Mlambo; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Peltzer, Karl
Mlambo, Gladys
Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
title Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
title_full Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
title_fullStr Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
title_full_unstemmed Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
title_short Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
title_sort sexual hiv risk behaviour and associated factors among pregnant women in mpumalanga, south africa
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599185/
https://www.ncbi.nlm.nih.gov/pubmed/23510451
http://dx.doi.org/10.1186/1471-2393-13-57
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