Association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions in Mwanza district, Malawi: a retrospective cohort study
The main objective of this study was to examine the association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions. A retrospective cohort study was used to collect data on women, their male partners and their children who were...
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| Veröffentlicht in: | PloS one 2013-06, Vol.8 (6), p.e66517-e66517 |
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| creator | Kalembo, Fatch W Zgambo, Maggie Mulaga, Atupele N Yukai, Du Ahmed, Niman I |
| description | The main objective of this study was to examine the association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions.
A retrospective cohort study was used to collect data on women, their male partners and their children who were enrolled in a PMTCT program from January 2004 to December 2006 at Mwanza District Hospital. HIV infected women and their children were followed-up over the 18 months postnatal period. Data were analyzed using descriptive statistics, chi-square test and logistic regression.
A total of 476 HIV positive women were enrolled in a PMTCT program and were followed-up in the study. Of those followed-up in the study, 65 (13.7%) had a male partner involvement while 411 (86.3%) had no male partner involvement. Male partner involvement was significantly associated with condom use (Adjusted odds ratio [AOR] = 5.6, 95% confidence interval [CI]: 2.3-13.5, P |
| doi_str_mv | 10.1371/journal.pone.0066517 |
| format | Article |
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A retrospective cohort study was used to collect data on women, their male partners and their children who were enrolled in a PMTCT program from January 2004 to December 2006 at Mwanza District Hospital. HIV infected women and their children were followed-up over the 18 months postnatal period. Data were analyzed using descriptive statistics, chi-square test and logistic regression.
A total of 476 HIV positive women were enrolled in a PMTCT program and were followed-up in the study. Of those followed-up in the study, 65 (13.7%) had a male partner involvement while 411 (86.3%) had no male partner involvement. Male partner involvement was significantly associated with condom use (Adjusted odds ratio [AOR] = 5.6, 95% confidence interval [CI]: 2.3-13.5, P<0.001), hospital delivery (AOR = 25.9, 95%CI: 10.6-63.6, P<0.001), and completion of follow-up in the program (AOR = 16.8, 95% CI: 8.5-33.4, P<0.001).
Male partner involvement increases the uptake of some PMTCT interventions by HIV positive women. Multi-strategic, culturally tailored public health care models are needed to increase the rate of male partner involvement in the program.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0066517</identifier><identifier>PMID: 23776683</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Children ; Cohort analysis ; Cohort Studies ; Condoms - statistics & numerical data ; Confidence intervals ; Cross infection ; Data processing ; Disease transmission ; Female ; Health care ; HIV ; HIV Infections - prevention & control ; HIV Infections - transmission ; Human immunodeficiency virus ; Humans ; Infectious Disease Transmission, Vertical - prevention & control ; Logistic Models ; Malawi ; Male ; Medicine ; Odds Ratio ; Paternal Behavior ; Patient Participation - statistics & numerical data ; Pregnancy ; Prevention ; Public health ; Regression analysis ; Retrospective Studies ; Statistical analysis ; Statistical tests ; Womens health</subject><ispartof>PloS one, 2013-06, Vol.8 (6), p.e66517-e66517</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Kalembo et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013 Kalembo et al 2013 Kalembo et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-1e370ef2ebdebc1c48ae99958bc2b71480f4f9a53bc35ec5443f1973339932893</citedby><cites>FETCH-LOGICAL-c593t-1e370ef2ebdebc1c48ae99958bc2b71480f4f9a53bc35ec5443f1973339932893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680434/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680434/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23776683$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kalembo, Fatch W</creatorcontrib><creatorcontrib>Zgambo, Maggie</creatorcontrib><creatorcontrib>Mulaga, Atupele N</creatorcontrib><creatorcontrib>Yukai, Du</creatorcontrib><creatorcontrib>Ahmed, Niman I</creatorcontrib><title>Association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions in Mwanza district, Malawi: a retrospective cohort study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The main objective of this study was to examine the association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions.
A retrospective cohort study was used to collect data on women, their male partners and their children who were enrolled in a PMTCT program from January 2004 to December 2006 at Mwanza District Hospital. HIV infected women and their children were followed-up over the 18 months postnatal period. Data were analyzed using descriptive statistics, chi-square test and logistic regression.
A total of 476 HIV positive women were enrolled in a PMTCT program and were followed-up in the study. Of those followed-up in the study, 65 (13.7%) had a male partner involvement while 411 (86.3%) had no male partner involvement. Male partner involvement was significantly associated with condom use (Adjusted odds ratio [AOR] = 5.6, 95% confidence interval [CI]: 2.3-13.5, P<0.001), hospital delivery (AOR = 25.9, 95%CI: 10.6-63.6, P<0.001), and completion of follow-up in the program (AOR = 16.8, 95% CI: 8.5-33.4, P<0.001).
Male partner involvement increases the uptake of some PMTCT interventions by HIV positive women. Multi-strategic, culturally tailored public health care models are needed to increase the rate of male partner involvement in the program.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Children</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Condoms - statistics & numerical data</subject><subject>Confidence intervals</subject><subject>Cross infection</subject><subject>Data processing</subject><subject>Disease transmission</subject><subject>Female</subject><subject>Health care</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Disease Transmission, Vertical - prevention & control</subject><subject>Logistic Models</subject><subject>Malawi</subject><subject>Male</subject><subject>Medicine</subject><subject>Odds Ratio</subject><subject>Paternal Behavior</subject><subject>Patient Participation - statistics & numerical data</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Statistical tests</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptUtFuFCEUnRiN1eofGCXxpSbuCnMZhvHBpGnUNmmjD9VXwjB3utQZGIHdpv6cvybbTpvWNDzA5Z5zgMMpileMLhnU7MO5Xwenh-XkHS4pFaJi9aPiGWugXIiSwuM7653ieYznlFYghXha7JRQ10JIeFb83Y_RG6uT9Y60mC4QHRn1gGTSITkMxLqNHzY4oktEu46kFZL1lPQvJL4nU8BN7mzZuRp97oZF8guzskPGBu3iaGOc-4dHP8ne95PTg9N3WTdhmLkxV-TkQrs_mnQ2pmBNek9O9KAv7EeiScAUfJzQJLtBYvzKh0RiWneXL4onvR4ivpzn3eLHl8-nB4eL429fjw72jxemaiAtGEJNsS-x7bA1zHCpsWmaSrambGvGJe153-gKWgMVmopz6FlTA0CTPZQN7BZvrnWnwUc1ex8VA1FTwUpaZ8TRNaLz-lxNwY46XCqvrbra8OFMZUetGVBB37esZCC5AS6Elj0H3rIaqg4EAM9an-bT1u2InckuBT3cE73fcXalzvxGgZCUXwnszQLB_15jTCr_gsFh0A79-ureTc1EJasMffsf9OHXzaiznA1lXe_zuWYrqvZ5LYFKybeo5QOoPDocrclB7W3ev0fg1wST_zcG7G_fyKjaxvzmMmobczXHPNNe3_XnlnSTa_gHMin9Tg</recordid><startdate>20130612</startdate><enddate>20130612</enddate><creator>Kalembo, Fatch W</creator><creator>Zgambo, Maggie</creator><creator>Mulaga, Atupele N</creator><creator>Yukai, Du</creator><creator>Ahmed, Niman I</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20130612</creationdate><title>Association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions in Mwanza district, Malawi: a retrospective cohort study</title><author>Kalembo, Fatch W ; Zgambo, Maggie ; Mulaga, Atupele N ; Yukai, Du ; Ahmed, Niman I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-1e370ef2ebdebc1c48ae99958bc2b71480f4f9a53bc35ec5443f1973339932893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Children</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Condoms - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kalembo, Fatch W</au><au>Zgambo, Maggie</au><au>Mulaga, Atupele N</au><au>Yukai, Du</au><au>Ahmed, Niman I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions in Mwanza district, Malawi: a retrospective cohort study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-06-12</date><risdate>2013</risdate><volume>8</volume><issue>6</issue><spage>e66517</spage><epage>e66517</epage><pages>e66517-e66517</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The main objective of this study was to examine the association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions.
A retrospective cohort study was used to collect data on women, their male partners and their children who were enrolled in a PMTCT program from January 2004 to December 2006 at Mwanza District Hospital. HIV infected women and their children were followed-up over the 18 months postnatal period. Data were analyzed using descriptive statistics, chi-square test and logistic regression.
A total of 476 HIV positive women were enrolled in a PMTCT program and were followed-up in the study. Of those followed-up in the study, 65 (13.7%) had a male partner involvement while 411 (86.3%) had no male partner involvement. Male partner involvement was significantly associated with condom use (Adjusted odds ratio [AOR] = 5.6, 95% confidence interval [CI]: 2.3-13.5, P<0.001), hospital delivery (AOR = 25.9, 95%CI: 10.6-63.6, P<0.001), and completion of follow-up in the program (AOR = 16.8, 95% CI: 8.5-33.4, P<0.001).
Male partner involvement increases the uptake of some PMTCT interventions by HIV positive women. Multi-strategic, culturally tailored public health care models are needed to increase the rate of male partner involvement in the program.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23776683</pmid><doi>10.1371/journal.pone.0066517</doi><oa>free_for_read</oa></addata></record> |
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| source | PLoS; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Freely accessible e-journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome AIDS Children Cohort analysis Cohort Studies Condoms - statistics & numerical data Confidence intervals Cross infection Data processing Disease transmission Female Health care HIV HIV Infections - prevention & control HIV Infections - transmission Human immunodeficiency virus Humans Infectious Disease Transmission, Vertical - prevention & control Logistic Models Malawi Male Medicine Odds Ratio Paternal Behavior Patient Participation - statistics & numerical data Pregnancy Prevention Public health Regression analysis Retrospective Studies Statistical analysis Statistical tests Womens health |
| title | Association between male partner involvement and the uptake of prevention of mother-to-child transmission of HIV (PMTCT) interventions in Mwanza district, Malawi: a retrospective cohort study |
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