dc.contributor.advisor |
Van Rensburg, Gisela Hildegard
|
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dc.contributor.author |
Nyandat, Joram Lawrence
|
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dc.date.accessioned |
2015-10-09T16:03:43Z |
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dc.date.available |
2015-10-09T16:03:43Z |
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dc.date.issued |
2015-02 |
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dc.identifier.citation |
Nyandat, Joram Lawrence (2015) A case-control study on non-disclosure of HIV positive status to a partner and mother-to-child transmission of HIV, University of South Africa, Pretoria, <http://hdl.handle.net/10500/19209> |
en |
dc.identifier.uri |
http://hdl.handle.net/10500/19209 |
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dc.description.abstract |
Background: Non-disclosure of HIV positive status to a partner threatens to reverse gains made in prevention of mother-to-child transmission (PMTCT) in resource limited settings. Determining the association between non-disclosure and infant HIV acquisition is important to justify focussing on disclosure as a strategy in PMTCT programmes.
Objective: To determine the association between non-disclosure of HIV positive status to a partner and mother-to-child transmission (MTCT).
Methods: Using a matched case-control design, we compared 34 HIV positive infants to 146 HIV negative infants and evaluated whether the mothers had disclosed their HIV status to their partner.
Results: Non-disclosure was more frequent among cases (overall, 16.7%; cases, 52.8%; controls 7.6%), p<0.001 and significantly associated with MTCT (aOR 8.9 (3.0-26.3); p<0.0001), with male partner involvement partially mediating the effect of non-disclosure on MTCT.
Conclusions: There is a need for PMTCT programs to focus on strategies to improve male partner involvement and partner disclosure without compromising the woman’s safety. |
en |
dc.format.extent |
1 online resource (viii, 76 leaves) |
en |
dc.language.iso |
en |
|
dc.subject |
Non-disclosure |
en |
dc.subject |
MTCT |
en |
dc.subject |
Vertical transmission |
en |
dc.subject |
Male partner involvement |
en |
dc.subject |
Matched case-control study |
en |
dc.subject |
HIV status |
en |
dc.subject.ddc |
362.19697920096762 |
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dc.subject.lcsh |
AIDS (Disease) in Pregnancy -- Zimbabwe -- Kenya -- Case studies |
en |
dc.subject.lcsh |
HIV-positive women -- Kenya -- Case studies |
en |
dc.subject.lcsh |
HIV infections -- Social aspects -- Kenya -- Case studies |
en |
dc.title |
A case-control study on non-disclosure of HIV positive status to a partner and mother-to-child transmission of HIV |
en |
dc.type |
Dissertation |
en |
dc.description.department |
Health Studies |
en |
dc.description.degree |
M. (Public Health) |
en |