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Women's decision-making and uptake of services to prevent mother-to-child HIV transmission in Zambia.

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Title: Women's decision-making and uptake of services to prevent mother-to-child HIV transmission in Zambia.
Authors: Ford, Catherine (AUTHOR), Chibwesha, Carla J. (AUTHOR), Winston, Jennifer (AUTHOR), Jacobs, Choolwe (AUTHOR), Lubeya, Mwansa Ketty (AUTHOR), Musonda, Patrick (AUTHOR), Stringer, Jeffrey S. A. (AUTHOR), Chi, Benjamin H. (AUTHOR)
Source: AIDS Care. Apr2018, Vol. 30 Issue 4, p426-434. 9p. 3 Charts, 2 Graphs.
Subjects: Prevention of infectious disease transmission, Chi-squared test, Child health services, Infectious disease transmission, Medical screening, Mother-infant relationship, Population, School children, Self-efficacy, Surveys, Decision making in clinical medicine, Logistic regression analysis, Antiretroviral agents, Secondary analysis, Data analysis software, Odds ratio
Geographic Terms: Africa, Zambia
Abstract: Women's empowerment is associated with engagement in some areas of healthcare, but its role in prevention of mother-to-child HIV transmission (PMTCT) services has not been previously considered. In this secondary analysis, we investigated the association of women's decision-making and uptake of health services for PMTCT. Using data from population-based household surveys, we included women who reported delivery in the 2-year period prior to the survey and were HIV-infected. We measured a woman's self-reported role in decision-making in her own healthcare, making of large purchases, schooling of children, and healthcare for children. For each domain, respondents were categorized as having an “active” or “no active” role. We investigated associations between decision-making and specific steps along the PMTCT cascade: uptake of maternal antiretroviral drugs, uptake of infant HIV prophylaxis, and infant HIV testing. We calculated unadjusted and adjusted odds ratios via logistic regression. From March to December 2011, 344 HIV-infected mothers were surveyed and 276 completed the relevant survey questions. Of these, 190 (69%) took antiretroviral drugs during pregnancy; 175 (64%) of their HIV-exposed infants received antiretroviral prophylaxis; and 160 (58%) had their infant tested for HIV. There was no association between decision-making and maternal or infant antiretroviral drug use. We observed a significant association between decision-making and infant HIV testing in univariate analyses (OR 1.56–1.85;p < 0.05); however, odds ratios for the decision-making indicators were no longer statistically significant predictors of infant HIV testing in multivariate analyses. In conclusion, women who reported an active role in decision-making trended toward a higher likelihood of uptake of infant testing in the PMTCT cascade. Larger studies are needed to evaluate the impact of empowerment initiatives on the PMTCT service utilization overall and infant testing in particular. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Women&#39;s decision-making and uptake of services to prevent mother-to-child HIV transmission in Zambia.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Apr2018, Vol. 30 Issue 4, p426-434. 9p. 3 Charts, 2 Graphs.
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– Name: Abstract
  Label: Abstract
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  Data: Women&#39;s empowerment is associated with engagement in some areas of healthcare, but its role in prevention of mother-to-child HIV transmission (PMTCT) services has not been previously considered. In this secondary analysis, we investigated the association of women&#39;s decision-making and uptake of health services for PMTCT. Using data from population-based household surveys, we included women who reported delivery in the 2-year period prior to the survey and were HIV-infected. We measured a woman&#39;s self-reported role in decision-making in her own healthcare, making of large purchases, schooling of children, and healthcare for children. For each domain, respondents were categorized as having an “active” or “no active” role. We investigated associations between decision-making and specific steps along the PMTCT cascade: uptake of maternal antiretroviral drugs, uptake of infant HIV prophylaxis, and infant HIV testing. We calculated unadjusted and adjusted odds ratios via logistic regression. From March to December 2011, 344 HIV-infected mothers were surveyed and 276 completed the relevant survey questions. Of these, 190 (69%) took antiretroviral drugs during pregnancy; 175 (64%) of their HIV-exposed infants received antiretroviral prophylaxis; and 160 (58%) had their infant tested for HIV. There was no association between decision-making and maternal or infant antiretroviral drug use. We observed a significant association between decision-making and infant HIV testing in univariate analyses (OR 1.56–1.85;p &lt; 0.05); however, odds ratios for the decision-making indicators were no longer statistically significant predictors of infant HIV testing in multivariate analyses. In conclusion, women who reported an active role in decision-making trended toward a higher likelihood of uptake of infant testing in the PMTCT cascade. Larger studies are needed to evaluate the impact of empowerment initiatives on the PMTCT service utilization overall and infant testing in particular. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2017.1381328
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 426
    Subjects:
      – SubjectFull: Prevention of infectious disease transmission
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Child health services
        Type: general
      – SubjectFull: Infectious disease transmission
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Mother-infant relationship
        Type: general
      – SubjectFull: Population
        Type: general
      – SubjectFull: School children
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Decision making in clinical medicine
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Antiretroviral agents
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      – SubjectFull: Data analysis software
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      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Africa
        Type: general
      – SubjectFull: Zambia
        Type: general
    Titles:
      – TitleFull: Women's decision-making and uptake of services to prevent mother-to-child HIV transmission in Zambia.
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              Text: Apr2018
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