HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian women

Objective: To determine whether HIV status and knowledge of mother-to-child-transmission (MTCT) of HIV are associated with antenatal care (ANC) use. Methods: Data were obtained from the 2011 Ethiopia Demographic and Health Survey among women aged 15–49 years who agreed to HIV testing and who report...

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Main Authors: Ida Sahlu, Chanelle J. Howe, Melissa A. Clark, Brandon D.L. Marshall
Format: Article
Language:English
Published: Springer 2019-04-01
Series:Journal of Epidemiology and Global Health
Subjects:
Online Access:https://www.atlantis-press.com/article/125905968/view
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author Ida Sahlu
Chanelle J. Howe
Melissa A. Clark
Brandon D.L. Marshall
author_facet Ida Sahlu
Chanelle J. Howe
Melissa A. Clark
Brandon D.L. Marshall
author_sort Ida Sahlu
collection DOAJ
description Objective: To determine whether HIV status and knowledge of mother-to-child-transmission (MTCT) of HIV are associated with antenatal care (ANC) use. Methods: Data were obtained from the 2011 Ethiopia Demographic and Health Survey among women aged 15–49 years who agreed to HIV testing and who reported giving birth in the preceding five years. The two exposures of interest were HIV status and knowledge of MTCT. Unadjusted and adjusted prevalence ratios for ANC use were estimated by fitting modified Poisson regression models. Results: Among the 7392 women in the sample, ANC use was lowest among HIV-negative, low MTCT knowledge women (31.6% [95% confidence interval: 28.1–35.1]), and highest among HIV-positive, high knowledge women (81.9% [69.8–94.0%]). ANC use was significantly higher among HIV-positive, high knowledge (adjusted prevalence ratio [APR] = 1.60 [1.32–1.94]) and HIV-negative, high knowledge women (1.37 [1.24–1.51]) compared with HIV-negative, low knowledge women. There was no statistically significant difference in ANC use by HIV status among low knowledge women (1.26 [0.71–2.25]). Conclusions: HIV-positive women generally had better MTCT knowledge. Among HIV-negative women, the prevalence of ANC use was greater among women with higher knowledge. Increasing MTCT knowledge may facilitate ANC use and in turn may eliminate MTCT.
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spelling doaj.art-5a36b16297344096b82877b937ec48712022-12-22T02:07:34ZengSpringerJournal of Epidemiology and Global Health2210-60062019-04-014310.1016/j.jegh.2014.01.001HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian womenIda SahluChanelle J. HoweMelissa A. ClarkBrandon D.L. MarshallObjective: To determine whether HIV status and knowledge of mother-to-child-transmission (MTCT) of HIV are associated with antenatal care (ANC) use. Methods: Data were obtained from the 2011 Ethiopia Demographic and Health Survey among women aged 15–49 years who agreed to HIV testing and who reported giving birth in the preceding five years. The two exposures of interest were HIV status and knowledge of MTCT. Unadjusted and adjusted prevalence ratios for ANC use were estimated by fitting modified Poisson regression models. Results: Among the 7392 women in the sample, ANC use was lowest among HIV-negative, low MTCT knowledge women (31.6% [95% confidence interval: 28.1–35.1]), and highest among HIV-positive, high knowledge women (81.9% [69.8–94.0%]). ANC use was significantly higher among HIV-positive, high knowledge (adjusted prevalence ratio [APR] = 1.60 [1.32–1.94]) and HIV-negative, high knowledge women (1.37 [1.24–1.51]) compared with HIV-negative, low knowledge women. There was no statistically significant difference in ANC use by HIV status among low knowledge women (1.26 [0.71–2.25]). Conclusions: HIV-positive women generally had better MTCT knowledge. Among HIV-negative women, the prevalence of ANC use was greater among women with higher knowledge. Increasing MTCT knowledge may facilitate ANC use and in turn may eliminate MTCT.https://www.atlantis-press.com/article/125905968/viewHuman immunodeficiency virusKnowledgePrevention of mother-to-child transmissionAntenatal careEthiopia
spellingShingle Ida Sahlu
Chanelle J. Howe
Melissa A. Clark
Brandon D.L. Marshall
HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian women
Journal of Epidemiology and Global Health
Human immunodeficiency virus
Knowledge
Prevention of mother-to-child transmission
Antenatal care
Ethiopia
title HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian women
title_full HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian women
title_fullStr HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian women
title_full_unstemmed HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian women
title_short HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian women
title_sort hiv status knowledge of mother to child transmission of hiv and antenatal care use among ethiopian women
topic Human immunodeficiency virus
Knowledge
Prevention of mother-to-child transmission
Antenatal care
Ethiopia
url https://www.atlantis-press.com/article/125905968/view
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