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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Comparison of HIV-positive women with children and without children accessing HIV care and treatment in the IeDEA Central Africa cohort
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 24, No. 6, Year 2012
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Description
Globally, women comprise half of all people living with HIV, but in sub-Saharan Africa, women are disproportionately affected. Data were obtained from 8419 HIV-infected women at enrollment into 10 HIV treatment programs in Cameroon, Burundi, and the Democratic Republic of the Congo as part of the Central Africa region of the International Epidemiological Database to Evaluate AIDS. We used chi-squared tests to determine if distributions between women with children differed from those without children, in regards to socio-demographic, behavioral and clinical characteristics. Logistic regression was used to determine if motherhood was associated with medication adherence. Of 8419 women, 81.7% had living children. The majority entered care through voluntary testing, and very few entered care through prevention of mother-to-child transmission programs. Women with children were older and more likely to be widowed, more likely to have no formal education and less likely to have attended university than those without children (p<0.05). Women without children were more likely to live in a home with electricity and potable water (p<0.05). There was no difference in adherence between these groups. However, women older than 50 years, those who reported no drug, tobacco, or alcohol use, and those with higher levels of formal education were more likely to report adherence along with those who had been on treatment for more than two years (p<0.05). As women account for a substantial proportion of HIV cases in sub-Saharan Africa, a broader understanding of their characteristics will inform testing, treatment, and support services. Though we did not find differences in adherence between women with children and those without children, we were able to identify other characteristics that may affect adherence. Further inquiry into the nuances of women living with HIV in sub-Saharan Africa is necessary to further understand their needs. © 2012 Copyright Taylor and Francis Group, LLC.
Authors & Co-Authors
Freeman, Anna
United States, Research Triangle Park
Rti International
Newman, Jamie E.
United States, Research Triangle Park
Rti International
Hemingway-Foday, Jennifer J.
United States, Research Triangle Park
Rti International
Iriondo-Perez, Jeniffer
United States, Research Triangle Park
Rti International
Stolka, Kristen B.
United States, Research Triangle Park
Rti International
Akam, Wilfred
Cameroon
Limbé Provincial Hospital
Balimba, Ashu
Cameroon, Yaounde
Hpital Militaire
Kalenga, Lucien
Unknown Affiliation
Mbaya, Marcel
Unknown Affiliation
Mfangam Molu, Brigitte
Unknown Affiliation
Mukumbi, Henry
Unknown Affiliation
Niyongabo, Théodore
Burundi, Bujumbura
Centre Hospitalo-universitaire de Kamenge
Woelk, Godfrey B.
United States, Research Triangle Park
Rti International
Kiumbu, Modeste
Congo, Kinshasa
Kinshasa School of Public Health
Atibu, Joseph
Congo, Kinshasa
Kinshasa School of Public Health
Statistics
Citations: 15
Authors: 15
Affiliations: 5
Identifiers
Doi:
10.1080/09540121.2011.630364
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Environmental
Infectious Diseases
Maternal And Child Health
Substance Abuse
Study Design
Cohort Study
Study Locations
Burundi
Cameroon
Congo
Participants Gender
Female