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

Ida Sahlu; Chanelle J. Howe; Melissa A. Clark; Brandon D.L. Marshall

doi:10.1016/j.jegh.2014.01.001

<Previous Article In Issue

Next Article In Issue>

Volume 4, Issue 3, September 2014, Pages 177 - 184

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

Authors

Ida Sahlu^a, Chanelle J. Howe^a^{, b}^{, *}^,chanelle_howe@brown.edu, Melissa A. Clark^a^{, b}^{, c}, Brandon D.L. Marshall^a^{, b}

^aDepartment of Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI, USA

^bCenter for Population Health and Clinical Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI, USA

^cDepartment of Obstetrics and Gynecology, Brown University School of Public Health, 121 South Main Street, Providence, RI, USA

^*Corresponding author at: Department of Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI 02912, USA. Tel.: + 1 (401) 863 7406; fax: +1 (401)863 3713.

Corresponding Author

Chanelle J. Howechanelle_howe@brown.edu

Received 11 October 2013, Revised 19 December 2013, Accepted 2 January 2014, Available Online 13 February 2014.

DOI: 10.1016/j.jegh.2014.01.001 How to use a DOI?
Keywords: Human immunodeficiency virus; Knowledge; Prevention of mother-to-child transmission; Antenatal care; Ethiopia
Abstract: 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.
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Download article (PDF)
View full text (HTML)

<Previous Article In Issue

Next Article In Issue>

Journal: Journal of Epidemiology and Global Health
Volume-Issue: 4 - 3
Pages: 177 - 184
Publication Date: 2014/02/13
ISSN (Online): 2210-6014
ISSN (Print): 2210-6006
DOI: 10.1016/j.jegh.2014.01.001 How to use a DOI?
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

ris enw bib

TY  - JOUR
AU  - Ida Sahlu
AU  - Chanelle J. Howe
AU  - Melissa A. Clark
AU  - Brandon D.L. Marshall
PY  - 2014
DA  - 2014/02/13
TI  - HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian women
JO  - Journal of Epidemiology and Global Health
SP  - 177
EP  - 184
VL  - 4
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2014.01.001
DO  - 10.1016/j.jegh.2014.01.001
ID  - Sahlu2014
ER  -

download .riscopy to clipboard