• Journal of Preventive Medicine and Public Health
• /
• 제56권3호
• /
• pp.238-247
• /
• 2023

Objectives: Low adherence to antiretroviral (ARV) therapy in pregnant women with human immunodeficiency virus (HIV) increases the risk of virus transmission from mother to newborn. Increasing mothers' knowledge and motivation to access treatment has been identified as a critical factor in prevention. Therefore, this research aimed to explore barriers and enablers in accessing HIV care and treatment services. Methods: This research was the first phase of a mixed-method analysis conducted in Kupang, a remote city in East Nusa Tenggara Province, Indonesia. Samples were taken by purposive sampling of 17 people interviewed, consisting of 6 mothers with HIV, 5 peer facilitators, and 6 health workers. Data were collected through semi-structured interviews, focus group discussions, observations, and document review. Inductive thematic analysis was also performed. The existing data were grouped into several themes, then relationships and linkages were drawn from each group of informants. Results: Barriers to accessing care and treatment were lack of knowledge about the benefits of ARV; stigma from within and the surrounding environment; difficulty in accessing services due to distance, time, and cost; completeness of administration; drugs' side effects; and the quality of health workers and HIV services. Conclusions: There was a need for a structured and integrated model of peer support to improve ARV uptake and treatment in pregnant women with HIV. This research identified needs including mini-counseling sessions designed to address psychosocial barriers as an integrated approach to support antenatal care that can effectively assist HIV-positive pregnant women in improving treatment adherence.

• 대한간호
• /
• 제33권5호
• /
• pp.46-62
• /
• 1995

The purpose of this study was to identify the level of HIV/AIDS related knowledge and attitudes of Korean childbering women. The subject were 1152 Korean women who were living in the Seoul area and whose age was between 17-50 years. Data was collected by self reporting with a questionnaire of 57 items developed by the researcher. The reliability of the instrument for the HIV/AIDS related knowledge and attitudes were Cronbach's alpha. .6954 and .7987 respectively. The results were as follows: The mean age of the subjects was 26 years and 46.8% of them were married. The mean score for HIV/AIDS related knowledge was 14.7 out of a possible maximum score of 22. The correct answer rate for HIV/AIDS related knowledge was between 87.0-94.1% for the risk factors. and 36.4-54.8% for the transmission mode. Even though 87% of the subjects knew that homosexuals are risk group for HIV/AIDS. only half(55.8%) of the subjects answered that anal sex is the transmission mode. And only 57% of the subjects knew that HIV/AIDS transmission is possible through heterosexual contact. Their agreement level for attitudes was in order of communal coping (95%). pregnant women protection (94%). Problem appraisal (82%). patients isolation(68%). and disclosure of infection(67%). It was shown that the group who had a pregnancy (t=2.07, p=.039), used contraceptives (t=2.57, p=.OO1). and the group of college level graduates(t=3.61, p=.000) had a higher level of HIV/AIDS related knowledge. The agreement level of pregnant women protection. patient isolation. and problem appraisal were higher in the group of having had a pregnancy, having used contraceptives. and the group over 30 years of age. It was concluded that Korean childbearing women were quite knowledgeable about the risk factors but confused about the transmission mode. especially heterosexual contact. and they showed responsive attitudes to the HIV/AIDS issues considering the 339 infected cases in Korea. They preferred isolation of patients and communal coping as behavioral attitudes. Therefore it can be suggested that a HIV/AIDS prevention program should be focused on transmission mode.

• Pediatric Infection and Vaccine
• /
• 제18권1호
• /
• pp.85-90
• /
• 2011

The Joint United Nations Programme on HIV/AIDS (UNAIDS)의 통계에 의하면 2008년 한 해에 43만 명의 어린이가 HIV 에 감염된 것으로 보이며 대부분 수직감염에 의한 것으로 나타났다. 수직감염의 예방 프로그램은 이러한 감염을 줄일 수 있는 가장 효과적인 방법이다. 2009년 국립중앙의료원에는 HIV에 감염된 산모로부터 출생한 신생아 3명이 입원하였다. 이들의 산모 2명은 ARV 치료제를 투여하였고 1명은 투여하지 못했으며 3명의 환아에게는 모두 ARV 치료를 하였다. 추적관찰을 4개월에서 16개월 동안 실시한 결과 아직까지는 HIV 수직감염이 의심될 수 있는 혈청학적 검사의 특이 소견은 보이지 않고 있다. 임산부에 대한 HIV 산전검사의 확대, 조기진단 및 효과적인 ARV 치료만이 수직감염을 낮출 수 있을 것이며 저자는 이에 대한 수직감염 예방치료 3례를 경험하였기에 보고하는 바이다.

• 대한임상검사과학회지
• /
• 제54권1호
• /
• pp.28-37
• /
• 2022

임신은 갑상선 기능 검사의 중요한 해석을 필요로 하며 임신 중 갑상선 기능 이상과 외부 바이러스성 감염 인자들의 항체의 존재는 태아 및 산모의 건강에 영향을 미치기에 임신에서 갑상선 기능의 선별적 평가가 요구된다. 본 연구에서는 임신기간 동안 정상 산모들의 선택적 산전 감염인자 검사 항목 중에서 갑상선 관련 인자와 바이러스성 감염 인자의 임신시기별 상호 연관성을 알아보고자 하는 후향적 단편 실태조사이다. 분석한 결과를 살펴보면, T3는 나이가 증가함에 따라 감소하고, 특히 HCV가 양성인 그룹에서 양의 유의성을 보였다(P<0.01). 또한 HIV가 음성이지만 임계치에 근접하거나 쌍둥이 임산부에서는 FT4가 유의한 증가를 나타냈다(P<0.05). TSH는 30대 연령에서 높게 분포하였으며, 다른 바이러스성 감염인자와는 통계적 유의성이 나타나지 않았다. 또한, TSH의 결과 값을 삼분위로 나누어 분석한 결과, FT4와 T3은 양의 상관성을 보였으나 TSH와는 음의 상관성을 보였다(P<0.05). 따라서 본 연구를 통해서 임신 중 산전검사인 갑상선 검사와 바이러스성 감염인자의 검사를 통한 임신 중 평가는 임신 경과시간, 감염인자의 노출상태 및 정량적 수치의 상태를 반영하여 이루어져야 할 것이며, 갑상선 관련 내분비 인자에 대한 산전검사의 유용성에 대한 평가의 보완이 이루어져야 할 것으로 사료된다.