HIV-1 Seroprevalence, Risk Factors, and Preventive Behaviors Among Women in Northern Thailand
作者:
Fujie,
Xu Peter,
Kilmarx Somsak,
Supawitkul Somboonsak,
Yanpaisarn Khanchit,
Limpakarnjanarat Chomnad,
Manopaiboon Supaporn,
Korattana Timothy,
Mastro Michael,
期刊:
JAIDS Journal of Acquired Immune Deficiency Syndromes
(OVID Available online 2000)
卷期:
Volume 25,
issue 4
页码: 353-359
ISSN:1525-4135
年代: 2000
出版商: OVID
关键词: HIV seroprevalence;Heterosexual transmission;Women-partner communication;Risk perception;Preventive behaviors;Thailand
数据来源: OVID
摘要:
To study HIV-1 seroprevalence, risk factors, and preventive behaviors among reproductive-age women in northern Thailand, 804 consenting women who were identified postpartum or who were visiting family planning clinics were interviewed and tested during 1998 to 1999. Almost all women were currently married and had been pregnant more than once. Their median age was 27 years. HIV-1 seroprevalence was 3.1% overall and was higher in women aged between 25 and 29 years (5.9%), having had ≥2 lifetime sex partners (6.5%), or whose current marriage had lasted for ≤1 year (7.0%). No woman reported HIV risk factors other than heterosexual sex. Most (76%) HIV-infected women reported no casual sex partners and, therefore, had likely acquired the infection from their husbands. HIV testing and partner communications were common, but only 2% of couples used condoms consistently in the prior 6 months. Nearly half of these women perceived themselves at no or low risk for HIV infection; these women were less likely to have taken preventive actions. To prevent HIV transmission in stable partnerships in this population, additional efforts are needed to increase HIV testing and condom use, to improve women's negotiation skills, and to develop new methods that do not require partner cooperation such as vaginal microbicides or vaccines.
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