Predictors of unknown HIV serostatus at the time of labor and delivery in Kampala, Uganda

Sam Ononge, Charles Karamagi, Clemensia Nakabiito, Julius Wandabwa, Florence Mirembe, Godfrey Z. Rukundo, Larissa Jennings Mayo-Wilson

Research output: Contribution to journalArticle

Abstract

Objective: To determine factors associated with an unknown HIV serostatus among pregnant women admitted in labor to Mulago Hospital, Kampala, Uganda. Methods: In total, 665 pregnant women admitted to Mulago Hospital were interviewed about their sociodemographic characteristics, obstetric history, access to prenatal care, fears regarding HIV testing, and knowledge about modes of mother-to-child-transmission (MTCT). Knowledge of the HIV serostatus was assessed by self-report and verified by prenatal card review. Results: The prevalence of unknown HIV serostatus at the time of labor was 27.1%. Factors associated with an unknown HIV serostatus included high parity (odds ratio [OR] 1.9; 95% confidence interval [CI], 1.16-3.14), preterm delivery (OR 2.60; 95% CI, 1.06-6.34), prenatal care at a private clinic (OR 12.87; 95% CI, 5.68-29.14), residence more than 5 km from the nearest prenatal clinic (OR 2.86; 95% CI, 1.18-17.9), high knowledge about MTCT (OR 0.25; 95% CI, 0.07-0.86), and fears related to disclosing the test result to the partner (OR 3.60; 95% CI, 1.84-7.06). Conclusion: The high prevalence of unknown HIV serostatus among women in labor highlights the need to improve accessibility to HIV testing services early during pregnancy to be able to take advantage of antiretroviral therapy.

Original languageEnglish (US)
Pages (from-to)235-239
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Volume124
Issue number3
DOIs
StatePublished - Mar 2014

Keywords

  • Delivery
  • Labor
  • Prevention of mother-to-child transmission
  • Unknown HIV serostatus

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Predictors of unknown HIV serostatus at the time of labor and delivery in Kampala, Uganda'. Together they form a unique fingerprint.

  • Cite this

    Ononge, S., Karamagi, C., Nakabiito, C., Wandabwa, J., Mirembe, F., Rukundo, G. Z., & Mayo-Wilson, L. J. (2014). Predictors of unknown HIV serostatus at the time of labor and delivery in Kampala, Uganda. International Journal of Gynecology and Obstetrics, 124(3), 235-239. https://doi.org/10.1016/j.ijgo.2013.08.011