Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo

Jack Hyyombo Tambwe Kokolomami; Patrick Kalambayi Kayembe

doi:doi:10.11648/j.cajph.20180404.15

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Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo

Jack Hyyombo Tambwe Kokolomami, Patrick Kalambayi Kayembe

Published in Central African Journal of Public Health (Volume 4, Issue 4)

Received: 9 August 2018 Accepted: 22 August 2018 Published: 27 September 2018

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Abstract

Since it began in 2003, HIV/AIDS surveillance in Democratic Republic of the Congo has been mainly carried out among pregnant women attending antenatal clinics. In addition to screening for syphilis and HIV, some demographic, behavioral, and obstetrical data are also collected. This work aimed to identify the factors associated with a positive HIV test result from the demographic and medico-obstetrical data collected at the time of surveillance-based HIV testing among pregnant women attending sentinel sites in DRC. The HIV surveillance database among pregnant women was obtained from the National AIDS Control Program of DRC. The association between the HIV test result and the factors studied was assessed by the adjusted Odds Ratio (AOR), through a logistic regression of HIV serology on these potential factors. From 2003 to 2013, 109,553 pregnant women were screened for HIV in the DRC surveillance sites. The regression of the HIV test result on the possible factors showed among others that: (i) primary or secondary education was associated with a higher odd of test positivity (AOR: 1.51, 95% CI: 1.13 - 2.03 and 1.41, 95% CI 1.05 - 1.89 respectively) compared to the higher/university level of education; (ii) the sexual debut before age 15 (AOR: 1.33, 95% CI: 1.21 - 1.46) or between 15 and 17 years of age (AOR: 1.18, 95% CI: 1.09 - 1.28) was associated with a positive test result in comparison to age 18 and older; and (iii) the presence of an active syphilis infection was associated with a twofold increase in HIV positive test result odd (AOR: 2.01, 95% CI: 1, 77-2.29). Primary prevention efforts against HIV infection in DRC should include delaying sexual debut, encouraging complete formal education of women, and preventing and adequately managing sexually transmissible infections.

Published in	Central African Journal of Public Health (Volume 4, Issue 4)
DOI	10.11648/j.cajph.20180404.15
Page(s)	125-130
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

HIV Test Positive Result, Pregnant Women, DRC, Predictors

References

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Jack Hyyombo Tambwe Kokolomami, Patrick Kalambayi Kayembe. (2018). Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo. Central African Journal of Public Health, 4(4), 125-130. https://doi.org/10.11648/j.cajph.20180404.15

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ACS Style

Jack Hyyombo Tambwe Kokolomami; Patrick Kalambayi Kayembe. Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo. Cent. Afr. J. Public Health 2018, 4(4), 125-130. doi: 10.11648/j.cajph.20180404.15

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AMA Style

Jack Hyyombo Tambwe Kokolomami, Patrick Kalambayi Kayembe. Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo. Cent Afr J Public Health. 2018;4(4):125-130. doi: 10.11648/j.cajph.20180404.15

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@article{10.11648/j.cajph.20180404.15,
  author = {Jack Hyyombo Tambwe Kokolomami and Patrick Kalambayi Kayembe},
  title = {Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo},
  journal = {Central African Journal of Public Health},
  volume = {4},
  number = {4},
  pages = {125-130},
  doi = {10.11648/j.cajph.20180404.15},
  url = {https://doi.org/10.11648/j.cajph.20180404.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180404.15},
  abstract = {Since it began in 2003, HIV/AIDS surveillance in Democratic Republic of the Congo has been mainly carried out among pregnant women attending antenatal clinics. In addition to screening for syphilis and HIV, some demographic, behavioral, and obstetrical data are also collected. This work aimed to identify the factors associated with a positive HIV test result from the demographic and medico-obstetrical data collected at the time of surveillance-based HIV testing among pregnant women attending sentinel sites in DRC. The HIV surveillance database among pregnant women was obtained from the National AIDS Control Program of DRC. The association between the HIV test result and the factors studied was assessed by the adjusted Odds Ratio (AOR), through a logistic regression of HIV serology on these potential factors. From 2003 to 2013, 109,553 pregnant women were screened for HIV in the DRC surveillance sites. The regression of the HIV test result on the possible factors showed among others that: (i) primary or secondary education was associated with a higher odd of test positivity (AOR: 1.51, 95% CI: 1.13 - 2.03 and 1.41, 95% CI 1.05 - 1.89 respectively) compared to the higher/university level of education; (ii) the sexual debut before age 15 (AOR: 1.33, 95% CI: 1.21 - 1.46) or between 15 and 17 years of age (AOR: 1.18, 95% CI: 1.09 - 1.28) was associated with a positive test result in comparison to age 18 and older; and (iii) the presence of an active syphilis infection was associated with a twofold increase in HIV positive test result odd (AOR: 2.01, 95% CI: 1, 77-2.29). Primary prevention efforts against HIV infection in DRC should include delaying sexual debut, encouraging complete formal education of women, and preventing and adequately managing sexually transmissible infections.},
 year = {2018}
}

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TY  - JOUR
T1  - Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo
AU  - Jack Hyyombo Tambwe Kokolomami
AU  - Patrick Kalambayi Kayembe
Y1  - 2018/09/27
PY  - 2018
N1  - https://doi.org/10.11648/j.cajph.20180404.15
DO  - 10.11648/j.cajph.20180404.15
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 125
EP  - 130
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20180404.15
AB  - Since it began in 2003, HIV/AIDS surveillance in Democratic Republic of the Congo has been mainly carried out among pregnant women attending antenatal clinics. In addition to screening for syphilis and HIV, some demographic, behavioral, and obstetrical data are also collected. This work aimed to identify the factors associated with a positive HIV test result from the demographic and medico-obstetrical data collected at the time of surveillance-based HIV testing among pregnant women attending sentinel sites in DRC. The HIV surveillance database among pregnant women was obtained from the National AIDS Control Program of DRC. The association between the HIV test result and the factors studied was assessed by the adjusted Odds Ratio (AOR), through a logistic regression of HIV serology on these potential factors. From 2003 to 2013, 109,553 pregnant women were screened for HIV in the DRC surveillance sites. The regression of the HIV test result on the possible factors showed among others that: (i) primary or secondary education was associated with a higher odd of test positivity (AOR: 1.51, 95% CI: 1.13 - 2.03 and 1.41, 95% CI 1.05 - 1.89 respectively) compared to the higher/university level of education; (ii) the sexual debut before age 15 (AOR: 1.33, 95% CI: 1.21 - 1.46) or between 15 and 17 years of age (AOR: 1.18, 95% CI: 1.09 - 1.28) was associated with a positive test result in comparison to age 18 and older; and (iii) the presence of an active syphilis infection was associated with a twofold increase in HIV positive test result odd (AOR: 2.01, 95% CI: 1, 77-2.29). Primary prevention efforts against HIV infection in DRC should include delaying sexual debut, encouraging complete formal education of women, and preventing and adequately managing sexually transmissible infections.
VL  - 4
IS  - 4
ER  -

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Author Information

Jack Hyyombo Tambwe Kokolomami

Department of Epidemiology and Biostatistics, Kinshasa School of Public Health, University of Kinshasa, Kinshasa, the Democratic Republic of Congo
Patrick Kalambayi Kayembe

Department of Epidemiology and Biostatistics, Kinshasa School of Public Health, University of Kinshasa, Kinshasa, the Democratic Republic of Congo

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APA Style

Jack Hyyombo Tambwe Kokolomami, Patrick Kalambayi Kayembe. (2018). Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo. Central African Journal of Public Health, 4(4), 125-130. https://doi.org/10.11648/j.cajph.20180404.15

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ACS Style

Jack Hyyombo Tambwe Kokolomami; Patrick Kalambayi Kayembe. Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo. Cent. Afr. J. Public Health 2018, 4(4), 125-130. doi: 10.11648/j.cajph.20180404.15

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AMA Style

Jack Hyyombo Tambwe Kokolomami, Patrick Kalambayi Kayembe. Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo. Cent Afr J Public Health. 2018;4(4):125-130. doi: 10.11648/j.cajph.20180404.15

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@article{10.11648/j.cajph.20180404.15,
  author = {Jack Hyyombo Tambwe Kokolomami and Patrick Kalambayi Kayembe},
  title = {Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo},
  journal = {Central African Journal of Public Health},
  volume = {4},
  number = {4},
  pages = {125-130},
  doi = {10.11648/j.cajph.20180404.15},
  url = {https://doi.org/10.11648/j.cajph.20180404.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180404.15},
  abstract = {Since it began in 2003, HIV/AIDS surveillance in Democratic Republic of the Congo has been mainly carried out among pregnant women attending antenatal clinics. In addition to screening for syphilis and HIV, some demographic, behavioral, and obstetrical data are also collected. This work aimed to identify the factors associated with a positive HIV test result from the demographic and medico-obstetrical data collected at the time of surveillance-based HIV testing among pregnant women attending sentinel sites in DRC. The HIV surveillance database among pregnant women was obtained from the National AIDS Control Program of DRC. The association between the HIV test result and the factors studied was assessed by the adjusted Odds Ratio (AOR), through a logistic regression of HIV serology on these potential factors. From 2003 to 2013, 109,553 pregnant women were screened for HIV in the DRC surveillance sites. The regression of the HIV test result on the possible factors showed among others that: (i) primary or secondary education was associated with a higher odd of test positivity (AOR: 1.51, 95% CI: 1.13 - 2.03 and 1.41, 95% CI 1.05 - 1.89 respectively) compared to the higher/university level of education; (ii) the sexual debut before age 15 (AOR: 1.33, 95% CI: 1.21 - 1.46) or between 15 and 17 years of age (AOR: 1.18, 95% CI: 1.09 - 1.28) was associated with a positive test result in comparison to age 18 and older; and (iii) the presence of an active syphilis infection was associated with a twofold increase in HIV positive test result odd (AOR: 2.01, 95% CI: 1, 77-2.29). Primary prevention efforts against HIV infection in DRC should include delaying sexual debut, encouraging complete formal education of women, and preventing and adequately managing sexually transmissible infections.},
 year = {2018}
}

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TY  - JOUR
T1  - Predictors of HIV Testing Positive Result Among Pregnant Women Attending Prenatal Clinics in the Democratic Republic of Congo
AU  - Jack Hyyombo Tambwe Kokolomami
AU  - Patrick Kalambayi Kayembe
Y1  - 2018/09/27
PY  - 2018
N1  - https://doi.org/10.11648/j.cajph.20180404.15
DO  - 10.11648/j.cajph.20180404.15
T2  - Central African Journal of Public Health
JF  - Central African Journal of Public Health
JO  - Central African Journal of Public Health
SP  - 125
EP  - 130
PB  - Science Publishing Group
SN  - 2575-5781
UR  - https://doi.org/10.11648/j.cajph.20180404.15
AB  - Since it began in 2003, HIV/AIDS surveillance in Democratic Republic of the Congo has been mainly carried out among pregnant women attending antenatal clinics. In addition to screening for syphilis and HIV, some demographic, behavioral, and obstetrical data are also collected. This work aimed to identify the factors associated with a positive HIV test result from the demographic and medico-obstetrical data collected at the time of surveillance-based HIV testing among pregnant women attending sentinel sites in DRC. The HIV surveillance database among pregnant women was obtained from the National AIDS Control Program of DRC. The association between the HIV test result and the factors studied was assessed by the adjusted Odds Ratio (AOR), through a logistic regression of HIV serology on these potential factors. From 2003 to 2013, 109,553 pregnant women were screened for HIV in the DRC surveillance sites. The regression of the HIV test result on the possible factors showed among others that: (i) primary or secondary education was associated with a higher odd of test positivity (AOR: 1.51, 95% CI: 1.13 - 2.03 and 1.41, 95% CI 1.05 - 1.89 respectively) compared to the higher/university level of education; (ii) the sexual debut before age 15 (AOR: 1.33, 95% CI: 1.21 - 1.46) or between 15 and 17 years of age (AOR: 1.18, 95% CI: 1.09 - 1.28) was associated with a positive test result in comparison to age 18 and older; and (iii) the presence of an active syphilis infection was associated with a twofold increase in HIV positive test result odd (AOR: 2.01, 95% CI: 1, 77-2.29). Primary prevention efforts against HIV infection in DRC should include delaying sexual debut, encouraging complete formal education of women, and preventing and adequately managing sexually transmissible infections.
VL  - 4
IS  - 4
ER  -

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