Measuring Socioeconomic Inequalities in HIV Testing During Antenatal Care: A Peruvian National Survey.

Although several Latin American countries have 70% antenatal care coverage, the proportion of human immunodeficiency virus (HIV) testing of Peruvian pregnant women and the socioeconomic inequalities of this preventive measure are unknown. This study aimed to determine socioeconomic inequalities and...

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Publicado en:Journal of Community Health Vol. 49; no. 1; pp. 117 - 127
Autores principales: Hernández-Vásquez, Akram, Vargas-Fernández, Rodrigo
Formato: Artículo
Publicado: Springer Nature Feb2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
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        atl: Measuring Socioeconomic Inequalities in HIV Testing During Antenatal Care: A Peruvian National Survey.
      aug:
        au:
          Hernández-Vásquez, Akram
          Vargas-Fernández, Rodrigo
        affil:
          https://ror.org/03vgk3f90 Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, 500 La Fontana Ave, 15024, La Molina, Lima, Peru
          https://ror.org/04xr5we72 Faculty of Health Sciences, Universidad Científica del Sur, Lima, Peru
      su:
        Peru
        Prenatal diagnosis
        Cross-sectional method
        Economic status
        Medical screening
        Pregnant women
        Socioeconomic factors
        Television
        Newspapers
        Employment
        Health equity
        Prenatal care
        Sociodemographic factors
        Residential patterns
        Educational attainment
        Vertical transmission (Communicable diseases)
        Insurance
        Diagnosis of HIV infections
        HIV prevention
        Confidence intervals
        AIDS serodiagnosis
        Descriptive statistics
        Chi-squared test
        Data analysis software
      sug:
        subj:
          Prenatal diagnosis
          Cross-sectional method
          Economic status
          Medical screening
          Pregnant women
          Socioeconomic factors
          Television
          Newspapers
          Employment
          Health equity
          Prenatal care
          Sociodemographic factors
          Residential patterns
          Educational attainment
          Vertical transmission (Communicable diseases)
          Insurance
          Peru
          Third Party Administration of Insurance and Pension Funds
          All Other Insurance Related Activities
          Other Insurance Funds
          All Other Miscellaneous Ambulatory Health Care Services
          Newspaper Publishers
          Book stores and news dealers
          News Dealers and Newsstands
          Book, periodical and newspaper merchant wholesalers
          Book, Periodical, and Newspaper Merchant Wholesalers
          Consumer Electronics Repair and Maintenance
          Diagnosis of HIV infections
          HIV prevention
          Confidence intervals
          AIDS serodiagnosis
          Descriptive statistics
          Chi-squared test
          Data analysis software
      keyword:
        Health care disparities
        HIV testing
        Health care disparities
        HIV testing
      ab: Although several Latin American countries have 70% antenatal care coverage, the proportion of human immunodeficiency virus (HIV) testing of Peruvian pregnant women and the socioeconomic inequalities of this preventive measure are unknown. This study aimed to determine socioeconomic inequalities and quantify the contribution of contextual and compositional factors on HIV testing during prenatal care in Peru. A cross-sectional study of the 2021 Demographic and Family Health Survey data was conducted. The outcome variable was HIV testing of pregnant women during prenatal care. An analysis of inequalities was performed including the determination of concentration curves and a decomposition analysis of concentration indices. Of a total of 17521 women aged 15 to 49 years, 91.4% had been tested for HIV during prenatal care. The concentration curves showed that prenatal HIV testing was concentrated among richer women, while the decomposition analysis determined that the main contributors to inequality were having a higher education, residing in an urban area, and in the highlands, belonging to the wealthy quintile, and being exposed to television and newspapers. Strategies focused on improving access, promotion and restructuring of prevention of mother-to-child transmission measures should be prioritized.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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