Factors Associated with Knowledge about Mother-to-Child Transmission of HIV among Women of Reproductive Age, ENDES 2022–2023

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Introduction: In Peru, vertical transmission of the human immunodeficiency virus (HIV) persists, and unequal maternal knowledge limits prevention. Objective: To determine the factors associated with knowledge about mother-to-child transmission of HIV among Peruvian women of reproductive age. Materia...

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Detalles Bibliográficos
Autores: Carreño Hilares , Andrea Gianella Angela, Luna Muñoz, Consuelo del Rocío
Formato: artículo
Fecha de Publicación:2025
Institución:Instituto Nacional Materno Perinatal
Repositorio:Revista Peruana de Investigación Materno Perinatal
Lenguaje:español
OAI Identifier:oai:investigacionmaternoperinatal.inmp.gob.pe:article/501
Enlace del recurso:https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/501
Nivel de acceso:acceso abierto
Materia:Transmisión vertical de enfermedad infecciosa
VIH
mujeres
educación
determinantes sociales de la salud
Infectious disease transmission
vertical
Women
Education
Social determinants of health
Descripción
Sumario:Introduction: In Peru, vertical transmission of the human immunodeficiency virus (HIV) persists, and unequal maternal knowledge limits prevention. Objective: To determine the factors associated with knowledge about mother-to-child transmission of HIV among Peruvian women of reproductive age. Materials and Methods: An observational, analytical, cross-sectional, and retrospective study was conducted based on secondary data from the Demographic and Family Health Survey (ENDES) 2022–2023. Sociodemographic variables included age, educational level, wealth index, place of residence, and access to health insurance. Frequencies were compared, and the Rao-Scott chi-square test and Poisson regression with robust variance were applied to estimate PRa with their 95% CIs; a p-value <0.05 was considered statistically significant. Results: Only 1.4% of women reported complete knowledge of vertical HIV transmission. Such knowledge was higher among women older than 29 years (PRa=2.78; 95%CI: 2.12–3.64; p<0.001), those with higher education (PRa=4.85; 95%CI: 2.00–11.75; p<0.001), those in higher wealth quintiles (PRa=1.38; 95%CI: 1.08–1.78; p=0.012), and those with health insurance (PRa=1.24; 95%CI: 1.00–1.52; p=0.045). In contrast, younger women aged 18–29 years (PRa=1.84; 95%CI: 1.36–2.40; p<0.001), those with lower education (PRa=1.26 for primary; 95%CI: 0.51–3.09; p=0.612), and those in disadvantaged socioeconomic conditions (PRa=1.15; 95%CI: 0.92–1.42; p=0.22) presented lower levels of knowledge. Conclusions: Knowledge about mother-to-child transmission of HIV among Peruvian women is limited and influenced by sociodemographic factors. Strengthening educational and health strategies focused on vulnerable populations is essential to effectively prevent vertical transmission.
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