Attitudes to routine HIV counselling and testing, and knowledge about prevention of mother to child transmission of HIV in eastern Uganda: a cross-sectional survey among antenatal attendees.
Attitudes to routine HIV counselling and testing, and knowledge about prevention of mother to child transmission of HIV in eastern Uganda: a cross-sectional survey among antenatal attendees.
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对常规的艾滋病毒咨询和测试的态度，以及关于预防母亲在乌干达东部艾滋病毒传播的知识：产前参与者之间的横断面调查。
DOI：
10.1186/1758-2652-13-52
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发表时间：
2010-12-13
影响因子：
6
通讯作者：
Tylleskär T
中科院分区：
文献类型：
--
作者：
Byamugisha R;Tumwine JK;Ndeezi G;Karamagi CA;Tylleskär T
自2006年6月开始进行常规产前咨询和艾滋病毒检测以来，乌干达东部姆巴莱区姆巴莱地区转诊医院的孕妇艾滋病毒检测率已超过90%。但是，没有关于乌干达东部孕妇对这种艾滋病毒检测方法的意见的书面资料。因此，我们进行了一项研究，以评估产前护理人员对常规艾滋病毒咨询和检测在姆巴莱医院的态度。我们还评估了他们对艾滋病毒母婴传播和艾滋病毒感染母亲的婴儿喂养选择的知识。这项研究是对388名妇女进行的横断面调查，这些妇女于2009年8月至10月在姆巴莱地区转诊医院首次接受产前检查。使用预先测试的问卷收集数据，并使用描述性统计和逻辑回归进行分析。从Makerere大学健康科学学院、乌干达国家科学技术理事会和姆巴莱医院获得了进行本研究的许可。大多数产前检查者（98.5%，382/388）对HIV常规咨询和检测持肯定态度，其中多数人（60%以上）正确了解在怀孕、分娩和通过母乳喂养期间如何发生母婴传播艾滋病毒，以及如何预防。（比值比：2.5，95%置信区间：1.3-4.9），有三次或三次以上妊娠（OR：2.5，95% CI：1.4-4.5）且属于非Bagisu族（OR：1.7，95% CI：1.0-2.7）与更多的知识，纯母乳喂养的措施之一，预防母婴传播艾滋病毒。在388名产前检查者中，386人（99.5%）接受了艾滋病毒检测，382人（98.5%）在同一天收到了艾滋病毒检测结果。乌干达东部的孕妇基本上可以接受常规的产前艾滋病毒咨询和检测，这使她们中的大多数人能够了解自己的艾滋病毒状况，这是预防母婴传播艾滋病毒一揽子服务的一部分。我们的研究结果呼吁在全国更多的产前诊所进一步加强和扩大这种艾滋病毒检测方法，以最大限度地扩大其对人口的潜在惠益。
HIV testing rates have exceeded 90% among the pregnant women at Mbale Regional Referral Hospital in Mbale District, eastern Uganda, since the introduction of routine antenatal counselling and testing for HIV in June 2006. However, no documented information was available about opinions of pregnant women in eastern Uganda about this HIV testing approach. We therefore conducted a study to assess attitudes of antenatal attendees towards routine HIV counselling and testing at Mbale Hospital. We also assessed their knowledge about mother to child transmission of HIV and infant feeding options for HIV-infected mothers. The study was a cross-sectional survey of 388 women, who were attending the antenatal clinic for the first time with their current pregnancy at Mbale Regional Referral Hospital from August to October 2009. Data were collected using a pre-tested questionnaire and analysed using descriptive statistics and logistic regression. Permission to conduct the study was obtained from the Makerere University College of Health Sciences, the Uganda National Council of Science and Technology, and Mbale Hospital. The majority of the antenatal attendees (98.5%, 382/388) had positive attitudes towards routine HIV counselling and testing, and many of them (more than 60%) had correct knowledge of how mother to child transmission of HIV could occur during pregnancy, labour and through breastfeeding, and ways of preventing it. After adjusting for independent variables, having completed secondary school (odds ratio: 2.5, 95% confidence interval: 1.3-4.9), having three or more pregnancies (OR: 2.5, 95% CI: 1.4-4.5) and belonging to a non-Bagisu ethnic group (OR: 1.7, 95% CI: 1.0-2.7) were associated with more knowledge of exclusive breastfeeding as one of the measures for prevention of mother to child transmission of HIV. Out of 388 antenatal attendees, 386 (99.5%) tested for HIV and 382 (98.5%) received same-day HIV test results. Routine offer of antenatal HIV counselling and testing is largely acceptable to the pregnant women in eastern Uganda and has enabled most of them to know their HIV status as part of the prevention of mother to child transmission of HIV package of services. Our findings call for further strengthening and scaling up of this HIV testing approach in many more antenatal clinics countrywide in order to maximize its potential benefits to the population.
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影响因子：
2.3
作者：
Howe, Laura D;Hargreaves, James R;Huttly, Sharon R A
通讯作者：
Huttly, Sharon R A
影响因子：
4.5
作者：
Fadnes, Lars T.;Engebretsen, Ingunn M. S.;Tumwine, James K.
通讯作者：
Tumwine, James K.
影响因子：
1.8
作者：
Medley, Amy M.;Kennedy, Caitlin E.
通讯作者：
Kennedy, Caitlin E.
影响因子：
3.4
作者：
Byamugisha R;Tumwine JK;Semiyaga N;Tylleskär T
通讯作者：
Tylleskär T
DOI：
10.1097/qai.0b013e31814277c8
发表时间：
2007-10-01
影响因子：
3.6
作者：
Bassett, Ingrid V.;Giddy, Janet;Walensky, Rochelle P.
通讯作者：
Walensky, Rochelle P.