Utilization of HIV testing services among pregnant mothers in low income primary care settings in northern Ethiopia: a cross sectional study.
Utilization of HIV testing services among pregnant mothers in low income primary care settings in northern Ethiopia: a cross sectional study.
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DOI：
10.1186/s12884-017-1389-2
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发表时间：
2017-06-24
影响因子：
3.1
通讯作者：
Wilder-Smith A
中科院分区：
文献类型：
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作者：
Alemu YM;Ambaw F;Wilder-Smith A
对育龄妇女进行艾滋病毒检测是预防艾滋病毒母婴传播的切入点。本研究旨在确定接受艾滋病毒检测的妇女比例，并确定埃塞俄比亚北部初级保健机构中孕妇使用艾滋病毒检测服务的相关因素。2012年10月2日至2013年5月31日，在埃塞俄比亚东Gojjam的四个初级保健中心对416名孕妇进行了横断面研究。接受艾滋病毒检测的母亲比例为277（67%）。在未接受艾滋病毒检测的母亲中，缺乏对艾滋病毒风险的认识（n = 68, 49%）是自我报告的艾滋病毒检测的主要障碍。多变量logistic回归分析显示，对母婴传播有全面了解的孕妇的调整奇数比（AOR）为3.73 (95%CI: 1.56, 8.94)，对预防母婴传播（PMTCT）有全面了解的孕妇的调整奇数比（AOR）为2.56 (95%CI: 1.26, 5.19)，对艾滋病毒感染者有良好态度的孕妇的调整奇数比（AOR）为2.42 (95%CI: 1.20, 4.86)，更有可能接受艾滋病毒检测。在这项研究之前，三分之一的孕妇从未接受过艾滋病毒检测。应努力提高母亲对母婴传播和预防母婴传播的知识，以增加对艾滋病毒检测的接受。强烈建议加强母亲对艾滋病毒风险的认识，以便在资源有限的情况下扩大艾滋病毒检测。本文的在线版本（doi:10.1186/s12884-017-1389-2）包含补充材料，可供授权用户使用。
HIV testing of women in child bearing age is an entry point for preventing mother-to-child transmission of HIV (MTCT). This study aims to identify the proportion of women tested for HIV and to determine factors associated with utilization of HIV testing services among pregnant mothers in primary care settings in northern Ethiopia. A cross sectional study was conducted in 416 pregnant women from four primary care centers between October 2, 2012 and May 31, 2013 in East Gojjam, Ethiopia. The proportion of mothers who tested for HIV was 277(67%). Among mothers who were not tested for HIV, lack of HIV risk perception (n = 68, 49%) was a major self-reported barrier for HIV testing. A multivariable logistic regression analysis showed that those pregnant women who had comprehensive knowledge about MTCT had an Adjusted Odd Ratio (AOR) of 3.73 (95% CI: 1.56, 8.94), having comprehensive knowledge on prevention of mother to child transmission (PMTCT) of HIV an AOR of 2.56 (95% CI: 1.26, 5.19), and a favorable attitude towards persons living with HIV an AOR of 2.42 (95%CI, 1.20, 4.86) were more likely to be tested for HIV. One third of pregnant women had never been tested for HIV until the time of the study. Efforts should be made to improve mother’s knowledge about MTCT and PMTCT to increase uptake of HIV testing. Enhancing mother’s HIV risk perception to scale up HIV testing in resource limited setting is highly recommended. The online version of this article (doi:10.1186/s12884-017-1389-2) contains supplementary material, which is available to authorized users.