Attitude of pregnant women towards HIV testing in Abidjan, Cote d'Ivoire and Bobo-Dioulasso, Burkina Faso
Attitude of pregnant women towards HIV testing in Abidjan, Cote d'Ivoire and Bobo-Dioulasso, Burkina Faso
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DOI：
10.1097/00002030-199817000-00016
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发表时间：
1998-12-03
期刊：
影响因子：
3.8
通讯作者：
Dabis, F
中科院分区：
文献类型：
--
作者：
Cartoux, M;Msellati, P;Dabis, F
目的：了解西非科特迪瓦阿比让和布基纳法索博博迪乌拉索两个城市孕妇对HIV检测的态度。方法：在预防HIV垂直传播的临床试验背景下，对到产前诊所就诊的妇女进行系统的HIV咨询和检测。获得知情同意，并匿名给出测试结果。结果：1995年1月至1996年9月，共有9724名孕妇接受了访谈。在阿比让(n=5766)和博博迪乌拉索(n=3958)，分别有78%和92.4%的妇女同意艾滋病毒检测，58.4%和81.8%的妇女返回要求公布检测结果。在这两个网站中，咨询师本身和女性的高教育水平似乎与拒绝测试有关，而怀孕最后三个月与未能返回测试结果有关。在阿比让，外国人和员工拒绝检测的可能性更大，感染艾滋病毒的妇女返回检测结果的可能性比未感染的妇女低3倍。结论：未来实施减少艾滋病毒垂直传播的干预措施需要产前艾滋病毒检测和咨询，必须解决孕妇对艾滋病毒检测的可接受性问题。(C)1998年，Lippincott Williams&Wilkins。
Objective: To evaluate the attitude of pregnant women towards HIV testing in two cities of West Africa: Abidjan, Gate d'lvoire and Bobo-Dioulasso, Burkina Faso.Methods: In the context of a clinical trial to prevent HIV vertical transmission, HIV counselling and testing was offered systematically to women attending antenatal clinics. Informed consent was obtained and test results were given anonymously. Multiple logistic regression was performed to identify factors associated with refusal for testing and failure to return for test results.Results: A total of 9724 pregnant women were interviewed from January 1995 to September 1996. In Abidjan (n = 5766) and Bobo-Dioulasso (n = 3958), 78 and 92.4% of the women consented to HIV testing, respectively, and 58.4 and 81.8% of them returned for the test results disclosure, respectively. In the two sites, the counsellors themselves and high educational level of the women appeared to be related to refusal of the test, whereas last trimester gestation was associated with failure to return for test results. In Abidjan, foreigners and employees were more likely to refuse testing, and HIV-infected women were three times less likely to return for results than uninfected women.Conclusion: Future implementation of interventions to reduce vertical transmission of HIV that require antenatal HIV testing and counselling will have to solve issue of acceptability of HIV testing by pregnant women. (C) 1998 Lippincott Williams & Wilkins.