Antenatal HIV testing: assessment of a routine voluntary approach
Antenatal HIV testing: assessment of a routine voluntary approach
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产前艾滋病毒检测：常规自愿方法的评估
作者：
W. Simpson;F. Johnstone;D. Goldberg;S. Gormley;G. Hart
文件第1650 - 1656页
孕妇艾滋病毒检测的好处越来越有保障，特别是在减少垂直传播方面。1然而，英国产前艾滋病毒检测的接受率仍然很低。2我们以前的研究考察了一种选择性方法（妇女必须主动选择接受检测）。因此，我们评估了一种基于类似的信息和同意要求的方法，但重点有所改变，即除非女性拒绝，否则测试是常规的。
测试方案于1998年2月至4月进行。在预约之前，所有妇女都收到了一份关于进行血液检测，包括艾滋病毒检测的传单。在产前诊所，助产士为她们提供了艾滋病毒检测，助产士接受过使用印刷讨论协议的培训，该协议强调了好处，并将检测作为常规，明确表示妇女可以拒绝。和其他血一样...
Papers pp 16501656
The benefits of testing pregnant women for HIV are increasingly assured, particularly with regard to reducing vertical transmission.1 Yet uptake of antenatal HIV testing in Britain remains low.2 Our previous study examined an opt-in approach (women had to make an active choice to be tested).3 Some women were uncomfortable with this, feeling that it indicated high risk behaviour. We therefore assessed an approach based on similar requirements for information and consent but with a change in emphasis, in that testing was routine unless the woman declined.
The testing programme was conducted during February to April 1998. Before their booking appointment, all women were sent a leaflet about blood tests to be conducted, including HIV testing. At the antenatal clinic they were offered an HIV test by midwives who had been trained to use a printed discussion protocol that emphasised the benefits and presented the test as routine, making it clear that the woman could decline. As with the other blood …