HIV risk perception and prevalence in a program for prevention of mother-to-child HIV transmission - Comparison of women who accept voluntary counseling and testing and those tested anonymously
HIV risk perception and prevalence in a program for prevention of mother-to-child HIV transmission - Comparison of women who accept voluntary counseling and testing and those tested anonymously
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DOI：
10.1097/01.qai.0000148081.38331.92
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发表时间：
2005-07-01
影响因子：
3.6
通讯作者：
Elliott, AM
中科院分区：
文献类型：
--
作者：
Mpairwe, H;Muhangi, L;Elliott, AM
目的：为了确定自愿咨询和检测（VCT）/预防母婴传播（PMTCT）项目的数据是否可用于HIV监测，方法：在乌干达恩德培地区医院的产前诊所就诊的妇女，从2002年5月至2003年4月，提供了咨询和艾滋病毒检测，并提供了艾滋病毒预防母婴传播的奈韦拉平，积极的女性和她们的孩子。那些谁拒绝VCT匿名检测HIV。结果：总体而言，2635名妇女接受VCT，883人进行了匿名检测。在该方案实施的第一个月，自愿咨询和检测的艾滋病毒感染率高于匿名检测的妇女（20%对11%）。P = 0.05）和VCT摄取< 70%的月份（17% vs. 8%，P < 0.001），但在高摄取的月份相似。有HIV感染危险因素的妇女接受VCT的比例明显高于有HIV感染危险因素的妇女（84% vs.73%，P < 0.001）。前者在覆盖率较低时最为明显。数据来自VCT。预防母婴传播方案不能取代匿名监测，以监测诊所或社区内覆盖不全的艾滋病毒流行趋势。
Objective: To determine whether data from voluntary counseling and testing (VCT)/prevention of mother-to-child transmission (PMTCT) programs can be used for HIV surveillance,Methods: Women attending an antenatal clinic at the district hospital in Entebbe, Uganda, from May 2002 to April 2003 Were offered counseling and HIV testing with same-day results (VCT) and nevirapine for PMTCT was provided for HIV-positive women and their babies. Those who declined VCT were tested for HIV anonymously.Results: Overall, 2635 women accepted VCT; 883 were tested anonymously. HIV prevalence was higher in VCT than in anonymously tested women in the first month of the program (20% vs. 11%. P = 0.05) and in months with < 70% VCT uptake ( 17% vs. 8%, P < 0.001) but was similar in months with high uptake. Uptake of VCT was higher in women who had risk factors for HIV especially those who believed themselves to have been exposed (84% vs. 73%, P < 0.001).Conclusion: There was a bias to accepting VCT in women with HIV, or risk factors for HIV infection. the former most apparent when there was low coverage. Data from VCT.;PMTCT programs cannot replace anonymous surveillance for monitoring of HIV epidemic trends where coverage is incomplete within clinics or communities.