Beneficial Effects of Offering Prenatal HIV Counselling and Testing on Developing a HIV Preventive Attitude among Couples. Abidjan, 2002-2005
Beneficial Effects of Offering Prenatal HIV Counselling and Testing on Developing a HIV Preventive Attitude among Couples. Abidjan, 2002-2005
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DOI：
10.1007/s10461-007-9316-6
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发表时间：
2009-04-01
影响因子：
4.4
通讯作者：
Leroy, Valeriane
中科院分区：
文献类型：
--
作者：
Desgrees-Du-Lou, Annabel;Brou, Hermann;Leroy, Valeriane
产前艾滋病毒咨询和检测主要是预防艾滋病毒母婴传播的一个切入点，但它也可能在促进配偶之间就艾滋病毒和性风险进行沟通，从而采取预防态度方面发挥重要作用。在科特迪瓦阿比让，我们调查了接受产前咨询和艾滋病毒检测的三组孕妇：感染艾滋病毒的妇女、未感染艾滋病毒的妇女和拒绝接受艾滋病毒检测的妇女，就性传播感染和艾滋病毒、男性伴侣艾滋病毒检测和产后恢复性行为时使用避孕套的情况进行了调查。在所有三组中，在产前艾滋病毒咨询和检测后，与其常规伴侣讨论性传播感染的妇女比例大大增加，无论妇女的血清状况如何，甚至在检测被拒绝的情况下也是如此。配偶交流与男性伴侣更频繁地进行艾滋病毒检测和使用避孕套有关。产前艾滋病毒咨询和检测建议似乎是使妇女及其伴侣了解更安全的性行为的有效工具。
Prenatal HIV counselling and testing is mainly an entry-point to the prevention of mother-to-child transmission of HIV, but it may also play an important role in triggering the development of spousal communication about HIV and sexual risks and thus the adoption of a preventive attitude. In Abidjan, CA ' te d'Ivoire, we investigated couple communication on STIs and HIV, male partner HIV-testing and condom use at sex resumption after delivery among three groups of pregnant women who were offered prenatal counselling and HIV testing: HIV-infected women, uninfected women, and women who refused HIV-testing. The proportion of women who discussed STIs with their regular partner greatly increased after prenatal HIV counselling and testing in all three groups, irrespective of the women's serostatus and even in the case of test refusal. Spousal communication was related to more frequent male partner HIV-testing and condom use. Prenatal HIV counselling and testing proposal appears to be an efficient tool to sensitize women and their partner to safer sexual practices.