产前HIV咨询与检测的组织预测因素
Organizational predictors of prenatal HIV counseling and testing.
作者信息
Ethier K A, Fox-Tierney R, Nicholas W C, Salisbury K M, Ickovics J R
机构信息
Behavioral Interventions and Research Branch, Centers for Disease Control and Prevention, Atlanta, Ga. 30329, USA.
出版信息
Am J Public Health. 2000 Sep;90(9):1448-51. doi: 10.2105/ajph.90.9.1448.
OBJECTIVES
Efforts to prevent perinatal transmission of HIV include implementation of prenatal counseling and testing programs. The objective of this study was to assess organizational predictors of HIV counseling and testing.
METHODS
Surveillance records were collected on 5900 prenatal patients from 9 hospital and community clinics in Connecticut.
RESULTS
Some organizational factors (e.g., type of clinic, dedicated staff) that enhanced counseling rates had the opposite effect on test acceptance. For instance, patients were more likely to be counseled when counseling was conducted by providers; however, test acceptance was more likely when dedicated counselors were available.
CONCLUSIONS
These results provide important information concerning clinic resources needed as HIV counseling and testing services continue to be incorporated into prenatal care.
目的
预防围产期HIV传播的措施包括实施产前咨询和检测项目。本研究的目的是评估HIV咨询和检测的组织预测因素。
方法
收集了康涅狄格州9家医院和社区诊所5900名产前患者的监测记录。
结果
一些提高咨询率的组织因素（如诊所类型、专职工作人员）对检测接受率产生了相反的影响。例如，由提供者进行咨询时，患者接受咨询的可能性更大；然而，有专职咨询师时，检测接受率更高。
结论
随着HIV咨询和检测服务不断纳入产前护理，这些结果提供了有关所需诊所资源的重要信息。
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