患病率和政策对医生在孕期提供HIV筛查可能性的影响。
The influence of prevalence and policy on the likelihood that a physician will offer HIV screening in pregnancy.
作者信息
O'Connor Kathleen Steel, MacDonald Susan E, Hartling Lisa, Seguin Rachelle M, Hollands Hussein, Mowat David L, Hoey John R, Massé Richard, Rekart Michael L
机构信息
Kingston, Frontenac and Lennox & Addington Health Unit, 221 Portsmouth Avenue, Kingston, ON K7M 1V5.
出版信息
Can J Public Health. 2002 Jan-Feb;93(1):31-5. doi: 10.1007/BF03404414.
OBJECTIVE
To determine the extent to which provincial recommendations, reported regional prevalence rates and perceived local prevalence rates of HIV in pregnancy influence a physician's decision to routinely offer prenatal screening for HIV.
DESIGN AND METHODS
A random sample of 5,052 family physicians and obstetricians were surveyed by mail. Logistic regression was used to explore the relationships among the variables of interest.
RESULTS
The response rate was 61%. Of these, 69.2% provided prenatal care and were included in the analysis. Physicians were more likely to routinely offer HIV testing if they practiced in provinces with recommendations that supported the universal offer of a test (O.R. = 5.80), independent of living in a region with an estimated prevalence rate exceeding 5/10,000 (O.R. = 1.76), or the perception that the infection rate in their practice justified universal counselling of pregnant women (O.R. = 10.41).
CONCLUSIONS
Provincial recommendations supporting universal HIV testing in pregnancy are reflected in physician practice.
目的
确定省级建议、报告的地区孕期艾滋病毒流行率以及感知到的当地孕期艾滋病毒流行率对医生常规提供艾滋病毒产前筛查决定的影响程度。
设计与方法
通过邮件对5052名家庭医生和产科医生进行随机抽样调查。采用逻辑回归分析来探究相关变量之间的关系。
结果
回复率为61%。其中，69.2%提供产前护理并纳入分析。如果医生所在省份有支持普遍提供检测的建议，那么他们更有可能常规提供艾滋病毒检测（比值比=5.80），这与居住在估计流行率超过5/10000的地区无关（比值比=1.76），也与认为其所在地区的感染率足以对孕妇进行普遍咨询无关（比值比=10.41）。
结论
支持孕期普遍进行艾滋病毒检测的省级建议体现在医生的实际操作中。
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