Robbins Ann S, Jablonski Cheryl L E, Mitchell Barry E, King Sharon A, Melville Sharon K, Stanley Sharilyn K
Texas Department of Health Bureau of HIV and STD Prevention, 1100 W 49th St, Austin, TX 78756-3199, USA.
Tex Med. 2002 May;98(5):50-5.
This study evaluates the prenatal human immunodeficiency virus (HIV) testing behaviors of private obstetrics and gynecology practitioners in Texas. A statewide telephone survey of 614 providers of prenatal care determined the level of HIV testing, how testing is offered, and patient acceptance of the test. Ninety-nine percent of the practices offered HIV testing to all their pregnant patients, and 96% of the practices included HIV testing in the routine panel of tests for pregnant patients. More than 95% of the practices reported that 10% or less of the women refused the test when offered it; 73% of the practices reported no refusals. Less than half of the practices, however, discussed HIV prevention topics, and only 29% of the practices referred high-risk pregnant patients for prevention counseling. Although private practices of obstetrics and gynecology report testing almost all their prenatal patients, survey results suggest that providers could improve their prevention and patient education practices.
本研究评估了得克萨斯州私立妇产科医生的产前人类免疫缺陷病毒（HIV）检测行为。一项对614名产前护理提供者进行的全州电话调查确定了HIV检测水平、检测的提供方式以及患者对检测的接受情况。99%的医疗机构为所有孕妇提供HIV检测，96%的医疗机构将HIV检测纳入孕妇常规检测项目。超过95%的医疗机构报告称，提供检测时10%或更少的女性拒绝检测；73%的医疗机构报告无拒绝情况。然而，不到一半的医疗机构讨论HIV预防话题，只有29%的医疗机构将高危孕妇转诊接受预防咨询。尽管私立妇产科医疗机构报告称几乎对所有产前患者进行了检测，但调查结果表明，医疗服务提供者可以改进其预防和患者教育措施。
