Rasch Vibeke, Yambesi Fortunata, Massawe Siriel
Department of International Health, University of Copenhagen, Copenhagen, Denmark, and Temeke Municipal Hospital, Dar es Salaam, Tanzania.
Trop Med Int Health. 2006 May;11(5):697-704. doi: 10.1111/j.1365-3156.2006.01607.x.
To assess the acceptance and outcome of voluntary HIV counselling and testing (VCT) among women who had an unsafe abortion.
706 women were provided with post-abortion contraceptive service and offered VCT. We collected data on socioeconomic characteristics and contraceptive use and determined the HIV status of those who accepted VCT. Using a nested case-control design, we compared women who accepted HIV testing with women who did not. To study the association between socioeconomic factors, HIV testing acceptance and condom use in more detail, we did stratified analyses based on age and marital status.
58% of the women who had an unsafe abortion accepted HIV testing. Women who earned an income were more likely to accept testing than housewives. Women who accepted testing were more likely to accept using a condom. The HIV prevalence rate was 19% among single women aged 20-24 years and 25% among single women aged 25-45 years.
HIV testing and condoms were accepted by most women who had an unsafe abortion. The poor reproductive health of these women could be improved by good post-abortion care that includes contraceptive counselling, VCT and condom promotion.
评估接受不安全堕胎的女性对自愿艾滋病毒咨询和检测（VCT）的接受情况及结果。
为706名女性提供堕胎后避孕服务并提供VCT。我们收集了社会经济特征和避孕使用情况的数据，并确定了接受VCT者的艾滋病毒感染状况。采用巢式病例对照设计，我们将接受艾滋病毒检测的女性与未接受检测的女性进行了比较。为了更详细地研究社会经济因素、艾滋病毒检测接受情况和避孕套使用之间的关联，我们根据年龄和婚姻状况进行了分层分析。
58%接受不安全堕胎的女性接受了艾滋病毒检测。有收入的女性比家庭主妇更有可能接受检测。接受检测的女性更有可能接受使用避孕套。20 - 24岁单身女性中的艾滋病毒流行率为19%，25 - 45岁单身女性中的流行率为25%。
大多数接受不安全堕胎的女性接受了艾滋病毒检测和避孕套使用。通过包括避孕咨询、VCT和避孕套推广在内的良好堕胎后护理，可以改善这些女性不良的生殖健康状况。
