Msuya Sia E, Mbizvo Elizabeth, Uriyo Jacqueline, Stray-Pedersen Babill, Sam Noel E, Hussain Akhtar
Department of International Health, Institute of General Practice and Community Medicine, Rikshospitalet University Hospital, University of Oslo, Norway.
J Acquir Immune Defic Syndr. 2006 Sep;43(1):85-90. doi: 10.1097/01.qai.0000225016.50890.7e.
Identification of HIV-infected women is a prerequisite in HIV perinatal prevention programs. The aim of this study was to determine the predictors of failure to return for HIV posttest results among pregnant women (N=2654) receiving antenatal care at primary health clinics in Moshi urban district, Tanzania. Consenting pregnant women, who were in the third trimester of pregnancy, received individual pretest counseling, followed by interview and screening for HIV. Posttest counseling and results were given after 1 week. A total of 182 (7%) failed to return for their HIV test results. Women were less likely to return for test results if their partners did not come for testing (adjusted odds ratio [AOR], 12.6; 95% CI, 3.1-51.4), if their partners consumed alcohol (AOR, 1.8; 95% CI, 1.3-2.7), and if they had never discussed reproductive health matters with their partners (AOR, 1.7; 95% CI, 1.1-2.7). Additionally, the site of recruitment, age, alcohol consumption, and advanced gestation age predicted failure to return for HIV test results. These results indicate that male partner factors were important in determining whether women returned for results. We therefore recommend promotion of antenatal couple counseling and strengthening of community awareness of the availability of perinatal interventions, with special efforts targeting men. Furthermore, the predictors for failure to collect test-results need to be addressed during pretest counseling.
识别感染艾滋病毒的女性是艾滋病毒围产期预防项目的一项前提条件。本研究的目的是确定在坦桑尼亚莫希市区初级卫生诊所接受产前护理的孕妇（N = 2654）未返回获取艾滋病毒检测结果的预测因素。同意参与研究的妊娠晚期孕妇接受了个体化检测前咨询，随后进行访谈和艾滋病毒筛查。检测后1周给予检测后咨询和结果。共有182名（7%）孕妇未返回获取艾滋病毒检测结果。如果其伴侣未前来检测（调整后的优势比[AOR]，12.6；95%置信区间[CI]，3.1 - 51.4）、其伴侣饮酒（AOR，1.8；95% CI，1.3 - 2.7）以及她们从未与伴侣讨论过生殖健康问题（AOR，1.7；95% CI，1.1 - 2.7），则女性返回获取检测结果的可能性较小。此外，招募地点、年龄、饮酒情况和妊娠晚期预测了未返回获取艾滋病毒检测结果的情况。这些结果表明男性伴侣因素在决定女性是否返回获取结果方面很重要。因此，我们建议推广产前夫妇咨询，并加强社区对围产期干预措施可及性的认识，尤其要针对男性做出特别努力。此外，在检测前咨询期间需要解决未领取检测结果的预测因素问题。
