Desgrées-Du-Loû Annabel, Brou Hermann, Djohan Gérard, Becquet Renaud, Ekouevi Didier K, Zanou Benjamin, Viho Ida, Allou Gerard, Dabis Francois, Leroy Valériane
UMR 151, IRD, Marseille, France.
AIDS Behav. 2009 Apr;13(2):348-55. doi: 10.1007/s10461-007-9316-6. Epub 2007 Nov 6.
Prenatal HIV counselling and testing is mainly an entry-point to the prevention of mother-to-child transmission of HIV, but it may also play an important role in triggering the development of spousal communication about HIV and sexual risks and thus the adoption of a preventive attitude. In Abidjan, Côte d'Ivoire, we investigated couple communication on STIs and HIV, male partner HIV-testing and condom use at sex resumption after delivery among three groups of pregnant women who were offered prenatal counselling and HIV testing: HIV-infected women, uninfected women, and women who refused HIV-testing. The proportion of women who discussed STIs with their regular partner greatly increased after prenatal HIV counselling and testing in all three groups, irrespective of the women's serostatus and even in the case of test refusal. Spousal communication was related to more frequent male partner HIV-testing and condom use. Prenatal HIV counselling and testing proposal appears to be an efficient tool to sensitize women and their partner to safer sexual practices.
产前艾滋病毒咨询和检测主要是预防艾滋病毒母婴传播的切入点，但它在促使夫妻就艾滋病毒和性风险进行沟通并因此采取预防态度方面也可能发挥重要作用。在科特迪瓦的阿比让，我们调查了三组接受产前咨询和艾滋病毒检测的孕妇中，夫妻间关于性传播感染和艾滋病毒的沟通、男性伴侣的艾滋病毒检测以及产后恢复性生活时使用避孕套的情况：艾滋病毒感染女性、未感染女性以及拒绝接受艾滋病毒检测的女性。在所有三组中，无论女性的血清学状态如何，甚至在检测被拒绝的情况下，接受产前艾滋病毒咨询和检测后，与固定伴侣讨论性传播感染的女性比例都大幅增加。夫妻间的沟通与男性伴侣更频繁地进行艾滋病毒检测和使用避孕套有关。产前艾滋病毒咨询和检测建议似乎是提高女性及其伴侣对更安全性行为认识的有效工具。
