Kumar Alok, Kilaru Krishna R, Kumari Geeta, Forde Sheila, Waterman Ira
School of Clinical Medicine & Research, University of the West Indies (Cave Hill), Barbados, West Indies.
AIDS Patient Care STDS. 2008 Sep;22(9):715-21. doi: 10.1089/apc.2007.0155.
A follow-up study was undertaken to analyze the impact of the early diagnosis of HIV in women by antenatal voluntary counseling and testing (VCT) by way of making a difference to their health status and the social behavior of these women. This is a descriptive study. The study population included all HIV-infected women in this country who were diagnosed to be HIV infected by way of VCT during 1996-2004. Sixty-one (37.4%) never attended the HIV clinic for their care or treatment. The median delay between the time of diagnosis of HIV infection and the time of their presentation to the follow-up clinic was 36 months. Of the 79 women who reported to have been sexually active only 33 had a steady partner; 54 had had one or more casual sex partners at some point in time since their HIV diagnosis. One third never used condoms with their steady partner and one sixth never used condoms with casual partners. Overall, 89 women had one or more repeated pregnancy, mostly from different partners. In conclusion, many of the women diagnosed from antenatal VCT fail to utilize the available health care facilities and continue to engage in risk-taking behaviors.
开展了一项随访研究，旨在通过分析产前自愿咨询检测（VCT）对女性进行HIV早期诊断所产生的影响，来改善她们的健康状况以及这些女性的社会行为。这是一项描述性研究。研究对象包括该国所有在1996年至2004年期间通过VCT被诊断为HIV感染的女性。61名（37.4%）女性从未前往HIV诊所接受护理或治疗。从HIV感染诊断到她们前往随访诊所的中位延迟时间为36个月。在报告有性行为的79名女性中，只有33名有固定伴侣；54名自HIV诊断后在某些时候有一个或多个性伴侣。三分之一的女性与固定伴侣在一起时从不使用避孕套，六分之一的女性与性伴侣在一起时从不使用避孕套。总体而言，89名女性有一次或多次重复怀孕，大多来自不同伴侣。总之，许多通过产前VCT诊断出的女性未能利用现有的医疗保健设施，并且继续从事危险行为。
