喀麦隆产时艾滋病毒咨询与检测的可接受性
Acceptability of intrapartum HIV counselling and testing in Cameroon.
作者信息
Kongnyuy Eugene J, Mbu Enow R, Mbopi-Keou Francois X, Fomulu Nelson, Nana Philip N, Tebeu Pierre M, Tonye Rebecca N, Leke Robert J I
机构信息
Child and Reproductive Health Group, Liverpool School of Tropical Medicine, UK.
出版信息
BMC Pregnancy Childbirth. 2009 Feb 27;9:9. doi: 10.1186/1471-2393-9-9.
BACKGROUND
To assess the acceptability of intrapartum HIV testing and determine the prevalence of HIV among labouring women with unknown HIV status in Cameroon.
METHOD
The study was conducted in four hospitals (two referral and two districts hospitals) in Cameroon. Labouring women with unknown HIV status were counselled and those who accepted were tested for HIV.
RESULTS
A total of 2413 women were counselled and 2130 (88.3%) accepted to be tested for HIV. Of the 2130 women tested, 214 (10.1%) were HIV positive. Acceptability of HIV testing during labour was negatively associated with maternal age, parity and number of antenatal visits, but positively associated with level of education. HIV sero-status was positively associated with maternal age, parity, number of antenatal visits and level education.
CONCLUSION
Acceptability of intrapartum HIV testing is high and the prevalence of HIV is also high among women with unknown HIV sero-status in Cameroon. We recommend an opt-out approach (where women are informed that HIV testing will be routine during labour if HIV status is unknown but each person may decline to be tested) for Cameroon and countries with similar social profiles.
背景
评估产时艾滋病毒检测的可接受性，并确定喀麦隆艾滋病毒感染状况不明的分娩妇女中艾滋病毒的流行率。
方法
该研究在喀麦隆的四家医院（两家转诊医院和两家地区医院）进行。对艾滋病毒感染状况不明的分娩妇女进行咨询，接受咨询的妇女接受艾滋病毒检测。
结果
共有2413名妇女接受了咨询，其中2130名（88.3%）同意接受艾滋病毒检测。在接受检测的2130名妇女中，214名（10.1%）艾滋病毒呈阳性。产时艾滋病毒检测的可接受性与产妇年龄、胎次和产前检查次数呈负相关，但与教育程度呈正相关。艾滋病毒血清学状态与产妇年龄、胎次、产前检查次数和教育程度呈正相关。
结论
喀麦隆产时艾滋病毒检测的可接受性较高，艾滋病毒感染状况不明的妇女中艾滋病毒流行率也较高。我们建议喀麦隆及社会情况类似的国家采用“退出式”方法（即告知妇女，如果其艾滋病毒感染状况不明，产时艾滋病毒检测将作为常规检查，但每个人可拒绝检测）。
Zotero 插件