Passos Suzana Cordeiro da Silva, Couto de Oliveira Maria Inês, Gomes Júnior Saint Clair dos Santos, Silveira da Silva Kátia
Universidade Federal Fluminense, Departamento de Saúde Coletiva, Niterói,RJ.
Rev Bras Epidemiol. 2013 Jun;16(2):278-87. doi: 10.1590/S1415-790X2013000200005.
The pre and post-HIV test counseling is recommended by the Ministry of Health, and is a tool for reflection and joint decision-making.
To determine the proportion of women receiving counseling for submission to the HIV rapid test and to assess factors associated to not receiving counseling for this test.
A cross-sectional study was conducted in five "Baby-Friendly Hospitals" from the High Risk Pregnancy System in Rio de Janeiro City, Southeast Brazil. The study population were 955 rooming-in parturients, undergoing the HIV rapid test, between September 11thand December 11th, 2006. Semi-standardized questionnaires were applied to the mothers, and data were also obtained from laboratory and health archives. Binomial regression was performed in order to analyze the variables associated with non-counseling.
Were submitted to the HIV rapid test 28.5% of the parturients, and only 26.9% of them were counseled. Factors associated with non-counseling were: maternal education below 8 years of school (PR = 1.36; 95% CI: 1.15-1.62), 0 to 3 prenatal visits (RP = 0.73; IC 95%: 0.59-0.90) and hospitals with less than 50% of the parturients submitted to the HIV rapid test (PR = 1.65; 95% CI: 1.40-1.96).
Socially underprivileged women were not a target of counseling, and only the low number of prenatal visits proved to be a protective factor against non-counseling. Counseling was seldom practiced for HIV rapid testing, indicating that this test has been performed without the consent of women, in an imperative way.
卫生部建议进行艾滋病毒检测前和检测后咨询，这是一种用于思考和共同决策的工具。
确定接受艾滋病毒快速检测咨询的女性比例，并评估与未接受该检测咨询相关的因素。
在巴西东南部里约热内卢市高危妊娠系统的五家“爱婴医院”进行了一项横断面研究。研究人群为2006年9月11日至12月11日期间接受艾滋病毒快速检测的955名母婴同室产妇。对母亲们应用了半标准化问卷，数据也从实验室和健康档案中获取。进行二项式回归以分析与未咨询相关的变量。
28.5%的产妇接受了艾滋病毒快速检测，其中只有26.9%接受了咨询。与未咨询相关的因素有：母亲受教育年限低于8年（PR = 1.36；95%CI：1.15 - 1.62）、产前检查0至3次（RP = 0.73；95%CI：0.59 - 0.90）以及艾滋病毒快速检测产妇比例低于50%的医院（PR = 1.65；95%CI：1.40 - 1.96）。
社会经济地位低下的女性不是咨询对象，只有产前检查次数少被证明是防止未接受咨询的保护因素。艾滋病毒快速检测很少进行咨询，这表明该检测是以强制方式在未经女性同意的情况下进行的。
