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健康教育对尼日利亚中北部一家教学医院产前检查者进行HIV筛查意愿的影响。

Effect of health education on willingness to undergo HIV screening among antenatal attendees in a teaching hospital in north central Nigeria.

作者信息

Sekoni O O, Aderibigbe S A, Akande T M

机构信息

Department of Preventive Medicine and Primary Care, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Department of Epidemiology and Community Health, University of Ilorin Teaching Hospital, P.M.B. 1459, Ilorin, Nigeria.

出版信息

Biomed Res Int. 2014;2014:456069. doi: 10.1155/2014/456069. Epub 2014 Jun 30.

Abstract

BACKGROUND

Testing for HIV during pregnancy provides a useful opportunity to institute treatment for HIV as required as well as protect the unborn baby. The aim of this study was to evaluate the effect of health education on the willingness of antenatal attendees to be screened for HIV.

METHODS

This was a quasiexperimental study involving the sequential enrolment of 122 pregnant women attending antenatal care who were at a gestational age of between 13 and 28 weeks for the study group and subsequent enrolment of the same one month after for the control. Two-stage analysis was done with the use of descriptive statistics and bivariate analysis. Level of significance was set at 5%.

RESULTS

Mean age of the study respondents was 27.6 ± 4.6 years while that of the control was 27.5 ± 4.8 years. Majority of the respondents were married in both study, 88 (72.7%), and control groups 84 (72.4%), 76.1% of the study group and 79.3% of the control group had at least secondary education, and 39.7% of the study group and 37.9% of the control group were primigravidae. Before intervention, 88.4% of the study group and 88.8% of the control group were willing to undergo voluntary HIV screening. There was an increase in this number after intervention (P < 0.05). Age, education, occupation, marital status, and parity were not significantly associated with a willingness to be screened for HIV before and after intervention among the study or control groups.

CONCLUSION

Health education as a strategy to enhance voluntary counseling and testing uptake in antenatal settings is advocated.

摘要

背景

孕期进行HIV检测为根据需要开展HIV治疗以及保护未出生婴儿提供了一个有益的契机。本研究的目的是评估健康教育对产前检查者接受HIV筛查意愿的影响。

方法

这是一项半实验性研究,研究组连续纳入122名孕周在13至28周之间的产前检查孕妇,对照组在一个月后纳入相同数量的孕妇。采用描述性统计和双变量分析进行两阶段分析。显著性水平设定为5%。

结果

研究组受访者的平均年龄为27.6±4.6岁,对照组为27.5±4.8岁。研究组和对照组中大多数受访者已婚,分别为88人(72.7%)和84人(72.4%),研究组76.1%和对照组79.3%至少接受过中等教育,研究组39.7%和对照组37.9%为初产妇。干预前,研究组88.4%和对照组88.8%愿意接受自愿HIV筛查。干预后这一数字有所增加(P<0.05)。研究组或对照组中,年龄、教育程度、职业、婚姻状况和胎次在干预前后与接受HIV筛查的意愿均无显著关联。

结论

提倡将健康教育作为提高产前自愿咨询和检测接受率的一项策略。

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