Department of Obstetrics and Gynecology, University of Toronto;
Department of Obstetrics and Gynecology, St Michael's Hospital, Toronto, Ontario.
Can J Infect Dis Med Microbiol. 2014 Jul;25(4):201-6. doi: 10.1155/2014/160370.
To assess attitudes and opinions surrounding point-of-care HIV testing among Canadian women, and to determine predictors for acceptance of testing.
A survey assessing acceptability and attitudes toward rapid HIV testing was distributed on the labour and delivery unit in an academic hospital (St Michael's Hospital) in Toronto, Ontario, in 2011. Information collected included demographic data, health and pregnancy history, willingness to undergo rapid HIV testing while in labour and barriers to testing.
Responses in 92 completed questionnaires were analyzed. The mean age of respondents was 32 years and all were HIV negative. Twelve percent of patients reported having at least one risk factor for HIV transmission. The study showed that only 59% of women were willing to be tested at the time of survey completion, and these women stated that they would accept saliva, urine or serum testing. If found to be positive, 96% would accept antiretroviral treatment and 94% would formula feed their infants. Of the 41% who were not willing to be tested, their reasons for refusal included "don't want to know" (39%) and being in "too much labour pain" (29%). Regardless of willingness to be tested, the most frequently cited barriers to testing were social stigma (64%) and reaction from partners (69%).
Canadian women in labour were willing to undergo rapid HIV testing via urine, saliva or serum. If found to be positive, women were willing to undergo treatment and to formula feed to prevent mother-to-child transmission of HIV.
评估加拿大女性对即时检测点艾滋病病毒检测的态度和意见，并确定接受检测的预测因素。
2011 年，在安大略省多伦多市圣迈克尔医院的产科病房，对快速 HIV 检测的可接受性和态度进行了评估，并分发了一份调查。收集的信息包括人口统计学数据、健康和妊娠史、在分娩时接受快速 HIV 检测的意愿以及检测的障碍。
对 92 份完整问卷的答复进行了分析。应答者的平均年龄为 32 岁，均为 HIV 阴性。12%的患者报告至少有一个 HIV 传播的风险因素。研究表明，只有 59%的女性愿意在调查完成时接受检测，这些女性表示她们将接受唾液、尿液或血清检测。如果检测结果呈阳性，96%的人将接受抗逆转录病毒治疗，94%的人将用配方奶喂养婴儿。在 41%不愿意接受检测的女性中，她们拒绝的原因包括“不想知道”（39%）和“分娩疼痛太剧烈”（29%）。无论是否愿意接受检测，检测的最常见障碍是社会耻辱感（64%）和伴侣的反应（69%）。
分娩中的加拿大女性愿意通过尿液、唾液或血清进行快速 HIV 检测。如果检测结果呈阳性，女性愿意接受治疗并使用配方奶喂养，以防止 HIV 母婴传播。
