Butsashvili Maia, Kajaia Maia, Kamkamidze George, Tchendjou Patrice, Desgrees du Loû Annabel, Dabis François, Orne-Gliemann Joanna
Health Research Union, 8 Nutsubidze Street, 0177 Tbilisi, Georgia.
Laboratoire Epidémiologie, Centre Pasteur du Cameroun, BP 1274, Yaoundé, Cameroon.
AIDS Res Treat. 2014;2014:356090. doi: 10.1155/2014/356090. Epub 2014 Sep 29.
Despite the benefits of timely diagnosis of HIV infection and the wide availability of VCT services, the acceptance of HIV testing and counseling still remains a challenge in Georgia. The goal of our study was to assess the history of HIV testing and associated factors among pregnant women. The recruitment of study participants took place during routine antenatal care visits at one of the large Maternity Hospitals in Tbilisi, capital of Georgia. A total of 491 pregnant women were included in the sample. More than a third of women (38.5%) reported that they were tested for HIV before the current pregnancy and almost all of them (91.5%) were tested during previous pregnancies. Bivariate analysis revealed statistically significant association of women's history of HIV testing with age, education level, remunerated activity, history of STI, and multiparity. In multivariate analysis, the only independent predictor of being HIV tested was ever being pregnant. In conclusion, HIV testing history among women at reproductive age was poor in Georgia. Women mostly received HIV testing at prenatal centers. Efforts should be made to promote HIV testing in primary care settings, which would increase its acceptability and overall testing rate in the population.
尽管及时诊断艾滋病毒感染有诸多益处，且自愿咨询检测服务广泛可得，但在格鲁吉亚，接受艾滋病毒检测和咨询仍是一项挑战。我们研究的目的是评估孕妇的艾滋病毒检测史及相关因素。研究参与者的招募在格鲁吉亚首都第比利斯一家大型妇产医院的常规产前检查期间进行。样本共纳入491名孕妇。超过三分之一的女性（38.5%）报告称她们在本次怀孕前接受过艾滋病毒检测，且几乎所有女性（91.5%）在之前怀孕时接受过检测。双变量分析显示，女性的艾滋病毒检测史与年龄、教育水平、有偿活动、性传播感染史及多胎妊娠存在统计学上的显著关联。在多变量分析中，接受艾滋病毒检测的唯一独立预测因素是曾怀孕。总之，格鲁吉亚育龄女性的艾滋病毒检测史情况不佳。女性大多在产前中心接受艾滋病毒检测。应努力在初级保健机构推广艾滋病毒检测，这将提高其在人群中的可接受性及总体检测率。
