Gebremedhin Ketema Bizuwork, Tian Bingjie, Tang Chulei, Zhang Xiaoxia, Yisma Engida, Wang Honghong
Department of Nursing and Midwifery, School of Allied Health Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Department of General Surgery, Affiliated Huashan Hospital of Fudan University, Shanghai, China.
Patient Prefer Adherence. 2018 Jan 25;12:183-191. doi: 10.2147/PPA.S148687. eCollection 2018.
The global human immunodeficiency virus (HIV) epidemic disproportionately affects sub-Saharan African countries, including Ethiopia. Provider-initiated HIV testing and counseling (PITC) is a tool to identify HIV-positive pregnant women and an effective treatment and prevention strategy. However, its success depends upon the willingness of pregnant women to accept HIV testing.
To describe the level of acceptance of PITC and associated factors among pregnant women attending 8 antenatal care clinics in Adama, Ethiopia.
Trained nursing students and employees from an HIV clinic conducted face-to-face structured interviews in private offices at the clinics from August to September, 2016.
Among the 441 respondents, 309 (70.1%) accepted PITC. Women with more antenatal care visits (odds ratio [OR] =2.59, 95% CI: 1.01-6.63), reported better quality of the PITC service (OR =1.91, 95% CI: 1.19-3.08), and higher level of knowledge on mother-to-child transmission (OR =1.82, 95% CI: 1.03-3.20), were more likely to accept PITC, while women who were older in age (OR =0.37, 95% CI: 0.19-0.74) and perceived negative attitudes from their partners toward HIV-positive results (OR =0.31, 95% CI: 0.10-0.94) were less likely to accept the PITC service.
About one-third of pregnant women are not willing to accept PITC. When designing intervention program to improve the acceptance of PITC, we should take into consideration the personal factors, HIV-related knowledge, and attitude of women as well as institutional factors.
全球人类免疫缺陷病毒（HIV）流行对撒哈拉以南非洲国家，包括埃塞俄比亚，造成了尤为严重的影响。由医护人员主动提供的HIV检测与咨询服务（PITC）是识别HIV阳性孕妇的一种手段，也是一项有效的治疗和预防策略。然而，其成功与否取决于孕妇接受HIV检测的意愿。
描述埃塞俄比亚阿达马市8家产前保健诊所中孕妇对PITC的接受程度及相关因素。
2016年8月至9月，经过培训的护理专业学生和一家HIV诊所的工作人员在诊所的私人办公室进行了面对面的结构化访谈。
在441名受访者中，309人（70.1%）接受了PITC。产前检查次数较多的女性（比值比[OR]=2.59，95%置信区间：1.01-6.63）、报告PITC服务质量较好的女性（OR=1.91，95%置信区间：1.19-3.08）以及对母婴传播知识了解程度较高的女性（OR=1.82，95%置信区间：1.03-3.20）更有可能接受PITC，而年龄较大的女性（OR=0.37，95%置信区间：0.19-0.74）以及认为伴侣对HIV阳性结果持消极态度的女性（OR=0.31，95%置信区间：0.10-0.94）接受PITC服务的可能性较小。
约三分之一的孕妇不愿意接受PITC。在设计提高PITC接受度的干预方案时，应考虑女性的个人因素、与HIV相关的知识和态度以及机构因素。
