Hawken J, Chard T, Costeloe K, Jeffries D, Grant K, Hudson C
Department of Obstetrics, St. Bartholomew's Hospital, London, UK.
Eur J Obstet Gynecol Reprod Biol. 1994 Jun 15;55(2):141-4. doi: 10.1016/0028-2243(94)90069-8.
This study was carried out to ascertain whether routine antenatal history taking is an effective means of identifying risk factors for HIV infection. Information about risk obtained at routine booking was compared with answers to selected questions obtained at a research interview. The study was conducted at St. Bartholomew's Hospital Homerton, and ran from February 1991 to March 1992. Of the 3729 women interviewed, 1671 had been hand booked (unstructured questionnaire) and 2058 had been computer booked (structured questionnaire). Hand booking failed to identify 77% of risk factors compared with 7% for computer booking. The findings highlight the underdetection of risk activity and confirm the need for intermittent, anonymous sampling to obtain background information against which a decision to implement universal testing may be made.
本研究旨在确定常规产前病史采集是否是识别HIV感染风险因素的有效手段。将常规预约时获得的风险信息与研究访谈中选定问题的答案进行比较。该研究在圣巴塞洛缪医院霍默顿分院进行，从1991年2月持续至1992年3月。在接受访谈的3729名女性中，1671名是手工预约（使用非结构化问卷），2058名是电脑预约（使用结构化问卷）。与电脑预约能识别7%的风险因素相比，手工预约未能识别77%的风险因素。研究结果凸显了对风险行为检测不足的问题，并证实需要进行间歇性的匿名抽样，以获取背景信息，据此做出是否实施普遍检测的决定。
