Ramon R, La Ruche G, Sylla-Koko F, Boka-Yao A, Bonard D, Coulibaly I M, Welffens-Ekra C, Dabis F
National AIDS Program, Abidjan, Côte d'Ivoire, France.
J Acquir Immune Defic Syndr Hum Retrovirol. 1998 Apr 15;17(5):470-6. doi: 10.1097/00042560-199804150-00013.
We assessed factors associated with women's attitudes toward HIV test results in gynecology clinics in Abidjan, Côte d'Ivoire. HIV testing was systematically offered to nonpregnant women attending two gynecology clinics in Abidjan. Individual pretest counseling was performed by trained midwives. Posttest counseling was given 2 weeks later to women who wished to know their HIV test results. HIV testing was offered to a total of 1482 women, of whom 1401 (94.5%) agreed to be screened. The prevalence of HIV infection was 21.3%. Of the women who participated, 10% failed to return. Youth, low educational level, and absence of genital infection were findings individually associated with failure by participants to return for their test results. Among the 1242 women who returned, 13.7% did not wish to know the results of their HIV test. A positive HIV test result, being native to Côte d'Ivoire, a high educational level, and knowing the existence of the asymptomatic stage of HIV infection were factors independently associated with declining to know the HIV test result. In conclusion, women who declined to know their HIV test results presented a specific profile at the time of HIV testing. This information can be used to improve pretest counseling and the efficacy of future HIV screening programs.
我们评估了与科特迪瓦阿比让妇科诊所女性对艾滋病毒检测结果态度相关的因素。在阿比让的两家妇科诊所，对非孕妇系统性地提供艾滋病毒检测。由经过培训的助产士进行检测前的个体咨询。检测两周后，为那些希望知晓艾滋病毒检测结果的女性提供检测后咨询。总共向1482名女性提供了艾滋病毒检测，其中1401名（94.5%）同意接受筛查。艾滋病毒感染率为21.3%。参与检测的女性中，10%未回来获取检测结果。年轻、教育水平低以及无生殖器感染这些因素分别与参与者未回来获取检测结果相关。在回来的1242名女性中，13.7%不希望知晓其艾滋病毒检测结果。艾滋病毒检测结果呈阳性、是科特迪瓦本地人、教育水平高以及知晓艾滋病毒感染存在无症状期这些因素与拒绝知晓艾滋病毒检测结果独立相关。总之，拒绝知晓其艾滋病毒检测结果的女性在艾滋病毒检测时呈现出特定特征。这些信息可用于改进检测前咨询以及未来艾滋病毒筛查项目的效果。
