Cardonick E, Daly S, Dooley M, Elles K, Silverman N S
Department of Obstetrics and Gynecology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
Infect Dis Obstet Gynecol. 1998;6(5):209-13. doi: 10.1002/(SICI)1098-0997(1998)6:5<209::AID-IDOG4>3.0.CO;2-J.
To determine voluntary human immunodeficiency virus (HIV) testing rates and factors influencing testing in a private obstetric practice.
Antepartum patients were offered HIV testing after completing a self-assessment questionnaire. Perceived risks and demographics were correlated with testing rates.
Overall, 348/600 (58%) women consented to HIV testing. In a univariate analysis, patients with "any" perceived risk(s) were more likely to be tested. Single women and those with an at-risk partner(s) or a history of sexually transmitted disease (STD) were more likely to desire testing. These factors remained independently associated with voluntary testing in a multivariate regression model. No patients tested positive for HIV.
In our private obstetric practice, 26% of women perceived themselves at risk for HIV infection, and testing rates depended on the various risks identified. A history of STDs or an at-risk sexual partner were stronger predictors of voluntary testing than was marital status. Focused HIV counseling among pregnant women at relatively low risk for infection may be possible.
确定在一家私立产科诊所中自愿进行人类免疫缺陷病毒（HIV）检测的比例以及影响检测的因素。
在完成一份自我评估问卷后，为产前患者提供HIV检测。将感知到的风险和人口统计学特征与检测率进行关联分析。
总体而言，348/600（58%）名女性同意进行HIV检测。在单因素分析中，认为有“任何”风险的患者更有可能接受检测。单身女性以及有高危伴侣或性传播疾病（STD）病史的女性更倾向于接受检测。在多变量回归模型中，这些因素仍然与自愿检测独立相关。没有患者HIV检测呈阳性。
在我们的私立产科诊所中，26%的女性认为自己有感染HIV的风险，检测率取决于所确定的各种风险。性传播疾病病史或高危性伴侣比婚姻状况更能预测自愿检测。对感染风险相对较低的孕妇进行有针对性的HIV咨询或许是可行的。
