HIV testing among pregnant women in Brazil: rates and predictors

Revista de Saúde Pública

Valdiléa G Veloso²  Margareth C Portela¹  Mauricio T L Vasconcellos¹  Luiz A Matzenbacher¹  Ana Lúcia R De Vasconcelos¹  Beatriz Grinsztejn²  Francisco I Bastos¹ 

[1] ,Fundação Oswaldo Cruz Instituto de Pesquisa Clínica Evandro Chagas Rio de Janeiro RJ ,Brasil

关键词: Pregnant Women;    HIV Infections;    Acquired Immunodeficiency Syndrome;    Prenatal Care;    Socioeconomic Factors;    Cross-Sectional Studies;    Gestantes;    Infecções por HIV;    Síndrome de Imunodeficiência Adquirida;    Cuidado Pré-Natal;    Fatores Socioeconômicos;    Estudos Transversais;    Mujeres Embarazadas;    Infecciones por VIH;    Síndrome de Inmunodeficiencia Adquirida;    Atención Prenatal;    Factores Socioeconómicos;    Estudios Transversales;   

DOI  :  10.1590/S0034-89102008000500011

来源: SciELO

【 摘 要 】

OBJECTIVE: To assess rates of offering and uptake of HIV testing and their predictors among women who attended prenatal care. METHODS: A population-based cross-sectional study was conducted among postpartum women (N=2,234) who attended at least one prenatal care visit in 12 cities. Independent and probabilistic samples were selected in the cities studied. Sociodemographic data, information about prenatal care and access to HIV prevention interventions during the current pregnancy were collected. Bivariate and multivariate analyses were carried out to assess independent effects of the covariates on offering and uptake of HIV testing. Data collection took place between November 1999 and April 2000. RESULTS: Overall, 77.5% of the women reported undergoing HIV testing during the current pregnancy. Offering of HIV testing was positively associated with: previous knowledge about prevention of mother-to-child transmission of HIV; higher number of prenatal care visits; higher level of education and being white. HIV testing acceptance rate was 92.5%. CONCLUSIONS: The study results indicate that dissemination of information about prevention of mother-to-child transmission among women may contribute to increasing HIV testing coverage during pregnancy. Non-white women with lower level of education should be prioritized. Strategies to increase attendance of vulnerable women to prenatal care and to raise awareness among health care workers are of utmost importance.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License