Barriers for HIV testing during pregnancy in Southern Brazil

Detalhes bibliográficos
Autor(a) principal: Rosa, Humberto
Data de Publicação: 2006
Outros Autores: Goldani, Marcelo Zubaran, Scanlon, Thomas, Silva, Antônio Augusto Moura da, Giugliani, Elsa Justo, Agranonik, Marilyn, Tomkins, Andrew
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32024
Resumo: OBJECTIVE: To assess HIV testing rate and determine risk factors for not have been tested during pregnancy. METHODS: A cross-sectional study was carried out in Porto Alegre, Southern Brazil, from December 2000 to February 2001. Socioeconomic, maternal and healthcare variables were obtained by means of a standardized questionnaire. Crude and adjusted odds ratios and their 95% confidence intervals were obtained in logistic regression models. RESULTS: A total of 1,642 mothers were interviewed. Of them, 94.3% reported being offered HIV testing before or during pregnancy or during labor; 89 mothers (5.4%) were not tested or did not know if they were tested. Attending fewer than six prenatal visits, being single and younger than 18 years old were relevant barriers preventing HIV testing. There was found a relationship between maternal schooling and the category of prenatal care provider. Having low 22.20 (12.43-39.67) or high 3.38 (1.86-7.68). schooling and being cared in the private sector strongly reduced the likelihood of being HIV tested. CONCLUSIONS: The Brazilian Health Ministry's recommendation for universal counseling and HIV testing has been successfully implemented in the public sector. In order to improve HIV testing coverage, new strategies need to target women cared in the private sector especially those of low schooling.
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spelling Barriers for HIV testing during pregnancy in Southern Brazil Barreiras para a realização do teste para a detecção do HIV em gestantes no Sul do Brasil HIVGravidezAnticorpos anti-HIVCuidado pré-natalInfecções por HIV^i2^sdiagnóstHIVPregnancyHIV antibodiesPrenatal careHIV infections^i1^sdiagno OBJECTIVE: To assess HIV testing rate and determine risk factors for not have been tested during pregnancy. METHODS: A cross-sectional study was carried out in Porto Alegre, Southern Brazil, from December 2000 to February 2001. Socioeconomic, maternal and healthcare variables were obtained by means of a standardized questionnaire. Crude and adjusted odds ratios and their 95% confidence intervals were obtained in logistic regression models. RESULTS: A total of 1,642 mothers were interviewed. Of them, 94.3% reported being offered HIV testing before or during pregnancy or during labor; 89 mothers (5.4%) were not tested or did not know if they were tested. Attending fewer than six prenatal visits, being single and younger than 18 years old were relevant barriers preventing HIV testing. There was found a relationship between maternal schooling and the category of prenatal care provider. Having low 22.20 (12.43-39.67) or high 3.38 (1.86-7.68). schooling and being cared in the private sector strongly reduced the likelihood of being HIV tested. CONCLUSIONS: The Brazilian Health Ministry's recommendation for universal counseling and HIV testing has been successfully implemented in the public sector. In order to improve HIV testing coverage, new strategies need to target women cared in the private sector especially those of low schooling. OBJETIVO: Avaliar o padrão de realização do teste para a detecção do HIV e os fatores de risco para a sua não realização durante a gestação. MÉTODOS: Trata-se de um estudo transversal realizado em Porto Alegre, de dezembro de 2000 a fevereiro de 2001. Foram obtidas de puérperas variáveis biológicas, demográficas e sociais por meio de questionário padronizado. Foi elaborado modelo de regressão logística para determinar os fatores risco para não ser testada para a detecção do HIV. RESULTADOS: Foram entrevistadas 1.642 mães. Destas, 94,3% informaram testadas para o HIV. Oitenta e nove (5,4%) não foram testadas para HIV ou não sabiam se haviam feito o teste. Realizar menos do que seis consultas pré-natais, ausência de companheiro e idade inferior a 18 anos foram fatores de risco para não realização do teste. Houve interação entre escolaridade materna e categoria do atendimento pré-natal. Baixa escolaridade 22,20 (12,43-39,67) e alta escolaridade 3,38 (1,86-7,68) com acompanhamento pré-natal no setor privado foram condições preponderantes para não realização do teste de detecção do HIV. CONCLUSÕES: A testagem universal para a detecção do HIV durante o pré-natal no setor público foi implementada com sucesso pelo Ministério da Saúde. Contudo, novas intervenções e estratégias necessitam ser direcionadas objetivando ampliar o acesso ao diagnóstico da infecção por HIV no setor privado. Universidade de São Paulo. Faculdade de Saúde Pública2006-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3202410.1590/S0034-89102006000200006Revista de Saúde Pública; Vol. 40 No. 2 (2006); 220-225 Revista de Saúde Pública; Vol. 40 Núm. 2 (2006); 220-225 Revista de Saúde Pública; v. 40 n. 2 (2006); 220-225 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/32024/34058Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessRosa, HumbertoGoldani, Marcelo ZubaranScanlon, ThomasSilva, Antônio Augusto Moura daGiugliani, Elsa JustoAgranonik, MarilynTomkins, Andrew2012-07-08T22:59:50Zoai:revistas.usp.br:article/32024Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T22:59:50Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Barriers for HIV testing during pregnancy in Southern Brazil
Barreiras para a realização do teste para a detecção do HIV em gestantes no Sul do Brasil
title Barriers for HIV testing during pregnancy in Southern Brazil
spellingShingle Barriers for HIV testing during pregnancy in Southern Brazil
Rosa, Humberto
HIV
Gravidez
Anticorpos anti-HIV
Cuidado pré-natal
Infecções por HIV^i2^sdiagnóst
HIV
Pregnancy
HIV antibodies
Prenatal care
HIV infections^i1^sdiagno
title_short Barriers for HIV testing during pregnancy in Southern Brazil
title_full Barriers for HIV testing during pregnancy in Southern Brazil
title_fullStr Barriers for HIV testing during pregnancy in Southern Brazil
title_full_unstemmed Barriers for HIV testing during pregnancy in Southern Brazil
title_sort Barriers for HIV testing during pregnancy in Southern Brazil
author Rosa, Humberto
author_facet Rosa, Humberto
Goldani, Marcelo Zubaran
Scanlon, Thomas
Silva, Antônio Augusto Moura da
Giugliani, Elsa Justo
Agranonik, Marilyn
Tomkins, Andrew
author_role author
author2 Goldani, Marcelo Zubaran
Scanlon, Thomas
Silva, Antônio Augusto Moura da
Giugliani, Elsa Justo
Agranonik, Marilyn
Tomkins, Andrew
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Rosa, Humberto
Goldani, Marcelo Zubaran
Scanlon, Thomas
Silva, Antônio Augusto Moura da
Giugliani, Elsa Justo
Agranonik, Marilyn
Tomkins, Andrew
dc.subject.por.fl_str_mv HIV
Gravidez
Anticorpos anti-HIV
Cuidado pré-natal
Infecções por HIV^i2^sdiagnóst
HIV
Pregnancy
HIV antibodies
Prenatal care
HIV infections^i1^sdiagno
topic HIV
Gravidez
Anticorpos anti-HIV
Cuidado pré-natal
Infecções por HIV^i2^sdiagnóst
HIV
Pregnancy
HIV antibodies
Prenatal care
HIV infections^i1^sdiagno
description OBJECTIVE: To assess HIV testing rate and determine risk factors for not have been tested during pregnancy. METHODS: A cross-sectional study was carried out in Porto Alegre, Southern Brazil, from December 2000 to February 2001. Socioeconomic, maternal and healthcare variables were obtained by means of a standardized questionnaire. Crude and adjusted odds ratios and their 95% confidence intervals were obtained in logistic regression models. RESULTS: A total of 1,642 mothers were interviewed. Of them, 94.3% reported being offered HIV testing before or during pregnancy or during labor; 89 mothers (5.4%) were not tested or did not know if they were tested. Attending fewer than six prenatal visits, being single and younger than 18 years old were relevant barriers preventing HIV testing. There was found a relationship between maternal schooling and the category of prenatal care provider. Having low 22.20 (12.43-39.67) or high 3.38 (1.86-7.68). schooling and being cared in the private sector strongly reduced the likelihood of being HIV tested. CONCLUSIONS: The Brazilian Health Ministry's recommendation for universal counseling and HIV testing has been successfully implemented in the public sector. In order to improve HIV testing coverage, new strategies need to target women cared in the private sector especially those of low schooling.
publishDate 2006
dc.date.none.fl_str_mv 2006-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32024
10.1590/S0034-89102006000200006
url https://www.revistas.usp.br/rsp/article/view/32024
identifier_str_mv 10.1590/S0034-89102006000200006
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32024/34058
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 40 No. 2 (2006); 220-225
Revista de Saúde Pública; Vol. 40 Núm. 2 (2006); 220-225
Revista de Saúde Pública; v. 40 n. 2 (2006); 220-225
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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