HIV testing among pregnant women in Brazil: rates and predictors

Detalhes bibliográficos
Autor(a) principal: Veloso,Valdiléa G
Data de Publicação: 2008
Outros Autores: Portela,Margareth C, Vasconcellos,Mauricio T L, Matzenbacher,Luiz A, Vasconcelos,Ana Lúcia R de, Grinsztejn,Beatriz, Bastos,Francisco I
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102008000500011
Resumo: 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.
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spelling HIV testing among pregnant women in Brazil: rates and predictorsPregnant WomenHIV Infections/diagnosisAcquired Immunodeficiency Syndrome/prevention & controlPrenatal CareSocioeconomic FactorsCross-Sectional StudiesOBJECTIVE: 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.Faculdade de Saúde Pública da Universidade de São Paulo2008-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102008000500011Revista de Saúde Pública v.42 n.5 2008reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0034-89102008000500011info:eu-repo/semantics/openAccessVeloso,Valdiléa GPortela,Margareth CVasconcellos,Mauricio T LMatzenbacher,Luiz AVasconcelos,Ana Lúcia R deGrinsztejn,BeatrizBastos,Francisco Ieng2008-10-02T00:00:00Zoai:scielo:S0034-89102008000500011Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2008-10-02T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv HIV testing among pregnant women in Brazil: rates and predictors
title HIV testing among pregnant women in Brazil: rates and predictors
spellingShingle HIV testing among pregnant women in Brazil: rates and predictors
Veloso,Valdiléa G
Pregnant Women
HIV Infections/diagnosis
Acquired Immunodeficiency Syndrome/prevention & control
Prenatal Care
Socioeconomic Factors
Cross-Sectional Studies
title_short HIV testing among pregnant women in Brazil: rates and predictors
title_full HIV testing among pregnant women in Brazil: rates and predictors
title_fullStr HIV testing among pregnant women in Brazil: rates and predictors
title_full_unstemmed HIV testing among pregnant women in Brazil: rates and predictors
title_sort HIV testing among pregnant women in Brazil: rates and predictors
author Veloso,Valdiléa G
author_facet Veloso,Valdiléa G
Portela,Margareth C
Vasconcellos,Mauricio T L
Matzenbacher,Luiz A
Vasconcelos,Ana Lúcia R de
Grinsztejn,Beatriz
Bastos,Francisco I
author_role author
author2 Portela,Margareth C
Vasconcellos,Mauricio T L
Matzenbacher,Luiz A
Vasconcelos,Ana Lúcia R de
Grinsztejn,Beatriz
Bastos,Francisco I
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Veloso,Valdiléa G
Portela,Margareth C
Vasconcellos,Mauricio T L
Matzenbacher,Luiz A
Vasconcelos,Ana Lúcia R de
Grinsztejn,Beatriz
Bastos,Francisco I
dc.subject.por.fl_str_mv Pregnant Women
HIV Infections/diagnosis
Acquired Immunodeficiency Syndrome/prevention & control
Prenatal Care
Socioeconomic Factors
Cross-Sectional Studies
topic Pregnant Women
HIV Infections/diagnosis
Acquired Immunodeficiency Syndrome/prevention & control
Prenatal Care
Socioeconomic Factors
Cross-Sectional Studies
description 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.
publishDate 2008
dc.date.none.fl_str_mv 2008-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102008000500011
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102008000500011
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0034-89102008000500011
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.42 n.5 2008
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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