Skip to main content
Erschienen in: AIDS and Behavior 6/2006

01.11.2006 | Original Article

Assessing the Efficacy of a Voluntary HIV Counseling and Testing Intervention for Pregnant Women and Male Partners in Urumqi City, China

verfasst von: Kaveh Khoshnood, Katherine S. Wilson, Giovanni Filardo, Zhendong Liu, Ng Hon Keung, Zunyou Wu

Erschienen in: AIDS and Behavior | Ausgabe 6/2006

Einloggen, um Zugang zu erhalten

Abstract

This study investigated the efficacy of voluntary counseling and testing (VCT) in an educated cohort of pregnant women attending antenatal clinics in Urumqi, China. VCT was given to women and their partners (experimental group) or women alone (control group). Both groups were given pre- and post-intervention questionnaires to assess HIV knowledge and willingness to get HIV testing. Multivariate analysis showed that all women improved significantly in HIV knowledge between baseline and follow-up. Moreover, HIV knowledge was significantly associated with HIV testing willingness. At follow-up, women in the control and experimental groups were 6.8 and 7.9 times more willing to receive HIV testing than at baseline, respectively. VCT seems effective in this cohort of educated pregnant women.
Literatur
Zurück zum Zitat Allen, S., Meinzen-Derr, J., Kautzman, M., Zulu, I., Trask, S., Fideli, U., et al. (2003). Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS, 17(5), 733–740.PubMedCrossRef Allen, S., Meinzen-Derr, J., Kautzman, M., Zulu, I., Trask, S., Fideli, U., et al. (2003). Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS, 17(5), 733–740.PubMedCrossRef
Zurück zum Zitat Ammann, A. (2000). HIV in China: an opportunity to halt an emerging epidemic. AIDS Patient Care and STDs, 14(3), 109–112.PubMedCrossRef Ammann, A. (2000). HIV in China: an opportunity to halt an emerging epidemic. AIDS Patient Care and STDs, 14(3), 109–112.PubMedCrossRef
Zurück zum Zitat Anderson, J. E., Ebrahim, S. H., & Sansom, S. (2004). Women's knowledge about treatment to prevent mother-to-child human immunodeficiency virus transmission. Obstetrics & Gynecology, 103(1), 165–168. Anderson, J. E., Ebrahim, S. H., & Sansom, S. (2004). Women's knowledge about treatment to prevent mother-to-child human immunodeficiency virus transmission. Obstetrics & Gynecology, 103(1), 165–168.
Zurück zum Zitat Bakari, J. P., McKenna, S., Myrick, A., Mwinga, K., Bhat, G. J., & Allen, S. (2000). Rapid voluntary testing and counseling for HIV: acceptability and feasibility in Zambian antenatal care clinics. Annals of New York Academy of Sciences, 918, 64–76.CrossRef Bakari, J. P., McKenna, S., Myrick, A., Mwinga, K., Bhat, G. J., & Allen, S. (2000). Rapid voluntary testing and counseling for HIV: acceptability and feasibility in Zambian antenatal care clinics. Annals of New York Academy of Sciences, 918, 64–76.CrossRef
Zurück zum Zitat Buskin, S. E., Lin, L., Houyuan, Y., Tianji, Y., & McGough, J. P. (2002). HIV/AIDS Knowledge and attitudes in Chinese medical professional and students before and after informational lecture on HIV/AIDS. Journal of Public Health Management and Practice 8(6), 38–43.PubMed Buskin, S. E., Lin, L., Houyuan, Y., Tianji, Y., & McGough, J. P. (2002). HIV/AIDS Knowledge and attitudes in Chinese medical professional and students before and after informational lecture on HIV/AIDS. Journal of Public Health Management and Practice 8(6), 38–43.PubMed
Zurück zum Zitat Dabis, F., Newell, M. L., Fransen, L., Saba, J., Lepage, P., Leroy, V., et al. and the Ghent International Working Group on Mother-to-Child Transmission of HIV (2000). Dabis, F., Newell, M. L., Fransen, L., Saba, J., Lepage, P., Leroy, V., et al. and the Ghent International Working Group on Mother-to-Child Transmission of HIV (2000).
Zurück zum Zitat Gage, A. J., & Ali, D. (2005). Factors associated with self-reported HIV testing among men in Uganda. AIDS Care, 17(2), 153–165.PubMedCrossRef Gage, A. J., & Ali, D. (2005). Factors associated with self-reported HIV testing among men in Uganda. AIDS Care, 17(2), 153–165.PubMedCrossRef
Zurück zum Zitat Gresenguet, G., Sehonou, J., Bassirou, B., Longo, Jde D., Malkin, J. E., et al. (2002). Voluntary HIV counseling and testing: experience among the sexually active population in Bangui, Central African Republic. Journal of Acquired Immune Deficiency Syndromes, 31(1), 106–114.PubMed Gresenguet, G., Sehonou, J., Bassirou, B., Longo, Jde D., Malkin, J. E., et al. (2002). Voluntary HIV counseling and testing: experience among the sexually active population in Bangui, Central African Republic. Journal of Acquired Immune Deficiency Syndromes, 31(1), 106–114.PubMed
Zurück zum Zitat Hesketh, T., Duo, L., Li, H., & Tomkins, A. M. (2005). Attitudes to HIV and HIV testing in high prevalence areas of China: informing the introduction of voluntary counseling and testing programs. Sexually Transmitted Infections, 81(2), 108–112.PubMedCrossRef Hesketh, T., Duo, L., Li, H., & Tomkins, A. M. (2005). Attitudes to HIV and HIV testing in high prevalence areas of China: informing the introduction of voluntary counseling and testing programs. Sexually Transmitted Infections, 81(2), 108–112.PubMedCrossRef
Zurück zum Zitat Ho, C. F., & Loke, A. Y. (2003a). HIV/AIDS knowledge and risk behaviour in Hong Kong Chinese pregnant women. Journal Advanced Nursing, 43(3), 238–245.CrossRef Ho, C. F., & Loke, A. Y. (2003a). HIV/AIDS knowledge and risk behaviour in Hong Kong Chinese pregnant women. Journal Advanced Nursing, 43(3), 238–245.CrossRef
Zurück zum Zitat Ho, C. F., and Loke, A. Y. (2003b). Pregnant women's decisions on antenatal screening in Hong Kong. AIDS Care, 15(6), 821–827.PubMedCrossRef Ho, C. F., and Loke, A. Y. (2003b). Pregnant women's decisions on antenatal screening in Hong Kong. AIDS Care, 15(6), 821–827.PubMedCrossRef
Zurück zum Zitat Jha, S., Gee, H., & Coomaraswamy, A. (2003). Women's attitudes to HIV screening in pregnancy in an area of low prevalence. British Journal of Obstetrics and Gynecology, 110(2), 145–148. Jha, S., Gee, H., & Coomaraswamy, A. (2003). Women's attitudes to HIV screening in pregnancy in an area of low prevalence. British Journal of Obstetrics and Gynecology, 110(2), 145–148.
Zurück zum Zitat Jiraphongsa, C., Danmoensawat, W., Greenland, S., Frerichs, R., Siraprapasiri, T., Glik, D. C., et al. (2002). Acceptance of HIV testing and counseling among unmarried young adults in Northern Thailand. AIDS Education and Prevention, 14(2), 89–101.PubMedCrossRef Jiraphongsa, C., Danmoensawat, W., Greenland, S., Frerichs, R., Siraprapasiri, T., Glik, D. C., et al. (2002). Acceptance of HIV testing and counseling among unmarried young adults in Northern Thailand. AIDS Education and Prevention, 14(2), 89–101.PubMedCrossRef
Zurück zum Zitat Kilewo, C., Massawe, A., Lyamuya, E., Semali, I., Kalokola, F., Urassa, E., et al. (2001). HIV counseling and testing of pregnant women in sub-Saharan Africa: experiences from a study on prevention of mother-to-child HIV-1 transmission in Dar Es Salaam, Tanzania. Journal of Acquired Immune Deficiency Syndromes, 28(5), 458–462.PubMed Kilewo, C., Massawe, A., Lyamuya, E., Semali, I., Kalokola, F., Urassa, E., et al. (2001). HIV counseling and testing of pregnant women in sub-Saharan Africa: experiences from a study on prevention of mother-to-child HIV-1 transmission in Dar Es Salaam, Tanzania. Journal of Acquired Immune Deficiency Syndromes, 28(5), 458–462.PubMed
Zurück zum Zitat Matovu, J. K., Kigozi, G., Nalugoda, F., Wabwire-Mangen, F., & Gray, R. H. (2002). The Rakai Project counselling programme experience. Tropical Medicine International Health, 7(12), 1064–1067.PubMedCrossRef Matovu, J. K., Kigozi, G., Nalugoda, F., Wabwire-Mangen, F., & Gray, R. H. (2002). The Rakai Project counselling programme experience. Tropical Medicine International Health, 7(12), 1064–1067.PubMedCrossRef
Zurück zum Zitat National Center for AIDS Prevention and Control (NCAPC) (2000). National HIV/AIDS Surveillance Report 1999. Beijing: Ministry of Health. National Center for AIDS Prevention and Control (NCAPC) (2000). National HIV/AIDS Surveillance Report 1999. Beijing: Ministry of Health.
Zurück zum Zitat Nuwaha, F., Kabatesi, D., Muganwa, M., & Whalen, C. C. (2002). Factors influencing acceptability of voluntary counselling and testing for HIV in Bushenyi district of Uganda. East African Medical Journal, 79(12), 626–632.PubMed Nuwaha, F., Kabatesi, D., Muganwa, M., & Whalen, C. C. (2002). Factors influencing acceptability of voluntary counselling and testing for HIV in Bushenyi district of Uganda. East African Medical Journal, 79(12), 626–632.PubMed
Zurück zum Zitat Painter, T. (2001). Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa. Social Science and Medicine, 53, 1397–1411.PubMedCrossRef Painter, T. (2001). Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa. Social Science and Medicine, 53, 1397–1411.PubMedCrossRef
Zurück zum Zitat Pool, R., Nyanzi, S., & Whitworth, J. A. (2001). Attitudes to voluntary counseling and testing for HIV among pregnant women in rural south-west Uganda. AIDS Care, 13(5), 605–615.PubMedCrossRef Pool, R., Nyanzi, S., & Whitworth, J. A. (2001). Attitudes to voluntary counseling and testing for HIV among pregnant women in rural south-west Uganda. AIDS Care, 13(5), 605–615.PubMedCrossRef
Zurück zum Zitat Shengli, C., Shikun, Z., & Westley, S. B. (2004). HIV/AIDS awareness is improving in China. Asia-Pacific Population & Policy 69, 1–5. Shengli, C., Shikun, Z., & Westley, S. B. (2004). HIV/AIDS awareness is improving in China. Asia-Pacific Population & Policy 69, 1–5.
Zurück zum Zitat Singh, S., Fukuda, H., Ingle, G. K., & Tatara, K. (2002). Knowledge, attitude, the perceived risks of infection and source of information about HIV/AIDS among pregnant women in an urban population of Delhi. Journal of Communicable Diseases, 34(1), 23–34.PubMed Singh, S., Fukuda, H., Ingle, G. K., & Tatara, K. (2002). Knowledge, attitude, the perceived risks of infection and source of information about HIV/AIDS among pregnant women in an urban population of Delhi. Journal of Communicable Diseases, 34(1), 23–34.PubMed
Zurück zum Zitat Stringer, E. M., Sinkala, M., Kumwenda, R., Chapman, V., Mwale, A., Vermund, S. H., et al. (2004). Personal risk perception, HIV knowledge and risk avoidance behavior, and their relationships to actual HIV serostatus in an urban African obstetrics population. Journal of Acquired Immune Deficiency Syndromes, 35(1), 60–66.PubMed Stringer, E. M., Sinkala, M., Kumwenda, R., Chapman, V., Mwale, A., Vermund, S. H., et al. (2004). Personal risk perception, HIV knowledge and risk avoidance behavior, and their relationships to actual HIV serostatus in an urban African obstetrics population. Journal of Acquired Immune Deficiency Syndromes, 35(1), 60–66.PubMed
Zurück zum Zitat The Voluntary HIV-1 Counseling and Testing Efficacy Study Group (2000). Efficacy of voluntary HIV-1 counseling and testing in individuals and couples in Kenya, Tanzania, and Trinidad: a randomized trial. Lancet, 356, 103–112.CrossRef The Voluntary HIV-1 Counseling and Testing Efficacy Study Group (2000). Efficacy of voluntary HIV-1 counseling and testing in individuals and couples in Kenya, Tanzania, and Trinidad: a randomized trial. Lancet, 356, 103–112.CrossRef
Zurück zum Zitat UNAIDS (2000). Voluntary Counselling and Testing (VCT). Retrieved October 30, 2005 from http://www.unaids.org/en/resources/publications.asp UNAIDS (2000). Voluntary Counselling and Testing (VCT). Retrieved October 30, 2005 from http://​www.​unaids.​org/​en/​resources/​publications.​asp
Zurück zum Zitat UNAIDS (2003). Joint Assessment of HIV/AIDS Prevention, Treatment, and Care in China. Report of the China Ministry of Health and the UN Theme Group on HIV/AIDS in China, December 1, 2003. Geneva: UNAIDS. UNAIDS (2003). Joint Assessment of HIV/AIDS Prevention, Treatment, and Care in China. Report of the China Ministry of Health and the UN Theme Group on HIV/AIDS in China, December 1, 2003. Geneva: UNAIDS.
Zurück zum Zitat UNAIDS (2004). China: Epidemiological Fact Sheet on HIV/AIDS and STIs. 2004 Report on the Global AIDS Epidemic. Geneva, UNAIDS. Retrieved October 30, 2005 from http://www.unaids.org/EN/geographical+area/by+country/china.asp UNAIDS (2004). China: Epidemiological Fact Sheet on HIV/AIDS and STIs. 2004 Report on the Global AIDS Epidemic. Geneva, UNAIDS. Retrieved October 30, 2005 from http://​www.​unaids.​org/​EN/​geographical+are​a/​by+country/​china.​asp
Zurück zum Zitat Wu, Z., Detels, R., Ji, G., Xu, C., Rou, K., Ding, H., et al. (2002). Diffusion of HIV/AIDS knowledge, positive attitudes, and behaviors through training of health professionals in China. AIDS Education and Prevention, 14(5), 379–90.PubMedCrossRef Wu, Z., Detels, R., Ji, G., Xu, C., Rou, K., Ding, H., et al. (2002). Diffusion of HIV/AIDS knowledge, positive attitudes, and behaviors through training of health professionals in China. AIDS Education and Prevention, 14(5), 379–90.PubMedCrossRef
Zurück zum Zitat Zachariah, R., Spielmann, M. P., Harries, A. D., Buhendwa, L., & Chingi, C. (2003) Motives, sexual behavior, and risk factors associated with HIV in individuals seeking voluntary counseling and testing in a rural district of Malawi. Tropical Doctor, 33(2), 88–91.PubMed Zachariah, R., Spielmann, M. P., Harries, A. D., Buhendwa, L., & Chingi, C. (2003) Motives, sexual behavior, and risk factors associated with HIV in individuals seeking voluntary counseling and testing in a rural district of Malawi. Tropical Doctor, 33(2), 88–91.PubMed
Metadaten
Titel
Assessing the Efficacy of a Voluntary HIV Counseling and Testing Intervention for Pregnant Women and Male Partners in Urumqi City, China
verfasst von
Kaveh Khoshnood
Katherine S. Wilson
Giovanni Filardo
Zhendong Liu
Ng Hon Keung
Zunyou Wu
Publikationsdatum
01.11.2006
Erschienen in
AIDS and Behavior / Ausgabe 6/2006
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9092-8

Weitere Artikel der Ausgabe 6/2006

AIDS and Behavior 6/2006 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.