2004—2012年我国4省(自治区)HIV感染孕产妇检测前后咨询状况及咨询满意度调查

Satisfaction survey on HIV infected pregnant women utilization of HIV Voluntary Counseling and Testing,2004- 2012

目的了解我国HIV感染孕产妇对艾滋病病毒自愿咨询检测(VCT)服务的满意度。方法采用多阶段横断面调查,对2004—2012年我国河南、云南、新疆和广西4省(自治区)7个艾滋病高发地区确诊的所有HIV感染孕产妇1367例进行问卷调查,数据采用趋势χ2检验分析不同年度变化趋势。结果 HIV感染孕产妇中,49.31%接受过检测前咨询,95.68%的孕产妇接受过检测后咨询。2004—2012年检测前咨询比例由35.16%升至72.09%,检测后咨询比例由89.01%升至100%。2004年检测前咨询"非常满意"度为0,2012年比例为48.39%;检测后咨询"非常满意或满意"度从2004年的87.65%上升至2012年的100%,检测前、后满意度均呈逐年上升趋势,差异有统计学意义(P<0.01)。结论 HIV感染孕产妇对艾滋病检测前咨询服务的利用仍然较低,医务人员提供咨询服务的技巧和质量有待提高。

Objective To learn the satisfaction degree of HIV pregnant women utilization of HIV Voluntary Coun- seling and Testing （VCT）. Methods The multi-staged cross sectional study design was used to collect information. 1367 pregnant women in 7 counties from Henan, Yunnan, Xinjiang and Guangxi provinces were recruited in the survey. The HIV pregnant women were investigated by the questionnaire which included social characters, HIV testing, pre-test counseling, post-test counseling and related satisfaction degree, etc. CMHx2 was applied to analysis the trend of pre- or post-test counseling rate and change of HIV infected pregnant women satisfaction on counseling. Results Only 49. 31% of HIV infected pregnant women received pre-test counseling, and 95.68% of them received post-test counseling. In 2004 -2012, the rates of pre-test and post-test counseling were raised from 35.16%, 89. 01% to 72. 09% and 100% respectively. In 2004, none of the women was ＂very satisfied＂ with the pre-test counseling, and the ratio was raised to 48.39% in 2012. The ratio of ＂very satisfied or satisfied＂ with the post-test counseling was also increasing from 87.65% in 2004 to 100% in 2012. Conclusion HIV infected pregnant women utilization of HIV VCT was still low, and the counseling skills and quality of the service delivery need to be improved.