认知和行为因素对孕妇接受HIV检测意愿的影响

The affects of cognitive and behavior factors on willingness to accept HIV testing among pregnant women

目的了解孕妇接受艾滋病检测意愿,以及认知、行为因素对其的影响。方法采用随机抽样方法,应用基于健康信念模式自行设计的问卷,采用面对面的方式,对符合纳入标准的研究对象进行问卷调查。结果共调查500名孕妇,58.6%的孕妇表达了愿意在怀孕期间接受艾滋病免费检测。艾滋病知识知晓率低(完全正确仅11.6%)。27.6%的孕妇认为自己容易感染艾滋病,怕被人误解等是影响孕妇接受艾滋病检测意愿的因素。结论加强对孕妇的艾滋病健康教育,提高其艾滋病知识知晓率,增加孕妇艾滋病检测意愿,从而改变其行为,有效阻止艾滋病母婴传播。

Objective To investigate the prevalence of the willingness to accept human immunodeficiency virus （HIV） testing and the affects of cognitive and behavior factors on it. Methods SelPdesigned questionnaires based on health belief model （HBM） were conducted face to face in the subjects meeting inclusion criteria using the method of random sampling. Results A total of 500 pregnant women were surveyed in the study, and 58.6% had the willing to accept free HIV testing during pregnancy. Low knowledge about AIDS （only 11.6% completely correct）, higher perceived susceptibility to HIV and being afraid of misunderstanding were factors affecting willingness to ac cept HIV testing among pregnant women. Conclusions To effectively prevent mother-to-children transmission of HIV, it is necessary to enhance health education of HIV/AIDS, improve awairness of HIV/AIDS and increase willingness to accept HIV testing among pregnant women.