Uptake and acceptability of antenatal HIV testing : randomised controlled trial of different methods of offering the test.
To determine the uptake and acceptability of different methods of a universal offer of voluntary HIV testing to pregnant women.
Randomised controlled trial involving four combinations of written and verbal communication, followed by the direct offer of a test The control group received no information and no direct offer of a test, although testing was available on request Setting : Hospital antenatal clinic covering most of the population of the city of Edinburgh.
3024 pregnant women booking at the clinic over a 10 month period.
Main outcome measures
Uptake of HIV testing and women's knowledge, satisfaction, and anxiety.
Uptake rates were 6% for those in the control group and 35% for those directly offered the test.
Neither the style of leaflet nor the length of discussion had an effect on uptake.
Significant independent predictors of uptake were a direct test offer ; the midwife seen ; and being unmarried, previously tested, and younger age.
Knowledge of the specific benefits of testing increased with the amount of information given, but neither satisfaction nor anxiety was affected by the type of offer.
The universal offer of HIV testing is not intrusive and is acceptable to pregnant women.
A policy of offering the HIV test to all women resulted in higher uptake and did not increase anxiety or dissatisfaction. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Dépistage, Acceptation, Technique, Présentation information, Prénatal, Etude comparative, Homme, Femelle, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Medical screening, Acceptance, Technique, Information layout, Prenatal, Comparative study, Human, Female, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0104994
Code Inist : 002B20F01. Création : 22/06/1998.