To evaluate the trend of and the reason for women attending HIV counselling and testing (CT) because of pregnancy or pregnancy planning. and the observed human immunodeficiency virus (HIV) prevalence rate, systematic data was gathered during free pre-and posttest discussion. at a major CT site of Rome, Italy, from July 1985 to June 1996.
A total of 3608 women were enrolled. increasing from 0.9% of the total number of female clients in 1986 to 34.6% in 1996.
Most women (92.5%) were rcferred by gynaecologists, mostly without reported risk factors for HIV infection.
In 22.5% of cases the test was performed after the first trimester of pregnancy.
Prior tested women increased significantly from 6.7% in 1989 to 33.4% in the first half of 1996.
Two thirds of women reported their current partners were not tested for HIV.
Thirteen (0.36%) newly diagnosed women were observed : four were not aware of being at risk.
In Italy HIV testing seems to have been included as a part of routine prenatal care.
Efforts should he made to optimise the period when testing is performed.
Universal counselling and testing of the couple could be the appropriate way to recognise most cases of newly diagnosed HIV infection.
Mots-clés Pascal : Italie, Europe, Conseil clinique, Demande, Dépistage, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Infection, Gestation pathologie, Mère pathologie, Prévalence, Epidémiologie, Femelle, Homme
Mots-clés Pascal anglais : Italy, Europe, Clinical counseling, Demand, Medical screening, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Infection, Pregnancy disorders, Maternal diseases, Prevalence, Epidemiology, Female, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0290800
Code Inist : 002B20F02. Création : 27/11/1998.