Barriers for HIV testing during pregnancy in Southern Brazil

Bibliographic Data

ID9261853
AuthorsHumberto Rosa (Universidade Federal do Rio Grande do Sul), Humberto Antonio Campos Rosa (Universidade Federal do Rio Grande do Sul), Marcelo Zubaran Goldani (0000-0002-7414-5443, Universidade Federal do Rio Grande do Sul), Thomas Scanlon (0000-0003-2501-679X, University College of London, UK), Thomas C Scanlon (0000-0002-4165-1171, University College London), Antonio Augusto Moura Da Silva (0000-0003-4968-5138, Universidade Federal do Maranhão), Elsa Justo Giugliani (Universidade Federal do Rio Grande do Sul), Marilyn Agranonik (0000-0003-2699-9628, Universidade Federal do Rio Grande do Sul), Andrew Tomkins (0000-0002-1611-9255, University College of London, UK)
Year2006
Volume40
Issue2
Pages220-225
Publication date2006-04-01
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0034-89102006000200006
PMID16583031
OpenAlexW2065660222
SciELOS0034-89102006000200006
LanguageEN
Citations received3
References cited20

OBJECTIVE: To assess HIV testing rate and determine risk factors for not have been tested during pregnancy. METHODS: A cross-sectional study was carried out in Porto Alegre, Southern Brazil, from December 2000 to February 2001. Socioeconomic, maternal and healthcare variables were obtained by means of a standardized questionnaire. Crude and adjusted odds ratios and their 95% confidence intervals were obtained in logistic regression models. RESULTS: A total of 1,642 mothers were interviewed. Of them, 94.3% reported being offered HIV testing before or during pregnancy or during labor; 89 mothers (5.4%) were not tested or did not know if they were tested. Attending fewer than six prenatal visits, being single and younger than 18 years old were relevant barriers preventing HIV testing. There was found a relationship between maternal schooling and the category of prenatal care provider. Having low 22.20 (12.43-39.67) or high 3.38 (1.86-7.68). schooling and being cared in the private sector strongly reduced the likelihood of being HIV tested. CONCLUSIONS: The Brazilian Health Ministry's recommendation for universal counseling and HIV testing has been successfully implemented in the public sector. In order to improve HIV testing coverage, new strategies need to target women cared in the private sector especially those of low schooling

Christian ministry · Confidence interval · Cross-sectional study · Developing country · Environmental health · Family medicine · Health care · Human immunodeficiency virus (HIV) · Logistic regression · Obstetrics · Odds · Odds ratio · Population · Pregnancy · Prenatal care · Private sector · Public health · Public sector · Socioeconomic status · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Maternal and Neonatal Healthcare · Medicine · Nursing

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